MR. MARCO ANTONIO BERRONES JR. PA
NPI 1215017397
Physician Assistant - Surgical in Plainview, NY

Active since October 16, 2006PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
888 OLD COUNTRY RD, PLAINVIEW, NY 11803(516) 719-3000 Get Directions Write a Review

NPPES record last updated: June 25, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Marco Antonio Berrones Jr. Pa NPPES

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

MR. MARCO ANTONIO BERRONES JR. PA (NPI 1215017397) is an individual surgical provider in Plainview, New York, licensed in New York (008261-1) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Ns/lij Hs Huntington Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1215017397
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. MARCO ANTONIO BERRONES JR.Credential: PA
Location Address888 OLD COUNTRY RDPlainview, NY 11803-4914
Mailing Address972 Brush Hollow RdWestbury, NY 11590-1740 · (516) 876-5555 · Fax (516) 876-1246
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateOctober 16, 2006
Last NPPES UpdateJune 25, 2009
NPI 1215017397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NY · 008261-1
888 OLD COUNTRY RD, Plainview, NY 11803

Other Identifiers 2

Medicare ID-Type Unspecified00330128NY
Medicaid00246075NY

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

Mr. Marco Antonio Berrones Jr. Pa 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 ID6305998774
PECOS Enrollment IDI20090715000598
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 4

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.

Partial release of large bowel and partial removal of large bowel using an endoscope 44213
This procedure involves using an endoscope, a flexible tube with a camera, to partially release and remove a section of your large bowel. It's a minimally invasive surgery that helps treat conditions like cancer or bowel obstruction.
37 services37 patients
Biopsy and removal of lymph nodes of abdominal cavity using an endoscope 38570
This procedure involves using a thin, flexible tool called an endoscope to examine and remove lymph nodes in the abdominal area. The endoscope is inserted through a small incision. It allows doctors to view and biopsy, or take samples of, any suspicious tissues for further testing.
22 services22 patients
Partial removal of large bowel and reattachment to rectum using an endoscope 44207
This procedure involves the partial removal of the large bowel, also known as the colon, due to disease or other health concerns. Using an endoscope, a long, flexible tube with a camera, the surgeon will then reconnect the remaining healthy parts of the bowel to the rectum.
22 services22 patients
Partial removal of large bowel using an endoscope 44204
This procedure involves the use of a thin, flexible tube (endoscope) to partially remove the large bowel. It helps in treating conditions like polyps or tumors. The procedure is minimally invasive, reducing recovery time.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Ns/Lij Hs Huntington Hospital

Acute Care Hospitals · Huntington, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330045
Location270 Park AvenueHuntington, NY 11743 · Suffolk County
Emergency services Birthing friendly

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

St Catherine Of Siena Hospital Medical Center

Acute Care Hospitals · Smithtown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330401
Location50 Route 25ASmithtown, NY 11787 · Suffolk County
Emergency services Birthing friendly

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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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.

Hospitalist
888 OLD COUNTRY RD
PLAINVIEW, NY 11803
General Acute Care Hospital
888 OLD COUNTRY RD
PLAINVIEW, NY 11803
Student in an Organized Health Care Education/Training Program
888 OLD COUNTRY RD
PLAINVIEW, NY 11803
Physician Assistant (Surgical)
888 OLD COUNTRY RD
PLAINVIEW, NY 11803
Student in an Organized Health Care Education/Training Program
888 OLD COUNTRY RD
PLAINVIEW, NY 11803
Dietitian, Registered
888 OLD COUNTRY RD
PLAINVIEW, NY 11803
Podiatrist (Foot & Ankle Surgery)
888 OLD COUNTRY RD
PLAINVIEW, NY 11803
Student in an Organized Health Care Education/Training Program
888 OLD COUNTRY RD
PLAINVIEW, NY 11803

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 Marco Berrones's NPI number?

The NPI number for Marco Berrones is 1215017397. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Marco Berrones located?

Marco Berrones practices at 888 Old Country Rd, Plainview, NY 11803. The listed phone number is (516) 719-3000.

What is Marco Berrones's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Marco Berrones enrolled in Medicare?

Yes. Marco Berrones 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 Marco Berrones affiliated with any hospitals?

According to CMS data, Marco Berrones is affiliated with Ns/Lij Hs Huntington Hospital, North Shore University Hospital and St Catherine Of Siena Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Marco Berrones was last updated on June 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.