DR. RICHARD GARTH BERRY MD, FACP, FACGS
NPI 1508821992
Internal Medicine in Whiteville, NC

Active since April 19, 2006PECOS EnrolledAccepts Medicare Assignment
15 HILL PLZ STE A, WHITEVILLE, NC 28472(910) 642-0300(910) 640-3327 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 13, 2024, Dec 30, 2020 (2 updates tracked since 2020).

About Dr. Richard Garth Berry Md, Facp, Facgs NPPES

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

DR. RICHARD GARTH BERRY MD, FACP, FACGS (NPI 1508821992) is an individual internal medicine provider in Whiteville, North Carolina, licensed in North Carolina (36494) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Columbus Regional Healthcare System, and maintains a secondary practice location in Whiteville.

NPPES Registry Identity

NPI1508821992
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RICHARD GARTH BERRYCredential: MD, FACP, FACGS
Location Address15 HILL PLZ STE AWhiteville, NC 28472-4950
Mailing AddressPo Box 1527Whiteville, NC 28472-1527 · (910) 642-0300 · Fax (910) 640-3327
Fax(910) 640-3327
Sole ProprietorYes
Medical School CMSUn Of California, Irvine, College Of MedicineGraduated 1989
Enumeration DateApril 19, 2006
Last NPPES UpdateAugust 13, 20242 updates tracked since enumeration
NPPES CertifiedAugust 13, 2024
NPI 1508821992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NC · 36494
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
15 HILL PLZ STE A, Whiteville, NC 28472

Secondary Practice Location 1

Location 1109 N Jk Powell BlvdWhiteville, NC 28472-3123 · Phone (910) 642-0300 · Fax (910) 640-3327

Other Identifiers 22

Other0245HNC · Federal Bluecross Blueshield
Other110069099NC · Palmetta Gba
Other8915212NC · Nc Medicaid - Individual
Medicaid89013UYNC
Other141838016NC · Tricare
Other15212NC · Bcbs - Individual
Other080190419NC · Railroad Medicare - Individual
Other141838016NC · United Healthcare
Other15212NC · Federal Bcbs- Individual
Other216449NC · Coventry Health Care Plan
Other0245HNC · Bluecross Blueshield State
OtherN36494NC · South Carolina Medicaid- Individual
Other0245HNC · Bluecross Blueshield
Other15212NC · Bcbs State - Individual
Other7067596009NC · Cigna
OtherCK5068NC · Railroad Medicare
MedicaidN36494SC
Other4140662NC · Aetna
Other0245HNC · Option Bluecross Blueshield
Other15212NC · Option Bcbs- Individual
Other2183703FNC · Medicare - Individual
OtherNPB005SC · South Carolina Medicaid

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

Dr. Richard Garth Berry Md, Facp, Facgs 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 ID5092616193
PECOS Enrollment IDI20040624000157
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 23

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.

Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487
Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.
602 services114 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
464 services114 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.
346 services103 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
281 services52 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
165 services88 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
128 services74 patients

Hospital Affiliations CMS Care Compare

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

Columbus Regional Healthcare System

Acute Care Hospitals · Whiteville, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340068
Location500 Jefferson StWhiteville, NC 28472 · Columbus County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28472 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
91%244 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
81%271 patients
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
80%45 patients4/55-star benchmark: 95%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
75%509 patients4/55-star benchmark: 85%
Diabetes: Foot Exam
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
72%293 patients3/55-star benchmark: 98%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
60%4,515 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
2%362 patients1/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%190 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
88%676 patients4/55-star benchmark: 100%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
79%759 patients4/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
11%676 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
6%676 patients1/55-star benchmark: 79%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 2% · 362 patients
3%362 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 9

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
11 suppliers59 claims142 services$6.53 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers17 claims25 services$1.17 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims9,907 services$0.39 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers17 claims17 services$57.28 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers12 claims12 services$8.46 avg. paid by Medicare
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
6 suppliers38 claims38 services$117.71 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

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

Internal Medicine
15 HILL PLZ STE A
WHITEVILLE, NC 28472

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 Richard Berry's NPI number?

The NPI number for Richard Berry is 1508821992. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Where is Richard Berry located?

Richard Berry practices at 15 Hill Plz Ste A, Whiteville, NC 28472. The listed phone number is (910) 642-0300.

What is Richard Berry's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Richard Berry enrolled in Medicare?

Yes. Richard 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 Richard Berry accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Richard 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 Richard Berry affiliated with any hospitals?

According to CMS data, Richard Berry is affiliated with Columbus Regional Healthcare System.

When was this NPI record last updated?

The NPPES record for Richard Berry was last updated on August 13, 2024. 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.