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DR. BERT IRA BEVERLY M.D.
NPI 1174689343
Internal Medicine in Waterville, ME

Active since December 29, 2006Opted out of Medicare · through Jul 1, 2027
258 MAIN ST, WATERVILLE, ME 04901(207) 873-2220(207) 873-2221 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Bert Ira Beverly M.d. NPPES

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

DR. BERT IRA BEVERLY M.D. (NPI 1174689343) is an individual internal medicine provider in Waterville, Maine, licensed in Maine (012762) and active in the NPI registry since December 2006. He has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1174689343
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. BERT IRA BEVERLYCredential: M.D.
Location Address258 MAIN STWaterville, ME 04901-4857
Mailing Address258 Main StWaterville, ME 04901-4857 · (207) 873-2220 · Fax (207) 873-2221
Phone(207) 873-2220
Fax(207) 873-2221
Sole ProprietorYes
Enumeration DateDecember 29, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1174689343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in ME · 012762
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
258 MAIN ST, Waterville, ME 04901
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Other Identifiers 3

Medicare ID-Type UnspecifiedMM8049ME · Medicare Provider Number
Medicare UPINE08295ME
Medicaid134270000ME

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Bert Ira Beverly M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2017 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2017
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04901 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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Bert Beverly's NPI number?

The NPI number for Bert Beverly is 1174689343. It was assigned to this individual provider in the NPPES registry on December 29, 2006.

Where is Bert Beverly located?

Bert Beverly practices at 258 Main St, Waterville, ME 04901. The listed phone number is (207) 873-2220.

What is Bert Beverly's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Bert Beverly enrolled in Medicare?

No. Bert Beverly has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Bert Beverly was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.