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JAMES R BERRY MD
NPI 1164861589
Colon & Rectal Surgery in East Syracuse, NY

Active since June 19, 2013PECOS Enrolled
80.76/100
CMS Quality Rating
GLACIER CREEK OFFICE PARK-BLDG II, 6711 TOWPATH RD., SUITE 175, EAST SYRACUSE, NY 13057(315) 458-2211(315) 452-9025 Get Directions Write a Review

NPPES record last updated: November 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 20, 2023, Oct 12, 2020, Aug 12, 2016 (3 updates tracked since 2016).

About James R Berry Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES R BERRY MD (NPI 1164861589) is an individual colon & rectal surgery provider in East Syracuse, New York, licensed in New York (305817) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with St Joseph's Hospital Health Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1164861589
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameJAMES R BERRYCredential: MD
Location AddressGLACIER CREEK OFFICE PARK-BLDG II, 6711 TOWPATH RD., SUITE 175East Syracuse, NY 13057-9510
Mailing AddressGlacier Creek Office Park-bldg Ii, 6711 Towpath Rd., Suite 175East Syracuse, NY 13057-9510 · (315) 458-2211 · Fax (315) 452-9025
Phone(315) 458-2211
Fax(315) 452-9025
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 19, 2013
Last NPPES UpdateNovember 20, 20233 updates tracked since enumeration
NPPES CertifiedOctober 12, 2020
✔ NPI 1164861589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in NY · 305817
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
GLACIER CREEK OFFICE PARK-BLDG II, East Syracuse, NY 13057
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James R Berry Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193028181
PECOS Enrollment IDI20201116001293
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
48 services42 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
38 services30 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
31 services31 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 patients
Diagnostic exam of lower portion of large bowel using a flexible endoscope 45330
This procedure, known as a sigmoidoscopy, involves using a flexible tube with a camera to examine the lower part of your large bowel. It helps in identifying issues like inflammation, ulcers, or abnormal growths. It's a safe, minimally invasive procedure.
20 services13 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph's Hospital Health Center

Acute Care Hospitals · Syracuse, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330140
Location301 Prospect AvenueSyracuse, NY 13203 · Onondaga County
Emergency services Birthing friendly

Crouse Hospital

Acute Care Hospitals · Syracuse, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330203
Location736 Irving AvenueSyracuse, NY 13210 · Onondaga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13057 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.58
Improvement Activities40
Cost72.41

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
2 suppliers13 claims127 services$2.50 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414
DME-Orthotic Devices · category DF010N
2 suppliers15 claims250 services$4.38 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
2 suppliers17 claims320 services$2.52 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
4 suppliers15 claims680 services$0.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SIVA V DANTU MD
Surgery
GLACIER CREEK OFFICE PARK-BLDG II, 6711 TOWPATH RD., SUITE 175
EAST SYRACUSE, NY 13057
Onondaga County (315) 458-2211
ALESHIA M. ROOKE PA
Physician Assistant
GLACIER CREEK OFFICE PARK-BLDG II, 6711 TOWPATH RD., SUITE 175
EAST SYRACUSE, NY 13057
Onondaga County (315) 458-2211
DAVID A NESBITT MD
Colon & Rectal Surgery
GLACIER CREEK OFFICE PARK-BLDG II, 6711 TOWPATH RD., SUITE 175
EAST SYRACUSE, NY 13057
Onondaga County (315) 458-2211

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Berry's NPI number?

The NPI number for James Berry is 1164861589. It was assigned to this individual provider in the NPPES registry on June 19, 2013.

Where is James Berry located?

James Berry practices at Glacier Creek Office Park-Bldg II 6711 Towpath Rd., Suite 175, East Syracuse, NY 13057. The listed phone number is (315) 458-2211.

What is James Berry's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is James Berry enrolled in Medicare?

Yes. James Berry is registered in the Medicare PECOS enrollment system.

Is James Berry affiliated with any hospitals?

According to CMS data, James Berry is affiliated with St Joseph's Hospital Health Center and Crouse Hospital.

When was this NPI record last updated?

The NPPES record for James Berry was last updated on November 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.