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ELAINE K. BERRY M.D.
NPI 1316046469
Family Medicine in Atlantic, IA

Active since September 22, 2006PECOS Enrolled
76.83/100
CMS Quality Rating
1501 E 10TH ST, ATLANTIC, IA 50022(712) 243-2850(712) 243-7423 Get Directions Write a Review

NPPES record last updated: August 28, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elaine K. Berry M.d. NPPES

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

ELAINE K. BERRY M.D. (NPI 1316046469) is an individual family medicine provider in Atlantic, Iowa, licensed in Iowa (25622) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316046469
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameELAINE K. BERRYCredential: M.D.
Location Address1501 E 10TH STAtlantic, IA 50022-1936
Mailing Address1501 E 10th StAtlantic, IA 50022-1936 · (712) 243-2850 · Fax (712) 243-7423
Phone(712) 243-2850
Fax(712) 243-7423
Sole ProprietorNo
Enumeration DateSeptember 22, 2006
Last NPPES UpdateAugust 28, 2019
✔ NPI 1316046469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IA · 25622
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.
1501 E 10TH ST, Atlantic, IA 50022
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Other Identifiers 1

Medicaid3032763IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elaine K. Berry M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50022 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

76.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.09
Improvement Activities40
Cost44.61

Referred Medical Equipment & Supplies CMS DME claims 25

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers92 claims226 services$5.93 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers28 claims48 services$1.08 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
3 suppliers15 claims410 services$5.53 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
2 suppliers12 claims180 services$2.35 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers39 claims39 services$107.42 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers36 claims101 services$41.22 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

EMILY CHANG D.O.
Obstetrics & Gynecology
1501 E 10TH ST
ATLANTIC, IA 50022
Cass County (712) 243-2850
KIEU DIEM PHAM
Student in an Organized Health Care Education/Training Program
1501 E 10TH ST
ATLANTIC, IA 50022
Cass County (712) 243-3250
DR. JAMES BROWN M.D.
Obstetrics & Gynecology
1501 E 10TH ST
ATLANTIC, IA 50022
Cass County (712) 243-2850
AUTUMN KEISER
Family Medicine
1501 E 10TH ST
ATLANTIC, IA 50022
Cass County (712) 243-3250
KASEY LYNN MENEELY
Physical Therapist
1501 E 10TH ST
ATLANTIC, IA 50022
Cass County (712) 243-7564
ADAM JOEL VERHOEF MD
Family Medicine
1501 E 10TH ST
ATLANTIC, IA 50022
Cass County (712) 243-3250
EMILY ANNE WITTROCK RN, BSN, MSN, FNP-C
Family Medicine
1501 E 10TH ST
ATLANTIC, IA 50022
Cass County (712) 243-3250
JORDAN MCPHERON DPT
Physical Therapist
1501 E 10TH ST, REHABILITATION SERVICES
ATLANTIC, IA 50022
Cass County (712) 243-7564

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 Elaine Berry's NPI number?

The NPI number for Elaine Berry is 1316046469. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Elaine Berry located?

Elaine Berry practices at 1501 E 10th St, Atlantic, IA 50022. The listed phone number is (712) 243-2850.

What is Elaine Berry's specialty?

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

Is Elaine Berry enrolled in Medicare?

Yes. Elaine Berry is registered in the Medicare PECOS enrollment system.

What insurance does Elaine Berry accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Elaine Berry 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 Elaine Berry was last updated on August 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.