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DR. ROLAND M BERCASIO M.D.
NPI 1396710612
Family Medicine in Newport News, VA

Active since February 21, 2006PECOS EnrolledAccepts Medicare Assignment
95.11/100
CMS Quality Rating
11803 JEFFERSON AVE, STE 100, NEWPORT NEWS, VA 23606(757) 594-1840(757) 275-9785 Get Directions Write a Review

NPPES record last updated: October 22, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Roland M Bercasio M.d. NPPES

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

DR. ROLAND M BERCASIO M.D. (NPI 1396710612) is an individual family medicine provider in Newport News, Virginia, licensed in Virginia (0101054181) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Sentara Norfolk General Hospital, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1396710612
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ROLAND M BERCASIOCredential: M.D.
Location Address11803 JEFFERSON AVE, STE 100Newport News, VA 23606-2565
Mailing Address11803 Jefferson Ave, Ste 100Newport News, VA 23606-2565 · (757) 594-1840 · Fax (757) 275-9785
Phone(757) 594-1840
Fax(757) 275-9785
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateFebruary 21, 2006
Last NPPES UpdateOctober 22, 2013
✔ NPI 1396710612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0101054181
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.
11803 JEFFERSON AVE, Newport News, VA 23606
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Other Identifiers 3

Medicare UPING30823
Medicaid005632994VA
Medicare ID-Type Unspecified080005533

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

Dr. Roland M Bercasio 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 ID5294715769
PECOS Enrollment IDI20040723001047
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 4

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.
737 services370 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
285 services285 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.
83 services69 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Sentara Norfolk General Hospital

Acute Care Hospitals · Norfolk, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490007
Location600 Gresham DrNorfolk, VA 23507 · Norfolk City County
Emergency services Birthing friendly

Sentara Obici Hospital

Acute Care Hospitals · Suffolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490044
Location2800 Godwin BoulevardSuffolk, VA 23439 · Suffolk City County
Emergency services Birthing friendly

Riverside Regional Medical Center

Acute Care Hospitals · Newport News, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490052
Location500 J Clyde Morris BlvdNewport News, VA 23601 · Newport News City County
Emergency services Birthing friendly

Sentara Williamsburg Regional Medical Center

Acute Care Hospitals · Williamsburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490066
Location100 Sentara CircleWilliamsburg, VA 23188 · James City County
Emergency services Birthing friendly

Sentara Careplex Hospital

Acute Care Hospitals · Hampton, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490093
Location3000 Coliseum DriveHampton, VA 23666 · Hampton City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23606 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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
15 suppliers44 claims132 services$6.49 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers12 claims12 services$2.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers26 claims48 services$1.20 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$14.77 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.

RAVI CHHATRALA M.B.B.S.
Internal Medicine (Gastroenterology)
11803 JEFFERSON AVE, SUITE 230
NEWPORT NEWS, VA 23606
Newport News City (757) 534-7701
DR. PAUL D OSBORNE MD
Emergency Medicine (Undersea and Hyperbaric Medicine)
11803 JEFFERSON AVE, SUITE 120
NEWPORT NEWS, VA 23606
Newport News City (757) 594-1060
JAMSHID ALAEDDINI MD
Internal Medicine (Clinical Cardiac Electrophysiology)
11803 JEFFERSON AVE, SUITE 110
NEWPORT NEWS, VA 23606
Newport News City (757) 873-0360
DR. RICHARD A HOEFER D.O.
Surgery
11803 JEFFERSON AVE, STE 235
NEWPORT NEWS, VA 23606
Newport News City (757) 594-1806
CARDIOVASCULAR CENTER OF HAMPTON ROADS
Internal Medicine (Cardiovascular Disease)
11803 JEFFERSON AVE, SUITE 110
NEWPORT NEWS, VA 23606
Newport News City (757) 873-0360
CHARLES M VAUGHAN M.D.
Internal Medicine (Cardiovascular Disease)
11803 JEFFERSON AVE, SUITE 110
NEWPORT NEWS, VA 23606
Newport News City (757) 873-0360
ALLAN L MURPHY M.B., B.S.
Internal Medicine (Cardiovascular Disease)
11803 JEFFERSON AVE, SUITE 110
NEWPORT NEWS, VA 23606
Newport News City (757) 873-0360
SENTARA MEDICAL GROUP
Surgery (Surgical Oncology)
11803 JEFFERSON AVE, SUITE 235
NEWPORT NEWS, VA 23606
Newport News City (757) 594-1806

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 Roland Bercasio's NPI number?

The NPI number for Roland Bercasio is 1396710612. It was assigned to this individual provider in the NPPES registry on February 21, 2006.

Where is Roland Bercasio located?

Roland Bercasio practices at 11803 Jefferson Ave Ste 100, Newport News, VA 23606. The listed phone number is (757) 594-1840.

What is Roland Bercasio's specialty?

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

Is Roland Bercasio enrolled in Medicare?

Yes. Roland Bercasio 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.

Is Roland Bercasio affiliated with any hospitals?

According to CMS data, Roland Bercasio is affiliated with Sentara Norfolk General Hospital, Sentara Obici Hospital, Riverside Regional Medical Center, Sentara Williamsburg Regional Medical Center and Sentara Careplex Hospital.

When was this NPI record last updated?

The NPPES record for Roland Bercasio was last updated on October 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.