JUSTIN BERKNER DO
NPI 1497307375
Emergency Medicine in Biddeford, ME

Q: What is Justin Berkner's NPI number?

The NPI number for Justin Berkner is 1497307375. It was assigned to this individual provider in the NPPES registry on July 11, 2019.

Q: What is Justin Berkner's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Justin Berkner was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.

Active since July 11, 2019PECOS EnrolledAccepts Medicare Assignment

1 MEDICAL CENTER DR, BIDDEFORD, ME 04005(207) 283-7000 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 18, 2023, May 15, 2023, Jul 11, 2019 (3 updates tracked since 2019).

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About Justin Berkner Do NPPES

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

JUSTIN BERKNER DO (NPI 1497307375) is an individual emergency medicine provider in Biddeford, Maine, licensed in Maine (DO3595) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1497307375

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameJUSTIN BERKNERCredential: DO

Location Address1 MEDICAL CENTER DRBiddeford, ME 04005-9496

Mailing Address1 Medical Center DrBiddeford, ME 04005-9496 · (207) 283-7000

Phone(207) 283-7000

Sole ProprietorNo

Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2019

Enumeration DateJuly 11, 2019

Last NPPES UpdateJanuary 15, 20253 updates tracked since enumeration

NPPES CertifiedJanuary 15, 2025

✔ NPI 1497307375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in ME · DO3595✔ Licensed in MA · 292313

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1 MEDICAL CENTER DR, Biddeford, ME 04005

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Secondary Practice Locations 2

Location 125 June StSanford, ME 04073-2621 · Phone (207) 490-7450 · Fax (207) 490-7452

Location 222 Bramhall StPortland, ME 04102-3134 · Phone (207) 662-2381

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.Insurance ›

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

Justin Berkner Do 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 ID6608258397

PECOS Enrollment IDI20230829003649

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 Reassignment

Medicare enrollment records show Justin Berkner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mainehealth

Same address

Multi-Specialty

1 MEDICAL CENTER DR
Biddeford, ME 04005

Reassigned Medicare billing, Maine enrollment
3,140 clinicians in this Medicare group

NPI 1215417019 (207) 283-7000

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 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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

142 services138 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

128 services125 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

15 services15 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Maine Medical Center

Acute Care Hospitals · Portland, ME

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number200009

Location22 Bramhall StPortland, ME 04102 · Cumberland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04005 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

$86.72 typical visit price

range $56.28 – $169.96

Typical copayment $21.68 (range $14.07 – $42.49)

Most-billed visit code 99203

Established Patient

$99.18 typical visit price

range $18.22 – $138.92

Typical copayment $24.79 (range $4.55 – $34.73)

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 20

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

MOLLY MCLEAN PA

Physician Assistant