MICHELLE BERMAN MD
NPI 1285260208
Family Medicine in Scranton, PA

Active since March 21, 2020PECOS EnrolledAccepts Medicare Assignment
92.44/100
CMS Quality Rating
521 MT PLEASANT DR, SCRANTON, PA 18503(570) 342-8500(570) 342-0924 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 24, 2020, Mar 21, 2020 (2 updates tracked since 2020).

About Michelle Berman Md NPPES

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

MICHELLE BERMAN MD (NPI 1285260208) is an individual family medicine provider in Scranton, Pennsylvania, licensed in Pennsylvania (MD481774) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Geisinger-community Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1285260208
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMICHELLE BERMANCredential: MD
Location Address521 MT PLEASANT DRScranton, PA 18503-1993
Mailing Address799 Bloomfield AveVerona, NJ 07044-1367 · (973) 746-7050
Fax(570) 342-0924
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 21, 2020
Last NPPES UpdateSeptember 19, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2023
NPI 1285260208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · MD481774
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
521 MT PLEASANT DR, Scranton, PA 18503

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

Michelle Berman 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 ID7911305180
PECOS Enrollment IDI20230918000474
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.

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.
39 services36 patients

Hospital Affiliations CMS Care Compare 2

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

Geisinger-Community Medical Center

Acute Care Hospitals · Scranton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390001
Location1822 Mulberry StreetScranton, PA 18510 · Lackawanna County
Emergency services Birthing friendly

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390270
Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18503 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

92.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.49
Promoting Interoperability95.58
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.

Obstetrics & Gynecology
521 MT PLEASANT DR, SUITE 101
SCRANTON, PA 18503
Obstetrics & Gynecology
521 MT PLEASANT DR, SUITE 101
SCRANTON, PA 18503
Family Medicine
521 MT PLEASANT DR
SCRANTON, PA 18503
Nurse Practitioner (Obstetrics & Gynecology)
521 MT PLEASANT DR, SUITE 101
SCRANTON, PA 18503
Obstetrics & Gynecology (Gynecology)
521 MT PLEASANT DR, SUITE 101
SCRANTON, PA 18503
Obstetrics & Gynecology
521 MT PLEASANT DR, SUITE 101
SCRANTON, PA 18503
Surgery
521 MT PLEASANT DR
SCRANTON, PA 18503
Obstetrics & Gynecology
521 MT PLEASANT DR, SUITE 101
SCRANTON, PA 18503

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 Michelle Berman's NPI number?

The NPI number for Michelle Berman is 1285260208. It was assigned to this individual provider in the NPPES registry on March 21, 2020.

Where is Michelle Berman located?

Michelle Berman practices at 521 Mt Pleasant Dr, Scranton, PA 18503. The listed phone number is (570) 342-8500.

What is Michelle Berman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michelle Berman enrolled in Medicare?

Yes. Michelle Berman 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 Michelle Berman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Michelle Berman 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 Michelle Berman affiliated with any hospitals?

According to CMS data, Michelle Berman is affiliated with Geisinger-Community Medical Center and Geisinger Wyoming Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Michelle Berman was last updated on September 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.