ADAM BERLINBERG MD
NPI 1255728085
Internal Medicine - Rheumatology in Denver, CO

Active since April 20, 2015PECOS EnrolledAccepts Medicare Assignment
95.06/100
CMS Quality Rating
7111 E LOWRY BLVD STE 200, DENVER, CO 80230(303) 394-2828(303) 320-0242 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 11, 2024, Sep 7, 2023, Jan 24, 2023 and 3 more (6 updates tracked since 2018).

About Adam Berlinberg Md NPPES

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

ADAM BERLINBERG MD (NPI 1255728085) is an individual rheumatology provider in Denver, Colorado, licensed in Colorado (DR.0060803) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Denver, and is a graduate of University Of Colorado School Of Medicine, Aurora (2015).

NPPES Registry Identity

NPI1255728085
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameADAM BERLINBERGCredential: MD
Location Address7111 E LOWRY BLVD STE 200Denver, CO 80230-7360
Mailing Address7111 E Lowry Blvd Ste 200Denver, CO 80230-7360 · (303) 394-2828 · Fax (303) 320-0242
Fax(303) 320-0242
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, AuroraGraduated 2015
Enumeration DateApril 20, 2015
Last NPPES UpdateDecember 11, 20246 updates tracked since enumeration
NPPES CertifiedDecember 11, 2024
NPI 1255728085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in CO · DR.0060803
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.
7111 E LOWRY BLVD STE 200, Denver, CO 80230

Secondary Practice Location 1

Location 1777 Bannock StDenver, CO 80204-4597 · Phone (303) 436-4949 · Fax (303) 602-5055

Accepted Insurance

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

Adam Berlinberg 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 ID4183989262
PECOS Enrollment IDI20210611000791
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 34

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.

Injection, tocilizumab, 1 mg J3262
Tocilizumab is a medication administered via injection. It's used to treat certain conditions like rheumatoid arthritis by reducing inflammation in the body. It works by blocking a substance in the body that leads to inflammation.
29,720 services25 patients
Injection, romosozumab-aqqg, 1 mg J3111
Romosozumab-aqqg is a medication given by injection to treat osteoporosis in patients at high risk for fractures. It works by increasing bone mass and strength, reducing the risk of fractures.
19,530 services31 patients
Injection, golimumab, 1 mg, for intravenous use J1602
Golimumab is a medication given through an IV (a small tube in your vein). It helps to reduce inflammation and pain by blocking a protein in your body that causes inflammation. It's often used to treat conditions like rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis.
12,000 services32 patients
Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0129
Abatacept is a medication administered via injection under a doctor's supervision. It's used to treat conditions like rheumatoid arthritis by moderating the immune system. This code applies when the doctor administers the drug, not for self-administration.
8,750 services61 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
6,360 services89 patients
Injection, infliximab, excludes biosimilar, 10 mg J1745
Infliximab is a medication given via injection to treat certain autoimmune conditions. It works by blocking the action of a substance in your body that causes inflammation. Each dose is based on your medical condition and response to treatment.
4,440 services49 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80230 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

95.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality91.02
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 14

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

Internal Medicine (Rheumatology)
7111 E LOWRY BLVD STE 200
DENVER, CO 80230
Specialist
7111 E LOWRY BLVD STE 200
DENVER, CO 80230
Internal Medicine (Rheumatology)
7111 E LOWRY BLVD STE 200
DENVER, CO 80230
Internal Medicine (Rheumatology)
7111 E LOWRY BLVD STE 200
DENVER, CO 80230
Internal Medicine (Rheumatology)
7111 E LOWRY BLVD STE 200
DENVER, CO 80230
Internal Medicine (Rheumatology)
7111 E LOWRY BLVD STE 200
DENVER, CO 80230
Internal Medicine (Rheumatology)
7111 E LOWRY BLVD STE 200
DENVER, CO 80230
Internal Medicine (Rheumatology)
7111 E LOWRY BLVD STE 200
DENVER, CO 80230

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 Adam Berlinberg's NPI number?

The NPI number for Adam Berlinberg is 1255728085. It was assigned to this individual provider in the NPPES registry on April 20, 2015.

Where is Adam Berlinberg located?

Adam Berlinberg practices at 7111 E Lowry Blvd Ste 200, Denver, CO 80230. The listed phone number is (303) 394-2828.

What is Adam Berlinberg's specialty?

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

Is Adam Berlinberg enrolled in Medicare?

Yes. Adam Berlinberg 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.

What insurance does Adam Berlinberg accept?

Health plans from UnitedHealthcare list Adam Berlinberg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Adam Berlinberg was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.