DAVID A. BERKMAN MD
NPI 1265402614
Internal Medicine - Gastroenterology in Florence, MA

Active since January 26, 2006PECOS EnrolledAccepts Medicare Assignment
83.57/100
CMS Quality Rating
10 MAIN ST, FLORENCE, MA 01062(413) 586-8910(413) 584-7270 Get Directions Write a Review

NPPES record last updated: February 4, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About David A. Berkman Md NPPES

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

DAVID A. BERKMAN MD (NPI 1265402614) is an individual gastroenterology provider in Florence, Massachusetts, licensed in Massachusetts (81203) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Cooley Dickinson Hospital Inc,the, and is a graduate of Js Weill Medical College, Cornell University (1989).

NPPES Registry Identity

NPI1265402614
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDAVID A. BERKMANCredential: MD
Location Address10 MAIN STFlorence, MA 01062-3158
Mailing Address10 Main StFlorence, MA 01062-3158 · (413) 586-8910 · Fax (413) 584-7270
Fax(413) 584-7270
Sole ProprietorNo
Medical School CMSJs Weill Medical College, Cornell UniversityGraduated 1989
Enumeration DateJanuary 26, 2006
Last NPPES UpdateFebruary 4, 2013
NPI 1265402614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in MA · 81203
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
10 MAIN ST, Florence, MA 01062

Other Identifiers 20

Other000000006749MA · Bmc
Other20-1203197MA · United Healthcare
Other20-1203197MA · Unicare/gic
Other303278MA · Harvard Pilgrim
Other20-1203197MA · Plan Vista
Other20-1203197MA · Northeast Health Direct
Other20-1203197MA · Private Healthcare System
Other24683MA · Health New England
Other20-1203197MA · Great-west
Other102540MA · Cigna
Other754264MA · Tufts
Other20-1203197MA · Northeast Healthcare Alli
OtherJ16092MA · Bcbs Ma
Other20-1203197MA · Consolidated
Other20-1203197MA · North American Preferred
Other812031MA · Connecticare
Medicare UPINF23453
Medicare ID-Type UnspecifiedA20025
Other2359394MA · Aetna
Medicaid3138453MA

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

David A. Berkman 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 ID9739141656
PECOS Enrollment IDI20041102000651
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 14

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
549 services480 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
156 services156 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
154 services149 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.
145 services140 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
133 services133 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
89 services89 patients

Hospital Affiliations CMS Care Compare

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

Cooley Dickinson Hospital Inc,the

Acute Care Hospitals · Northampton, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220015
Location30 Locust StreetNorthampton, MA 01060 · Hampshire County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01062 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

83.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.14
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.

Physician Assistant
10 MAIN ST
FLORENCE, MA 01062
Internal Medicine
10 MAIN ST
FLORENCE, MA 01062
Nurse Practitioner (Family)
10 MAIN ST
FLORENCE, MA 01062
Social Worker (Clinical)
10 MAIN ST
FLORENCE, MA 01062
Clinic/Center (Mental Health (Including Community Mental Health Center))
10 MAIN ST, 3RD FLOOR
FLORENCE, MA 01062
Psychologist (Clinical)
10 MAIN ST
FLORENCE, MA 01062
Social Worker (Clinical)
10 MAIN ST
FLORENCE, MA 01062
Internal Medicine (Gastroenterology)
10 MAIN ST
FLORENCE, MA 01062

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 David Berkman's NPI number?

The NPI number for David Berkman is 1265402614. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is David Berkman located?

David Berkman practices at 10 Main St, Florence, MA 01062. The listed phone number is (413) 586-8910.

What is David Berkman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is David Berkman enrolled in Medicare?

Yes. David Berkman 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 David Berkman accept?

Health plans from Anthem Blue Cross and Blue Shield list David Berkman 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.

Is David Berkman affiliated with any hospitals?

According to CMS data, David Berkman is affiliated with Cooley Dickinson Hospital Inc,the.

When was this NPI record last updated?

The NPPES record for David Berkman was last updated on February 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.