BILL WAYNE BERRY JR. M.D.
NPI 1639179153
Otolaryngology in Virginia Beach, VA
Active since July 27, 2005PECOS EnrolledAccepts Medicare Assignment
1950 GLENN MITCHELL DR, SUITE 310, VIRGINIA BEACH, VA 23456(757) 507-0340(757) 507-0341 Get Directions Write a Review
About Bill Wayne Berry Jr. M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BILL WAYNE BERRY JR. M.D. (NPI 1639179153) is an individual otolaryngology provider in Virginia Beach, Virginia, licensed in Virginia (0101054182) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Sentara Leigh Hospital, and is a graduate of Other (1991).
NPPES Registry Identity
NPI1639179153
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameBILL WAYNE BERRY JR.Credential: M.D.
Location Address1950 GLENN MITCHELL DR, SUITE 310Virginia Beach, VA 23456-0019
Mailing Address1950 Glenn Mitchell Dr, Suite 310Virginia Beach, VA 23456-0019 · (757) 507-0340 · Fax (757) 507-0341
Phone(757) 507-0340
Fax(757) 507-0341
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateJuly 27, 2005
Last NPPES UpdateOctober 30, 2012
✔ NPI 1639179153 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in VA · 0101054182
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedOtolaryngology · Otolaryngic AllergyTaxonomy 207YX0602X · License 0101054182 (VA)
1950 GLENN MITCHELL DR, Virginia Beach, VA 23456
Other Identifiers 1
Medicare UPING35310VA
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
Bill Wayne Berry Jr. 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 ID3375552342
PECOS Enrollment IDI20060419000590
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 9
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.
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
92 services64 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.
86 services56 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.
74 services55 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
64 services64 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
57 services53 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
52 services52 patients
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sentara Leigh Hospital
Acute Care Hospitals · Norfolk, VAOwnershipVoluntary non-profit - Other
CMS Certification Number490046
Location830 Kempsville RoadNorfolk, VA 23502 · Norfolk City County
Birthing friendly
Sentara Princess Anne Hospital
Acute Care Hospitals · Virginia Beach, VAOwnershipVoluntary non-profit - Other
CMS Certification Number490119
Location2025 Glenn Mitchell DriveVirginia Beach, VA 23456 · Virginia Beach City County
Birthing friendly
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 23456 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
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
Anti-Depressant Medication Management
Percentage of patients 18 years of age and older who were treated with antidepressant medication, had a diagnosis of major depression, and who remained on an antidepressant medication treatment.
32%28 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
50%512 patients3/55-star benchmark: 85%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
90%130 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
78%2,089 patients2/55-star benchmark: 100%
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.
89%274 patients4/55-star benchmark: 100%
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.
75%170 patients3/55-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.
74%561 patients4/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
63%431 patients3/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
69%1,062 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 98% · 390 patients
Patients tobacco: 94% · 390 patients
41%32 patients2/55-star benchmark: 98%
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…
88%561 patients4/55-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…
22%561 patients2/55-star benchmark: 59%
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+: 0% · 431 patients
0%431 patients5/55-star benchmark: 100%
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
Patients nutrition: 23% · 57 patients
Patients physicalActivity: 23% · 57 patients
93%57 patients
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.
Physician Assistant (Medical)
1950 GLENN MITCHELL DR, STE 300
VIRGINIA BEACH, VA 23456
VIRGINIA BEACH, VA 23456
Dermatology
1950 GLENN MITCHELL DR, SUITE 208
VIRGINIA BEACH, VA 23456
VIRGINIA BEACH, VA 23456
Internal Medicine (Hematology & Oncology)
1950 GLENN MITCHELL DR, SUITE 102
VIRGINIA BEACH, VA 23456
VIRGINIA BEACH, VA 23456
Psychiatry & Neurology (Neurology)
1950 GLENN MITCHELL DR, STE 200
VIRGINIA BEACH, VA 23456
VIRGINIA BEACH, VA 23456
Allergy & Immunology
1950 GLENN MITCHELL DR, SUITE 310
VIRGINIA BEACH, VA 23456
VIRGINIA BEACH, VA 23456
Internal Medicine (Hematology & Oncology)
1950 GLENN MITCHELL DR, SUITE 102
VIRGINIA BEACH, VA 23456
VIRGINIA BEACH, VA 23456
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 Bill Berry's NPI number?
The NPI number for Bill Berry is 1639179153. It was assigned to this individual provider in the NPPES registry on July 27, 2005.
Where is Bill Berry located?
Bill Berry practices at 1950 Glenn Mitchell Dr Suite 310, Virginia Beach, VA 23456. The listed phone number is (757) 507-0340.
What is Bill Berry's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is Bill Berry enrolled in Medicare?
Yes. Bill 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.
Is Bill Berry affiliated with any hospitals?
According to CMS data, Bill Berry is affiliated with Sentara Leigh Hospital and Sentara Princess Anne Hospital.
When was this NPI record last updated?
The NPPES record for Bill Berry was last updated on October 30, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.
