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ORAN LEE BERKENSTOCK MD
NPI 1497771927
Hospitalist in Memphis, TN

Active since July 15, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
6263 POPLAR AVE STE 1052, MEMPHIS, TN 38119(901) 761-6157(901) 761-4145 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 17, 2018, Dec 21, 2017 (2 updates tracked since 2017).

About Oran Lee Berkenstock Md NPPES

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

ORAN LEE BERKENSTOCK MD (NPI 1497771927) is an individual hospitalist provider in Memphis, Tennessee, licensed in Tennessee (MD0000024724) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Methodist Hospitals Of Memphis, and maintains a secondary practice location in Memphis.

NPPES Registry Identity

NPI1497771927
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameORAN LEE BERKENSTOCKCredential: MD
Location Address6263 POPLAR AVE STE 1052Memphis, TN 38119-4736
Mailing AddressPo Box 2044, Dept 7800Memphis, TN 38101-2044 · (901) 761-6157 · Fax (901) 761-4145
Phone(901) 761-6157
Fax(901) 761-4145
Sole ProprietorYes
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1995
Enumeration DateJuly 15, 2006
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1497771927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in TN · MD0000024724
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedFamily MedicineTaxonomy 207Q00000X · License MD24724 (TN)
6263 POPLAR AVE STE 1052, Memphis, TN 38119
Open in Google Maps ↗

Secondary Practice Location 1

Location 13109 Walnut Grove RoadMemphis, TN 38111 · Phone (901) 458-0162 · Fax (901) 458-0388

Other Identifiers 1

Medicaid3703214TN

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

Oran Lee Berkenstock Md 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 ID2769473057
PECOS Enrollment IDI20100923000765, I20180705000842
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

5

Medicare enrollment records show Oran Berkenstock reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Olbhealthcare PLLC
5.5 mi
Hospitalist
460 WOLF VIEW CV
Cordova, TN 38018
  • Reassigned Medicare billing, Tennessee enrollment
NPI 1386150530 (901) 756-9058
T M Carr MD PC
71 mi
Emergency Medicine
400 E TICKLE ST
Dyersburg, TN 38024
  • Reassigned Medicare billing, Tennessee enrollment
  • 256 clinicians in this Medicare group
NPI 1992706097 (731) 285-2410
Carr PLLC
183 mi
Emergency Medicine
5410 MARYLAND WAY STE 300
Brentwood, TN 37027
  • Reassigned Medicare billing, Mississippi and Tennessee enrollments
  • 65 clinicians in this Medicare group
NPI 1548677610 (615) 377-5593
Emergency Coverage, LLC
381 mi
Family Medicine
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, Tennessee enrollment
  • 664 clinicians in this Medicare group
NPI 1427005008 (423) 625-2200
Southeastern Emergency Physicians LLC
414 mi
Emergency Medicine
989 MEDICAL PARK DR
Maysville, KY 41056
  • Reassigned Medicare billing, Arkansas, Mississippi and Tennessee enrollments
  • 310 clinicians in this Medicare group
NPI 1356379382 (606) 759-5311

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 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.

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.
2,320 services515 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
801 services471 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
569 services487 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
490 services419 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
67 services19 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
23 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Methodist Hospitals Of Memphis

Acute Care Hospitals · Memphis, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440049
Location1265 Union Ave Suite 700Memphis, TN 38104 · Shelby County
Emergency services Birthing friendly

Saint Francis Bartlett Medical Center

Acute Care Hospitals · Bartlett, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440228
Location2986 Kate Bond RdBartlett, TN 38133 · Shelby County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38119 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Referred Medical Equipment & Supplies CMS DME claims 3

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers12 claims12 services$70.02 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$17.36 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$8.22 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 2

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

KEJAC VENTURES LLC
Internal Medicine
6263 POPLAR AVE STE 1052
MEMPHIS, TN 38119
Shelby County (901) 761-6157
LOUIS VALENTINE EBERLE III
Internal Medicine (Pulmonary Disease)
6263 POPLAR AVE STE 1052
MEMPHIS, TN 38119
Shelby County (901) 844-1435

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 Oran Berkenstock's NPI number?

The NPI number for Oran Berkenstock is 1497771927. It was assigned to this individual provider in the NPPES registry on July 15, 2006.

Where is Oran Berkenstock located?

Oran Berkenstock practices at 6263 Poplar Ave Ste 1052, Memphis, TN 38119. The listed phone number is (901) 761-6157.

What is Oran Berkenstock's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Oran Berkenstock enrolled in Medicare?

Yes. Oran Berkenstock 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 Oran Berkenstock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Oran Berkenstock reassigns Medicare benefits to 5 organizations: Olbhealthcare PLLC (Cordova, TN), T M Carr MD PC (Dyersburg, TN), Carr PLLC (Brentwood, TN), Emergency Coverage, LLC (Newport, TN) and Southeastern Emergency Physicians LLC (Maysville, KY). 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 Oran Berkenstock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Oran Berkenstock affiliated with any hospitals?

According to CMS data, Oran Berkenstock is affiliated with Methodist Hospitals Of Memphis and Saint Francis Bartlett Medical Center.

When was this NPI record last updated?

The NPPES record for Oran Berkenstock was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.