BLAYNE BERRY FNP
NPI 1437792223
Nurse Practitioner - Family in Wichita Falls, TX

Active since October 24, 2019PECOS EnrolledAccepts Medicare Assignment
66.74/100
CMS Quality Rating
4327 BARNETT RD, WICHITA FALLS, TX 76310(940) 764-7000 Get Directions Write a Review

NPPES record last updated: December 29, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Blayne Berry Fnp NPPES

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

BLAYNE BERRY FNP (NPI 1437792223) is an individual family provider in Wichita Falls, Texas, licensed in Texas (AP143687) and active in the NPI registry since October 2019. He is enrolled in Medicare PECOS, is affiliated with United Regional Health Care System, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1437792223
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameBLAYNE BERRYCredential: FNP
Location Address4327 BARNETT RDWichita Falls, TX 76310-2303
Mailing Address2410 Clayton LnWichita Falls, TX 76308-3904 · (940) 781-9198
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 24, 2019
Last NPPES UpdateDecember 29, 2023
NPI 1437792223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · AP143687
4327 BARNETT RD, Wichita Falls, TX 76310

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

Blayne Berry Fnp 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 ID6305271586
PECOS Enrollment IDI20200116000459
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 7

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.
655 services514 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
153 services138 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
127 services112 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.
122 services114 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
88 services12 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
69 services68 patients

Hospital Affiliations CMS Care Compare 4

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

United Regional Health Care System

Acute Care Hospitals · Wichita Falls, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450010
Location1600 11th StreetWichita Falls, TX 76301 · Wichita County
Emergency services Birthing friendly

Wilbarger General Hospital

Acute Care Hospitals · Vernon, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450584
Location920 Hillcrest DrVernon, TX 76384 · Wilbarger County
Emergency services

Electra Memorial Hospital

Critical Access Hospitals · Electra, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451343
Location1207 S Bailey StreetElectra, TX 76360 · Wichita County
Emergency services

Clay County Memorial Hospital

Critical Access Hospitals · Henrietta, TX
OwnershipGovernment - Local
CMS Certification Number451362
Location310 W South StreetHenrietta, TX 76365 · Clay County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76310 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

66.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.18
Promoting Interoperability82
Improvement Activities40
Cost38.95

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.

Family Medicine
4327 BARNETT RD
WICHITA FALLS, TX 76310
Physician Assistant
4327 BARNETT RD
WICHITA FALLS, TX 76310
Physician Assistant
4327 BARNETT RD
WICHITA FALLS, TX 76310
Nurse Practitioner
4327 BARNETT RD
WICHITA FALLS, TX 76310
Nurse Practitioner
4327 BARNETT RD
WICHITA FALLS, TX 76310
Dermatology (MOHS-Micrographic Surgery)
4327 BARNETT RD
WICHITA FALLS, TX 76310
Urology
4327 BARNETT RD
WICHITA FALLS, TX 76310
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4327 BARNETT RD
WICHITA FALLS, TX 76310

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 Blayne Berry's NPI number?

The NPI number for Blayne Berry is 1437792223. It was assigned to this individual provider in the NPPES registry on October 24, 2019.

Where is Blayne Berry located?

Blayne Berry practices at 4327 Barnett Rd, Wichita Falls, TX 76310. The listed phone number is (940) 764-7000.

What is Blayne Berry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Blayne Berry enrolled in Medicare?

Yes. Blayne Berry 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 Blayne Berry accept?

Health plans from Blue Cross and Blue Shield of Texas list Blayne 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.

Is Blayne Berry affiliated with any hospitals?

According to CMS data, Blayne Berry is affiliated with United Regional Health Care System, Wilbarger General Hospital, Electra Memorial Hospital and Clay County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Blayne Berry was last updated on December 29, 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.