KENT E BERKEY M.D.
NPI 1396943742
Psychiatry & Neurology - Neurology in Washington, PA

Active since July 06, 2007PECOS EnrolledAccepts Medicare Assignment
1025 JEFFERSON AVE, WASHINGTON, PA 15301(724) 229-6195(724) 229-6199 Get Directions Write a Review

NPPES record last updated: October 31, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 31, 2022, Mar 16, 2020 (2 updates tracked since 2020).

About Kent E Berkey M.d. NPPES

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

KENT E BERKEY M.D. (NPI 1396943742) is an individual neurology provider in Washington, Pennsylvania, licensed in Pennsylvania (MD042802L) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Washington Hospital, The, and is a graduate of University Of Virginia School Of Medicine (1988).

NPPES Registry Identity

NPI1396943742
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameKENT E BERKEYCredential: M.D.
Location Address1025 JEFFERSON AVEWashington, PA 15301-2119
Mailing Address3245 Beechwood Blvd Apt B23Pittsburgh, PA 15217-3130 · (412) 521-2231 · Fax (724) 229-6199
Fax(724) 229-6199
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 1988
Enumeration DateJuly 6, 2007
Last NPPES UpdateOctober 31, 20222 updates tracked since enumeration
NPPES CertifiedOctober 31, 2022
✔ NPI 1396943742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in PA · MD042802L
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1025 JEFFERSON AVE, Washington, PA 15301

Other Identifiers 1

Medicaid1435835PA

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

Kent E Berkey 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 ID6608961974
PECOS Enrollment IDI20071002000032
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

2

Medicare enrollment records show Kent Berkey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
1025 JEFFERSON AVE
Washington, PA 15301
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4 clinicians in this Medicare group
Internal Medicine
1100 WASHINGTON AVE, SUITE 115
Carnegie, PA 15106
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group

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 6

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.
122 services67 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
53 services52 patients
Measurement of brain wave activity (eeg), awake and asleep 95819
The measurement of brain wave activity, known as an EEG, records the brain's electrical signals. It's performed when you're awake and asleep to monitor your brain's functioning. It helps in diagnosing conditions like epilepsy, sleep disorders, and other neurological issues.
32 services31 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.
28 services25 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
18 services12 patients
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.
16 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Washington Hospital, The

Acute Care Hospitals · Washington, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390042
Location155 Wilson AvenueWashington, PA 15301 · Washington County
Emergency services Birthing friendly

Washington Health System Greene

Acute Care Hospitals · Waynesburg, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390150
Location350 Bonar AvenueWaynesburg, PA 15370 · Greene County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15301 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Primary Care)
1025 JEFFERSON AVE
WASHINGTON, PA 15301
Psychiatry & Neurology (Neurology)
1025 JEFFERSON AVE
WASHINGTON, PA 15301
Physician Assistant
1025 JEFFERSON AVE
WASHINGTON, PA 15301
Specialist
1025 JEFFERSON AVE
WASHINGTON, PA 15301

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 Kent Berkey's NPI number?

The NPI number for Kent Berkey is 1396943742. It was assigned to this individual provider in the NPPES registry on July 6, 2007.

Where is Kent Berkey located?

Kent Berkey practices at 1025 Jefferson Ave, Washington, PA 15301. The listed phone number is (724) 229-6195.

What is Kent Berkey's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Kent Berkey enrolled in Medicare?

Yes. Kent Berkey 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 Kent Berkey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kent Berkey reassigns Medicare benefits to 2 organizations: Adult Neurology Center, PC (Washington, PA) and University Of Pittsburgh Physicians (Carnegie, PA). 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 Kent Berkey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kent Berkey affiliated with any hospitals?

According to CMS data, Kent Berkey is affiliated with Washington Hospital, The and Washington Health System Greene.

When was this NPI record last updated?

The NPPES record for Kent Berkey was last updated on October 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.