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DR. PAUL M. BERKOWITZ M.D.
NPI 1275564197
Psychiatry & Neurology - Psychiatry in Libertyville, IL

Active since July 06, 2006PECOS EnrolledAccepts Medicare Assignment
31.91/100
CMS Quality Rating
1512 ARTAIUS PKWY STE 102, LIBERTYVILLE, IL 60048(847) 847-2230(833) 464-0923 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 23, 2024, Feb 20, 2023, Apr 29, 2021 and 5 more (8 updates tracked since 2017).

About Dr. Paul M. Berkowitz M.d. NPPES

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

DR. PAUL M. BERKOWITZ M.D. (NPI 1275564197) is an individual psychiatry provider in Libertyville, Illinois, licensed in Illinois (036098596) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of R Franklin University Of Med & Sci/chicago Medical School (1996).

NPPES Registry Identity

NPI1275564197
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. PAUL M. BERKOWITZCredential: M.D.
Location Address1512 ARTAIUS PKWY STE 102Libertyville, IL 60048-5231
Mailing Address1512 Artaius Pkwy Ste 102Libertyville, IL 60048-5231 · (847) 847-2230 · Fax (833) 464-0923
Phone(847) 847-2230
Fax(833) 464-0923
Sole ProprietorNo
Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 1996
Enumeration DateJuly 6, 2006
Last NPPES UpdateMay 1, 20258 updates tracked since enumeration
NPPES CertifiedMay 1, 2025
✔ NPI 1275564197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in IL · 036098596✔ Licensed in FL · ME126265✔ Licensed in IN · 01075164A✔ Licensed in OK · 32549✔ Licensed in NC · 2024-00156✔ Licensed in AZ · 35837✔ Licensed in OH · 35C.001445✔ Licensed in VT · 042.0016976✔ Licensed in TX · U4394
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1512 ARTAIUS PKWY STE 102, Libertyville, IL 60048
Open in Google Maps ↗

Secondary Practice Locations 4

Location 11130 E Missouri Ave Ste 500Phoenix, AZ 85014-2750 · Phone (312) 805-5786 · Fax (480) 347-4206
Location 214 W Jordan St Ste 1JPensacola, FL 32501-1734 · Phone (312) 805-5786
Location 31040 E 86th StIndianapolis, IN 46240-1865 · Phone (312) 805-5786
Location 41375 Maple Tree PlWilliston, VT 05495-8210 · Phone (855) 596-0867

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Nebraska, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Paul M. Berkowitz M.d. 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 ID8820983471
PECOS Enrollment IDI20040220000940
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Paul Berkowitz reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mount Sinai Community Foundation
14 mi
Family Medicine
1400 E. GOLF RD, SUITE 118
Des Plaines, IL 60016
  • Reassigned Medicare billing, Illinois enrollment
  • 646 clinicians in this Medicare group
NPI 1134164841 (847) 635-2001
Rockford Psychiatric Medical Services, S.C.
55 mi
Psychiatry
1639 N ALPINE RD STE 260
Rockford, IL 61107
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Rockford Psychiatric Medical Services Sc
  • 163 clinicians in this Medicare group
NPI 1821391442 (815) 395-1500
Geode Health Of The Midwest LLC
465 mi
Psychiatry
233 S 13TH ST STE 1100
Lincoln, NE 68508
  • Reassigned Medicare billing, Nebraska enrollment
  • 6 clinicians in this Medicare group
NPI 1285511170 (888) 902-1704
Bsw Geode Clinicians Of Texas PLLC
792 mi
Psychiatry
610 S WATTERS RD STE 130
Allen, TX 75013
  • Reassigned Medicare billing, Texas enrollment
  • 187 clinicians in this Medicare group
NPI 1790482834 (469) 854-3263
Geode Health Of Texas, PLLC
792 mi
Psychiatry
610 S WATTERS RD STE 130
Allen, TX 75013
  • Reassigned Medicare billing, Texas enrollment
  • 207 clinicians in this Medicare group
NPI 1851037162 (469) 854-3263

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.
466 services62 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
315 services55 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60048 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
$181.38 typical visit price
range $59.81 – $181.38
Typical copayment $45.34 (range $14.95 – $45.34)
Most-billed visit code 99205
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
Most-billed visit code 99213
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.

31.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality19.76
Promoting Interoperability0
Improvement Activities20
Cost52.22

Other Providers at the Same Location NPPES

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

MRS. MARY ELLEN ORTEGA LCPC
Counselor (Mental Health)
1512 ARTAIUS PKWY STE 102
LIBERTYVILLE, IL 60048
Lake County (847) 250-0432

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 Paul Berkowitz's NPI number?

The NPI number for Paul Berkowitz is 1275564197. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Paul Berkowitz located?

Paul Berkowitz practices at 1512 Artaius Pkwy Ste 102, Libertyville, IL 60048. The listed phone number is (847) 847-2230.

What is Paul Berkowitz's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Paul Berkowitz enrolled in Medicare?

Yes. Paul Berkowitz 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.

Which organizations bill Medicare for Paul Berkowitz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Berkowitz reassigns Medicare benefits to 5 organizations: Mount Sinai Community Foundation (Des Plaines, IL), Rockford Psychiatric Medical Services, S.C. (Rockford, IL), Geode Health Of The Midwest LLC (Lincoln, NE), Bsw Geode Clinicians Of Texas PLLC (Allen, TX) and Geode Health Of Texas, PLLC (Allen, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Berkowitz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Berkowitz accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Nebraska, Blue Cross and Blue Shield of Texas, Cigna Healthcare and Harbor Health and 5 other insurers list Paul Berkowitz 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 Paul Berkowitz was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.