DR. RICHARD PHILLIP BERRY M.D.
NPI 1669470704
Family Medicine in Shattuck, OK

Q: What is Richard Berry's NPI number?

The NPI number for Richard Berry is 1669470704. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Q: What is Richard Berry's specialty?

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

Q: Is Richard Berry enrolled in Medicare?

No. Richard Berry has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Richard Berry was last updated on September 28, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 12, 2005Opted out of Medicare · through Jul 1, 2027

905 S MAIN ST, SHATTUCK, OK 73858(580) 938-5275(580) 938-2256 Get Directions Write a Review

NPPES record last updated: September 28, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Richard Phillip Berry M.d. NPPES

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

DR. RICHARD PHILLIP BERRY M.D. (NPI 1669470704) is an individual family medicine provider in Shattuck, Oklahoma, licensed in Oklahoma (18450) and active in the NPI registry since July 2005. He has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1669470704

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. RICHARD PHILLIP BERRYCredential: M.D.

Location Address905 S MAIN STShattuck, OK 73858-9205

Mailing AddressPo Box 703Shattuck, OK 73858-0703 · (580) 938-5275 · Fax (580) 938-2256

Phone(580) 938-5275

Fax(580) 938-2256

Sole ProprietorNo

Enumeration DateJuly 12, 2005

Last NPPES UpdateSeptember 28, 2012

✔ NPI 1669470704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OK · 18450

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.

905 S MAIN ST, Shattuck, OK 73858

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Other Identifiers 3

Medicare PIN$$$$$$$$$POK

Medicaid100137950AOK

Medicare UPINF64360OK

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Richard Phillip Berry M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2017 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2017

Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73858 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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.

Referred Medical Equipment & Supplies CMS DME claims

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

1 supplier21 claims21 services$104.79 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 17

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

DR. MICHAEL W. FLAHERTY MD

Family Medicine