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GERALD SPENCER BERKE
NPI 1174537575
Otolaryngology in Los Angeles, CA

Active since July 28, 2006PECOS EnrolledAccepts Medicare Assignment
86.26/100
CMS Quality Rating
200 MEDICAL PLAZA, #550, LOS ANGELES, CA 90095(310) 203-3388 Get Directions Write a Review

NPPES record last updated: May 26, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gerald Spencer Berke NPPES

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

GERALD SPENCER BERKE (NPI 1174537575) is an individual otolaryngology provider in Los Angeles, California, licensed in California (G40243) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1978).

NPPES Registry Identity

NPI1174537575
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameGERALD SPENCER BERKE
Location Address200 MEDICAL PLAZA, #550Los Angeles, CA 90095
Mailing Address5767 W Century Blvd, Suite 200Los Angeles, CA 90045-5632 · (310) 203-6688
Phone(310) 203-3388
Sole ProprietorNo
Medical School CMSOtherGraduated 1978
Enumeration DateJuly 28, 2006
Last NPPES UpdateMay 26, 2011
✔ NPI 1174537575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in CA · G40243
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
200 MEDICAL PLAZA, Los Angeles, CA 90095
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Other Identifiers 3

Medicare PINWG40243DCA
Medicare UPINA92168CA
Medicaid00G402430CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gerald Spencer Berke is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183775208
PECOS Enrollment IDI20090701000524
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 10

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
4,501 services34 patients
Exam to assess movement of vocal cord flaps using an endoscope 31579
This procedure involves using a thin, flexible tube called an endoscope to view your vocal cords. The endoscope is gently inserted through your nose or mouth to observe the movement of your vocal cords. This helps identify any abnormalities or issues.
402 services239 patients
Analysis of voice and resonance production 92524
Analysis of voice and resonance production is a medical procedure that evaluates your voice and the quality of sound produced when you speak. It helps identify any abnormalities or changes in your voice, which could be due to various health conditions.
377 services219 patients
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.
276 services171 patients
Injection of chemical for paralysis of nerve muscles on side of voice box 64617
This procedure involves injecting a chemical into the nerve muscles on one side of your voice box. The chemical temporarily paralyzes these muscles, helping to manage conditions that affect voice and swallowing. It's a safe, often temporary measure to improve your quality of life.
87 services32 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.
64 services59 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90095 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

86.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.86
Promoting Interoperability100
Improvement Activities40
Cost64.12

Referred Medical Equipment & Supplies CMS DME claims

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

Tracheostomy care kit for established tracheostomy A4629
DME-Orthotic Devices · category DF000N
1 supplier12 claims360 services$3.90 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 20

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

ANJAY RASTOGI MD
Internal Medicine (Nephrology)
200 MEDICAL PLAZA, #365,420,120,530
LOS ANGELES, CA 90095
Los Angeles County (310) 794-9718
ROBERTO BALBINO VARGAS MD
Internal Medicine
200 MEDICAL PLAZA, #365,530,420,120
LOS ANGELES, CA 90095
Los Angeles County (310) 825-6301
MATTHEW ELLIS CONOLLY MD
Internal Medicine
200 MEDICAL PLAZA, #214,365,530,420,120
LOS ANGELES, CA 90095
Los Angeles County (310) 825-9583
TIMOTHY A MILLER MD
Plastic Surgery
200 MEDICAL PLAZA, #465
LOS ANGELES, CA 90095
Los Angeles County (310) 825-5510
RAM RAJ SINGH MD
Internal Medicine (Rheumatology)
200 MEDICAL PLAZA, #365,530,420,120
LOS ANGELES, CA 90095
Los Angeles County (310) 825-6301
MAIE ABDUL-RAHMAN ST JOHN MD
Otolaryngology
200 MEDICAL PLAZA, #550
LOS ANGELES, CA 90095
Los Angeles County (310) 206-6688
HAMID REZA HAJMOMENIAN MD
Internal Medicine (Nephrology)
200 MEDICAL PLAZA, #365,530,420,120
LOS ANGELES, CA 90095
Los Angeles County (310) 319-4371
ANDRE ELIAS NEL MD
Internal Medicine (Allergy & Immunology)
200 MEDICAL PLAZA, #365,530,420,120
LOS ANGELES, CA 90095
Los Angeles County (310) 825-6301

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 Gerald Berke's NPI number?

The NPI number for Gerald Berke is 1174537575. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Gerald Berke located?

Gerald Berke practices at 200 Medical Plaza #550, Los Angeles, CA 90095. The listed phone number is (310) 203-3388.

What is Gerald Berke's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Gerald Berke enrolled in Medicare?

Yes. Gerald Berke is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Gerald Berke was last updated on May 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.