BERLY ANN JAISON M.D
NPI 1679969026
Emergency Medicine in Dublin, CA
About Berly Ann Jaison M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BERLY ANN JAISON M.D (NPI 1679969026) is an individual emergency medicine provider in Dublin, California, licensed in California (A157781) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Buffalo, and is a graduate of State University Of New York At Buffalo School Of Medicine (2015).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Berly Ann Jaison 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.
Medicare Billing Reassignments
2Medicare enrollment records show Berly Jaison reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hayward, CA 94545
- Reassigned Medicare billing, California enrollment
- 2,323 clinicians in this Medicare group
Redwood City, CA 94063
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
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 5
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94568 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Berly Jaison's NPI number?
The NPI number for Berly Jaison is 1679969026. It was assigned to this individual provider in the NPPES registry on April 13, 2015.
Where is Berly Jaison located?
Berly Jaison practices at 4050 Dublin Blvd, Dublin, CA 94568. The listed phone number is (925) 875-6100.
What is Berly Jaison's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Berly Jaison enrolled in Medicare?
Yes. Berly Jaison 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 Berly Jaison's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Berly Jaison reassigns Medicare benefits to 2 organizations: Cep America - California (Hayward, CA) and Permanente Medical Group Inc (Redwood City, CA). 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 Berly Jaison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Berly Jaison was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.
# Berly Ann Jaison, M.D · NPI 1679969026
Emergency Medicine physician in Dublin, California. Individual provider, active in the CMS NPPES registry since April 13, 2015.
## Identity
- **NPI:** 1679969026 (Entity type: Individual)
- **Enumerated:** April 13, 2015
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** A157781 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4050 DUBLIN BLVD, Dublin, CA 94568-3112
- **Phone:** (925) 875-6100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Cep America - California (NPI 1194741462, Hayward, CA); Permanente Medical Group Inc (NPI 1639252604, Redwood City, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York At Buffalo School Of Medicine, class of 2015
## Record status
- **NPPES last updated:** October 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1679969026) · Data from the CMS NPPES public registry.