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SETH MARK BERNEY M.D.
NPI 1205858651
Internal Medicine - Rheumatology in Norfolk, VA

Active since July 24, 2006PECOS EnrolledAccepts Medicare Assignment
825 FAIRFAX AVE STE 445, NORFOLK, VA 23507(757) 446-8920(757) 446-5242 Get Directions Write a Review

NPPES record last updated: January 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Seth Mark Berney M.d. NPPES

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

SETH MARK BERNEY M.D. (NPI 1205858651) is an individual rheumatology provider in Norfolk, Virginia, licensed in Virginia (0101277003) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Sentara Norfolk General Hospital, and is a graduate of Temple University School Of Medicine (1988).

NPPES Registry Identity

NPI1205858651
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameSETH MARK BERNEYCredential: M.D.
Location Address825 FAIRFAX AVE STE 445Norfolk, VA 23507-1912
Mailing Address34 Auriel DrLittle Rock, AR 72223-9111 · (318) 470-7311
Phone(757) 446-8920
Fax(757) 446-5242
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1988
Enumeration DateJuly 24, 2006
Last NPPES UpdateJanuary 4, 2023
NPPES CertifiedDecember 5, 2022
✔ NPI 1205858651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses✔ Licensed in VA · 0101277003✔ Licensed in AR · T2014-141✔ Licensed in LA · 11280R
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
825 FAIRFAX AVE STE 445, Norfolk, VA 23507
Open in Google Maps ↗

Other Identifiers 1

Medicaid1669938LA

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

Seth Mark Berney M.d. 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 ID4486778297
PECOS Enrollment IDI20230110000926
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 5

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
26 services26 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
22 services19 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.
20 services11 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
12 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Sentara Norfolk General Hospital

Acute Care Hospitals · Norfolk, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490007
Location600 Gresham DrNorfolk, VA 23507 · Norfolk City County
Emergency services Birthing friendly

Sentara Virginia Beach General Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490057
Location1060 First Colonial RoadVirginia Beach, VA 23454 · Virginia Beach City County
Emergency services

Sentara Princess Anne Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490119
Location2025 Glenn Mitchell DriveVirginia Beach, VA 23456 · Virginia Beach City County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23507 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Other Providers at the Same Location NPPES 9

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

SEAN MICHAEL BADEMIAN MD
Internal Medicine (Critical Care Medicine)
825 FAIRFAX AVE STE 445
NORFOLK, VA 23507
Norfolk City (757) 446-8920
JASON COREY DUKES MD
Internal Medicine
825 FAIRFAX AVE STE 445
NORFOLK, VA 23507
Norfolk City (757) 446-8920
DR. STEVEN P GREER M.D.
Internal Medicine
825 FAIRFAX AVE STE 445, EVMS DEPARTMENT OF INTERNAL MEDICINE
NORFOLK, VA 23507
Norfolk City (757) 446-8920
DR. JEEVITHA PRATIVADI MD
Student in an Organized Health Care Education/Training Program
825 FAIRFAX AVE STE 445
NORFOLK, VA 23507
Norfolk City (757) 446-8920
DR. TAYLOR DYSON MD
Student in an Organized Health Care Education/Training Program
825 FAIRFAX AVE STE 445
NORFOLK, VA 23507
Norfolk City (757) 446-7934
JODY P. KING MD
Internal Medicine
825 FAIRFAX AVE STE 445
NORFOLK, VA 23507
Norfolk City (757) 446-8920
CAMERON DAVID PALMER MD
Student in an Organized Health Care Education/Training Program
825 FAIRFAX AVE STE 445
NORFOLK, VA 23507
Norfolk City (757) 446-8920
DR. TIMOTHY S PIKE DO
Internal Medicine
825 FAIRFAX AVE STE 445
NORFOLK, VA 23507
Norfolk City (757) 446-8920

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 Seth Berney's NPI number?

The NPI number for Seth Berney is 1205858651. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Seth Berney located?

Seth Berney practices at 825 Fairfax Ave Ste 445, Norfolk, VA 23507. The listed phone number is (757) 446-8920.

What is Seth Berney's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Seth Berney enrolled in Medicare?

Yes. Seth Berney 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.

Is Seth Berney affiliated with any hospitals?

According to CMS data, Seth Berney is affiliated with Sentara Norfolk General Hospital, Sentara Virginia Beach General Hospital and Sentara Princess Anne Hospital.

When was this NPI record last updated?

The NPPES record for Seth Berney was last updated on January 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.