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JONATHAN H BERKOFF MD
NPI 1679623326
Obstetrics & Gynecology in Milwaukee, WI

Active since January 12, 2007PECOS EnrolledAccepts Medicare Assignment
81.48/100
CMS Quality Rating
2350 N LAKE DR, SUITE 500, MILWAUKEE, WI 53211(414) 289-9669(414) 289-9693 Get Directions Write a Review

NPPES record last updated: May 1, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jonathan H Berkoff Md NPPES

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

JONATHAN H BERKOFF MD (NPI 1679623326) is an individual obstetrics & gynecology provider in Milwaukee, Wisconsin, licensed in Wisconsin (37497) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and is a graduate of University Of Wisconsin School Of Medicine (1991).

NPPES Registry Identity

NPI1679623326
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameJONATHAN H BERKOFFCredential: MD
Location Address2350 N LAKE DR, SUITE 500Milwaukee, WI 53211-4528
Mailing Address2350 N Lake Dr, Suite 500Milwaukee, WI 53211-4528 · (414) 289-9669 · Fax (414) 289-9693
Phone(414) 289-9669
Fax(414) 289-9693
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1991
Enumeration DateJanuary 12, 2007
Last NPPES UpdateMay 1, 2009
✔ NPI 1679623326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in WI · 37497
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2350 N LAKE DR, Milwaukee, WI 53211
Open in Google Maps ↗

Other Identifiers 3

Medicaid32204100WI
Medicare UPING16501
Medicare ID-Type Unspecified01083WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health.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

Jonathan H Berkoff 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 ID4688738107
PECOS Enrollment IDI20090128000553
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 3

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.

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
21 services20 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
19 services19 patients
Complete ultrasound scan of pelvis 76856
A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53211 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

81.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.39
Promoting Interoperability100
Improvement Activities40
Cost49.87

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
67%381 patients3/55-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)…
83%1,028 patients
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…
44%1,389 patients2/55-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: 97% · 1,083 patients
92%1,083 patients4/55-star benchmark: 98%
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 20

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

IRINA KOSTOVA DIMITROVA M.D.
Obstetrics & Gynecology
2350 N LAKE DR
MILWAUKEE, WI 53211
Milwaukee County (414) 585-1949
COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC
Clinic/Center (Multi-Specialty)
2350 N LAKE DR
MILWAUKEE, WI 53211
Milwaukee County (414) 585-1000
DR. LYLE GENE HENRY MD
Surgery
2350 N LAKE DR, SUITE 304
MILWAUKEE, WI 53211
Milwaukee County (414) 298-7220
KELLY A ISHERWOOD PA-C
Physician Assistant
2350 N LAKE DR, SUITE 206
MILWAUKEE, WI 53211
Milwaukee County (414) 298-7280
MICHAEL E KEEFE MD
Internal Medicine (Hematology & Oncology)
2350 N LAKE DR, SUITE 100
MILWAUKEE, WI 53211
Milwaukee County (414) 298-7250
MRS. AUDRA LYNN FELKER NP-C
Nurse Practitioner (Family)
2350 N LAKE DR, SUITE 400
MILWAUKEE, WI 53211
Milwaukee County (414) 271-1633
CATHERINE BARES APNP
Nurse Practitioner
2350 N LAKE DR, SUITE 100
MILWAUKEE, WI 53211
Milwaukee County (414) 298-7250
RACHEL TORGERSON KOEBEL PT, MPT, GCS
Physical Therapist
2350 N LAKE DR
MILWAUKEE, WI 53211
Milwaukee County (414) 296-2554

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 Jonathan Berkoff's NPI number?

The NPI number for Jonathan Berkoff is 1679623326. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Where is Jonathan Berkoff located?

Jonathan Berkoff practices at 2350 N Lake Dr Suite 500, Milwaukee, WI 53211. The listed phone number is (414) 289-9669.

What is Jonathan Berkoff's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Jonathan Berkoff enrolled in Medicare?

Yes. Jonathan Berkoff 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 Jonathan Berkoff accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Jonathan Berkoff 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 Jonathan Berkoff affiliated with any hospitals?

According to CMS data, Jonathan Berkoff is affiliated with Ascension Columbia St Mary's Hospital Milwaukee.

When was this NPI record last updated?

The NPPES record for Jonathan Berkoff was last updated on May 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.