JEFFREY CRAIG BERLINER D.O.
NPI 1235303330
Physical Medicine & Rehabilitation in Englewood, CO

NPI Status: Active since April 18, 2008

Contact Information

3425 S CLARKSON ST
ENGLEWOOD, CO
ZIP 80113
Phone: (303) 789-8220
Fax: (303) 789-8470

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  • Individual
  • Male
  • Years of Experience 22
  • Physical Medicine & Rehabilitation
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JEFFREY BERLINER

This page provides the complete NPI Profile along with additional information for Jeffrey Berliner, a provider established in Englewood, Colorado with a medical specialization in Physical Medicine & Rehabilitation and more than 22 years of experience. The healthcare provider is registered in the NPI registry with number 1235303330 assigned on April 2008. The practitioner's primary taxonomy code is 208100000X with license number 0053009 (CO). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1235303330
Provider Name
JEFFREY CRAIG BERLINER D.O.
Gender
Male
Entity Type
Individual
Location Address
3425 S CLARKSON ST ENGLEWOOD, CO 80113
Location Phone
(303) 789-8220
Location Fax
(303) 789-8470
Mailing Address
3425 S CLARKSON ST ENGLEWOOD, CO 80113
Mailing Phone
(303) 789-8220
Mailing Fax
(303) 789-8470
Medical School Name
OTHER
Graduation Year
2004
Is Sole Proprietor?
No
Enumeration Date
04-18-2008
Last Update Date
09-19-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Medicine & Rehabilitation

Taxonomy Code
208100000X
Type
Allopathic & Osteopathic Physicians
License No.
0053009
License State
CO
Taxonomy Description
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12081P0004XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation
Spinal Cord Injury Medicine

0053009 (CO)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0053009OTHER (01)CODEPARTMENT OF REGULATORY AGENCIES, STATE OF COLORADO

Medicare Participation & PECOS Enrollment Status

Jeffrey Berliner is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Jeffrey Berliner is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9335283225

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20140115000232

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Hospital Beds (DB000N)

    Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress (HCPCS:E0260)

    1 DME suppliers used 12 Medicare Claims 12 Services Paid

  • DME-Other DME (DE000N)

    Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) (HCPCS:E0630)

    1 DME suppliers used 19 Medicare Claims 19 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Follow-up hospital inpatient care per day, typically 25 minutes

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

This service was performed 88 times for 21 patients

Reviews for JEFFREY CRAIG BERLINER D.O.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1235303330, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
3
Doubled → 6
Pos 4
5
Unchanged
Pos 5
3
Doubled → 6
Pos 6
0
Unchanged
Pos 7
3
Doubled → 6
Pos 8
3
Unchanged
Pos 9
3
Doubled → 6
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 3 → 6 3 → 6 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 6 + 5 + 6 + 0 + 6 + 3 + 6 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1235303330.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physical Medicine & Rehabilitation (Spinal Cord Injury Medicine)
3425 S CLARKSON ST
ENGLEWOOD, CO 80113
Physical Medicine & Rehabilitation (Spinal Cord Injury Medicine)
3425 S CLARKSON ST
ENGLEWOOD, CO 80113
Physical Medicine & Rehabilitation
3425 S CLARKSON ST
ENGLEWOOD, CO 80113
Physical Medicine & Rehabilitation (Spinal Cord Injury Medicine)
3425 S CLARKSON ST
ENGLEWOOD, CO 80113
Physical Medicine & Rehabilitation (Spinal Cord Injury Medicine)
3425 S CLARKSON ST
ENGLEWOOD, CO 80113
Physical Medicine & Rehabilitation (Spinal Cord Injury Medicine)
3425 S CLARKSON ST
ENGLEWOOD, CO 80113
Long Term Care Hospital
3425 S CLARKSON ST
ENGLEWOOD, CO 80113
Nurse Practitioner (Acute Care)
3425 S CLARKSON ST
ENGLEWOOD, CO 80113
Nurse Practitioner (Acute Care)
3425 S CLARKSON ST
ENGLEWOOD, CO 80113
Nurse Practitioner (Acute Care)
3425 S CLARKSON ST
ENGLEWOOD, CO 80113
Physical Medicine & Rehabilitation
3425 S CLARKSON ST
ENGLEWOOD, CO 80113
Psychologist (Rehabilitation)
3425 S CLARKSON ST
ENGLEWOOD, CO 80113
Long Term Care Hospital
3425 S CLARKSON ST
ENGLEWOOD, CO 80113
Neurological Surgery
3425 S CLARKSON ST
ENGLEWOOD, CO 80113
Nurse Practitioner (Family)
3425 S CLARKSON ST
ENGLEWOOD, CO 80113
Registered Nurse
3425 S CLARKSON ST
ENGLEWOOD, CO 80113
Counselor (Professional)
3425 S CLARKSON ST
ENGLEWOOD, CO 80113
Occupational Therapist (Physical Rehabilitation)
3425 S CLARKSON ST
ENGLEWOOD, CO 80113
Pharmacist
3425 S CLARKSON ST
ENGLEWOOD, CO 80113
Pharmacist
3425 S CLARKSON ST
ENGLEWOOD, CO 80113

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235303330, enumerated as an "individual" on April 18, 2008.

The provider is located at 3425 S CLARKSON ST ENGLEWOOD, CO 80113 and the phone number is (303) 789-8220.

Physical Medicine & Rehabilitation with taxonomy code 208100000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.