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RAUL LUIS BERIO-DORTA MD
NPI 1225268444
Hospitalist in Voorhees, NJ

Active since July 22, 2009PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
100 BOWMAN DRIVE, VOORHEES, NJ 08043(856) 247-2594(856) 247-2597 Get Directions Write a Review

NPPES record last updated: April 2, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 2, 2021, Nov 11, 2020, Oct 19, 2020 (3 updates tracked since 2020).

About Raul Luis Berio-dorta Md NPPES

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

RAUL LUIS BERIO-DORTA MD (NPI 1225268444) is an individual hospitalist provider in Voorhees, New Jersey, licensed in New Jersey (25MA09133200) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with West Jersey Hospital, and is a graduate of University Of Puerto Rico School Of Medicine (2009).

NPPES Registry Identity

NPI1225268444
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameRAUL LUIS BERIO-DORTACredential: MD
Location Address100 BOWMAN DRIVEVoorhees, NJ 08043
Mailing Address301 Lippincott Dr Ste 410Marlton, NJ 08053-4197 · (856) 355-0340 · Fax (856) 355-0330
Phone(856) 247-2594
Fax(856) 247-2597
Sole ProprietorNo
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 2009
Enumeration DateJuly 22, 2009
Last NPPES UpdateApril 2, 20213 updates tracked since enumeration
NPPES CertifiedApril 2, 2021
✔ NPI 1225268444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in NJ · 25MA09133200
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
100 BOWMAN DRIVE, Voorhees, NJ 08043
Open in Google Maps ↗

Other Identifiers 1

Medicaid0306142NJ

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

Raul Luis Berio-dorta Md 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 ID840446654
PECOS Enrollment IDI20120810000202
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

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.

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.
14 services13 patients

Hospital Affiliations CMS Care Compare 3

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

West Jersey Hospital

Acute Care Hospitals · Voorhees, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310022
Location100 Bowman DriveVoorhees, NJ 08043 · Camden County
Emergency services Birthing friendly

Virtua Our Lady Of Lourdes Hospital

Acute Care Hospitals · Camden, NJ
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number310029
Location1600 Haddon AvenueCamden, NJ 08103 · Camden County
Emergency services Birthing friendly

Virtua Mount Holly Hospital

Acute Care Hospitals · Mount Holly, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310057
Location175 Madison AveMount Holly, NJ 08060 · Burlington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08043 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

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.

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

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers13 claims13 services$58.46 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 4

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

DIAGNOSTIC PATHOLOGY CONSULTANTS PA
Pathology (Anatomic Pathology & Clinical Pathology)
100 BOWMAN DRIVE, PATHOLOGY DEPT
VOORHEES, NJ 08043
Camden County (856) 247-3174
DR. MOHAMMAD ABDELJAWAD MD
Family Medicine
100 BOWMAN DRIVE
VOORHEES, NJ 08043
Camden County (856) 247-2594
DR. RONALD J BOLOGNESE MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
100 BOWMAN DRIVE
VOORHEES, NJ 08043
Camden County (856) 247-3328
DAVID BIGOS MD
Pediatrics (Pediatric Critical Care Medicine)
100 BOWMAN DRIVE, VIRTUA VOORHEES
VOORHEES, NJ 08043
Camden County (856) 247-3000

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 Raul Berio-dorta's NPI number?

The NPI number for Raul Berio-dorta is 1225268444. It was assigned to this individual provider in the NPPES registry on July 22, 2009.

Where is Raul Berio-dorta located?

Raul Berio-dorta practices at 100 Bowman Drive, Voorhees, NJ 08043. The listed phone number is (856) 247-2594.

What is Raul Berio-dorta's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Raul Berio-dorta enrolled in Medicare?

Yes. Raul Berio-dorta 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 Raul Berio-dorta affiliated with any hospitals?

According to CMS data, Raul Berio-dorta is affiliated with West Jersey Hospital, Virtua Our Lady Of Lourdes Hospital and Virtua Mount Holly Hospital.

When was this NPI record last updated?

The NPPES record for Raul Berio-dorta was last updated on April 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.