THOMAS JOEL BERRY M.D.
NPI 1629243431
Pain Medicine - Interventional Pain Medicine in Lacombe, LA

Active since April 23, 2008PECOS EnrolledAccepts Medicare Assignment
57.7/100
CMS Quality Rating
64301 HIGHWAY 434, LACOMBE, LA 70445(985) 718-1274(985) 882-4501 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Thomas Joel Berry M.d. NPPES

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

THOMAS JOEL BERRY M.D. (NPI 1629243431) is an individual interventional pain medicine provider in Lacombe, Louisiana, licensed in Louisiana (207737) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Ochsner Medical Center Acute, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1629243431
Entity TypeIndividualMale
Primary Taxonomy208VP0014X
Provider Legal NameTHOMAS JOEL BERRYCredential: M.D.
Location Address64301 HIGHWAY 434Lacombe, LA 70445-5411
Mailing Address64301 Highway 434Lacombe, LA 70445-5411 · (985) 718-1274 · Fax (985) 882-4501
Fax(985) 882-4501
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2008
Enumeration DateApril 23, 2008
Last NPPES UpdateNovember 7, 2024
NPPES CertifiedNovember 7, 2024
NPI 1629243431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Licenses Licensed in LA · 207737 Licensed in TX · P7072
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
64301 HIGHWAY 434, Lacombe, LA 70445

Secondary Practice Locations 2

Location 1985 Robert Blvd Ste 104Slidell, LA 70458-2063 · Phone (985) 520-0909
Location 23190 E Causeway ApproachMandeville, LA 70448-3563 · Phone (985) 882-4500

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

Thomas Joel Berry M.d. 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 ID4880838333
PECOS Enrollment IDI20150417001520
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 29

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.

Administration and interpretation of patient-focused health risk assessment 96160
This procedure involves a detailed evaluation of your health to identify potential risks. It includes analyzing your medical history, lifestyle habits, and family health history. The results are interpreted to provide a personalized plan to improve your health and prevent future issues.
670 services263 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.
496 services214 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
221 services42 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.
110 services73 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
91 services76 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
60 services50 patients

Hospital Affiliations CMS Care Compare 5

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

Ochsner Medical Center Acute

Acute Care Hospitals · New Orleans, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190036
Location1516 Jefferson HwyNew Orleans, LA 70121 · Jefferson County
Emergency services Birthing friendly

Slidell Memorial Hospital

Acute Care Hospitals · Slidell, LA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190040
Location1001 Gause BlvdSlidell, LA 70458 · St. Tammany County
Emergency services Birthing friendly

St Tammany Parish Hospital

Acute Care Hospitals · Covington, LA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190045
Location1202 S Tyler StreetCovington, LA 70433 · St. Tammany County
Emergency services Birthing friendly

Sterling Surgical Hospital

Acute Care Hospitals · Slidell, LA
OwnershipProprietary
CMS Certification Number190256
Location989 Robert BlvdSlidell, LA 70458 · St. Tammany County

Ochsner Medical Center-Hancock

Acute Care Hospitals · Bay Saint Louis, MS
OwnershipGovernment - Local
CMS Certification Number250162
Location149 Drinkwater BlvdBay Saint Louis, MS 39520 · Hancock County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70445 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

57.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality32.27
Promoting Interoperability79
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
0%426 patients1/55-star benchmark: 93%
Closing the Referral Loop: Receipt of Specialist Report
45%283 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
0%974 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
22%67 patients1/55-star benchmark: 91%
Diabetes: Eye Exam
0%37 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
97%37 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
61%4,026 patients2/55-star benchmark: 100%
e-Prescribing
98%608 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
7%1,485 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%3,779 patients1/55-star benchmark: 61%
Provide Patients Electronic Access to Their Health Information
48%676 patients2/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
74%76 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 640 patients
Patients totalRate: 16% · 649 patients
16%649 patients3/55-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.

Other Providers at the Same Location NPPES 15

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

Psychiatry & Neurology (Pain Medicine)
64301 HIGHWAY 434
LACOMBE, LA 70445
Anesthesiology (Pain Medicine)
64301 HIGHWAY 434
LACOMBE, LA 70445
Nurse Practitioner (Adult Health)
64301 HIGHWAY 434
LACOMBE, LA 70445
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
64301 HIGHWAY 434
LACOMBE, LA 70445
Psychiatry & Neurology (Neurology)
64301 HIGHWAY 434
LACOMBE, LA 70445
Orthopaedic Surgery
64301 HIGHWAY 434
LACOMBE, LA 70445
Podiatrist (Foot Surgery)
64301 HIGHWAY 434
LACOMBE, LA 70445
Psychiatry & Neurology (Neurology)
64301 HIGHWAY 434
LACOMBE, LA 70445

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 Thomas Berry's NPI number?

The NPI number for Thomas Berry is 1629243431. It was assigned to this individual provider in the NPPES registry on April 23, 2008.

Where is Thomas Berry located?

Thomas Berry practices at 64301 Highway 434, Lacombe, LA 70445. The listed phone number is (985) 718-1274.

What is Thomas Berry's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Thomas Berry enrolled in Medicare?

Yes. Thomas 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 Thomas Berry accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Thomas 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 Thomas Berry affiliated with any hospitals?

According to CMS data, Thomas Berry is affiliated with Ochsner Medical Center Acute, Slidell Memorial Hospital, St Tammany Parish Hospital, Sterling Surgical Hospital and Ochsner Medical Center-Hancock.

When was this NPI record last updated?

The NPPES record for Thomas Berry was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.