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DAVID A BERKSON MD
NPI 1588756233
Family Medicine in Phoenixville, PA

Active since September 29, 2006PECOS EnrolledAccepts Medicare Assignment
450 CRESSON BLVD STE 110A, PHOENIXVILLE, PA 19460(484) 565-1293 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 19, 2025, May 11, 2024, Mar 17, 2018 (3 updates tracked since 2018).

About David A Berkson Md NPPES

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

DAVID A BERKSON MD (NPI 1588756233) is an individual family medicine provider in Phoenixville, Pennsylvania, licensed in Pennsylvania (MD063381L) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Main Line Hospital Lankenau, and maintains a secondary practice location in Pittsburgh.

NPPES Registry Identity

NPI1588756233
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDAVID A BERKSONCredential: MD
Location Address450 CRESSON BLVD STE 110APhoenixville, PA 19460-6145
Mailing Address3803 W Chester Pike Ste 160Newtown Square, PA 19073-2336 · (484) 337-1632
Phone(484) 565-1293
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 1995
Enumeration DateSeptember 29, 2006
Last NPPES UpdateFebruary 19, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2025
✔ NPI 1588756233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD063381L
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License MD063381L (PA)
450 CRESSON BLVD STE 110A, Phoenixville, PA 19460
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Secondary Practice Location 1

Location 17219 McKnight Rd, Suite FPittsburgh, PA 15237-3524 · Phone (412) 367-3278 · Fax (412) 367-5083

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

David A Berkson 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 ID6103822903
PECOS Enrollment IDI20061019000187
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

4

Medicare enrollment records show David Berkson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Main Line Healthcare
10 mi
Family Medicine
3803 WEST CHESTER PIKE, H BLDG SUITE 160
Newtown Square, PA 19073
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,638 clinicians in this Medicare group
NPI 1922077643 (484) 337-1585
Medexpress Urgent Care, PC - Pennsylvania
18 mi
Urgent Care
4808 EDGMONT AVE
Brookhaven, PA 19015
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 214 clinicians in this Medicare group
NPI 1437681335 (610) 876-3072
Medexpress Urgent Care, PC - Virginia
157 mi
Urgent Care
207 GATEWAY DRIVE
Winchester, VA 22603
  • Reassigned Medicare billing, Virginia enrollment
  • 156 clinicians in this Medicare group
NPI 1386989689 (540) 535-1029
Medexpress Urgent Care Texas, P.A.
1,261 mi
Urgent Care
3565 COLLEGE ST
Beaumont, TX 77701
  • Reassigned Medicare billing, Texas enrollment
  • 47 clinicians in this Medicare group
NPI 1861919375 (409) 813-8189

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.

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.
56 services55 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
40 services40 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
26 services26 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
24 services12 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
19 services19 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.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Main Line Hospital Lankenau

Acute Care Hospitals · Wynnewood, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390195
Location100 Lancaster AveWynnewood, PA 19096 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19460 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 3

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

JESIEL JOVANY LOMBAY MD
Family Medicine
450 CRESSON BLVD STE 110A
PHOENIXVILLE, PA 19460
Chester County (484) 565-1293
DR. SHEILA MONIC RAMOS MD
Family Medicine
450 CRESSON BLVD STE 110A
PHOENIXVILLE, PA 19460
Chester County (484) 565-1293
MEGHAN M KOHUTH
Nurse Practitioner (Family)
450 CRESSON BLVD STE 110A
PHOENIXVILLE, PA 19460
Chester County (484) 565-1293

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 David Berkson's NPI number?

The NPI number for David Berkson is 1588756233. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Where is David Berkson located?

David Berkson practices at 450 Cresson Blvd Ste 110A, Phoenixville, PA 19460. The listed phone number is (484) 565-1293.

What is David Berkson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is David Berkson enrolled in Medicare?

Yes. David Berkson 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 David Berkson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Berkson reassigns Medicare benefits to 4 organizations: Main Line Healthcare (Newtown Square, PA), Medexpress Urgent Care, PC - Pennsylvania (Brookhaven, PA), Medexpress Urgent Care, PC - Virginia (Winchester, VA) and Medexpress Urgent Care Texas, P.A. (Beaumont, TX). 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 David Berkson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Berkson accept?

Health plans from Blue Cross and Blue Shield of Texas list David Berkson 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 David Berkson affiliated with any hospitals?

According to CMS data, David Berkson is affiliated with Main Line Hospital Lankenau.

When was this NPI record last updated?

The NPPES record for David Berkson was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.