DR. MATTHEW WILLIAM BERRIOS D.O.
NPI 1689014920
Emergency Medicine in Winter Haven, FL

Active since July 01, 2013PECOS EnrolledAccepts Medicare Assignment
7375 CYPRESS GARDENS BLVD, WINTER HAVEN, FL 33884(863) 325-8185(813) 742-5051 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Matthew William Berrios D.o. NPPES

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

DR. MATTHEW WILLIAM BERRIOS D.O. (NPI 1689014920) is an individual emergency medicine provider in Winter Haven, Florida, licensed in Florida (OS13897) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Highlands Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1689014920
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. MATTHEW WILLIAM BERRIOSCredential: D.O.
Location Address7375 CYPRESS GARDENS BLVDWinter Haven, FL 33884-3246
Mailing Address12227 Stonelake Ranch BlvdThonotosassa, FL 33592-3910 · (813) 644-2463
Fax(813) 742-5051
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 1, 2013
Last NPPES UpdateApril 16, 2025
NPPES CertifiedApril 16, 2025
✔ NPI 1689014920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in FL · OS13897✔ Licensed in PA · OT015487
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
7375 CYPRESS GARDENS BLVD, Winter Haven, FL 33884

Accepted Insurance

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

Dr. Matthew William Berrios D.o. 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 ID9830415215
PECOS Enrollment IDI20160727002482
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.

Medicare Billing Reassignments

20

Medicare enrollment records show Matthew Berrios reassigns Medicare billing to 20 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
6945 CYPRESS GARDENS BLVD
Winter Haven, FL 33884
  • Reassigned Medicare billing, Florida enrollment
  • 98 clinicians in this Medicare group
Emergency Medicine
6901 SIMMONS LOOP
Riverview, FL 33578
  • Reassigned Medicare billing, Florida enrollment
  • 158 clinicians in this Medicare group
Emergency Medicine
3001 W. DR. MARTIN LUTHER KING JR. BLVD
Tampa, FL 33607
  • Reassigned Medicare billing, Florida enrollment
  • 161 clinicians in this Medicare group
Emergency Medicine
950 N MAIN ST
Bushnell, FL 33513
  • Reassigned Medicare billing, Florida enrollment
  • 181 clinicians in this Medicare group
Emergency Medicine
1000 36TH ST
Vero Beach, FL 32960
  • Reassigned Medicare billing, Florida enrollment
  • 66 clinicians in this Medicare group
Emergency Medicine
20900 BISCAYNE BLVD
Aventura, FL 33180
  • Reassigned Medicare billing, Florida enrollment
  • 1,912 clinicians in this Medicare group
Internal Medicine
555 NORTH BYRON BUTLER PARKWAY, TMH PHYSICIAN PARTNERS, PERRY
Perry, FL 32348
  • Reassigned Medicare billing, Florida enrollment
  • 654 clinicians in this Medicare group
Emergency Medicine
2674 CAPITAL CIR SE
Tallahassee, FL 32311
  • Reassigned Medicare billing, Florida enrollment
  • 82 clinicians in this Medicare group
Emergency Medicine
1300 MICCOSUKEE RD
Tallahassee, FL 32308
  • Reassigned Medicare billing, Florida enrollment
  • 55 clinicians in this Medicare group
Emergency Medicine
1110 GULF BREEZE PKWY
Gulf Breeze, FL 32561
  • Reassigned Medicare billing, Florida enrollment
  • 119 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 2

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
63 services63 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
47 services47 patients

Hospital Affiliations CMS Care Compare 3

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

Hca Florida Highlands Hospital

Acute Care Hospitals · Sebring, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100049
Location3600 S Highlands AveSebring, FL 33870 · Highlands County
Emergency services

Hca Florida Brandon Hospital

Acute Care Hospitals · Brandon, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100243
Location119 Oakfield DrBrandon, FL 33511 · Hillsborough County
Emergency services Birthing friendly

Hca Florida Bayonet Point Hospital

Acute Care Hospitals · Hudson, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100256
Location14000 Fivay RdHudson, FL 34667 · Pasco County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33884 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Other Providers at the Same Location NPPES 5

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

Clinic/Center (Urgent Care)
7375 CYPRESS GARDENS BLVD
WINTER HAVEN, FL 33884
Clinic/Center (Urgent Care)
7375 CYPRESS GARDENS BLVD
WINTER HAVEN, FL 33884
Family Medicine
7375 CYPRESS GARDENS BLVD
WINTER HAVEN, FL 33884
Clinic/Center (Urgent Care)
7375 CYPRESS GARDENS BLVD
WINTER HAVEN, FL 33884
Preventive Medicine (Occupational Medicine)
7375 CYPRESS GARDENS BLVD
WINTER HAVEN, FL 33884

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 Matthew Berrios's NPI number?

The NPI number for Matthew Berrios is 1689014920. It was assigned to this individual provider in the NPPES registry on July 1, 2013.

Where is Matthew Berrios located?

Matthew Berrios practices at 7375 Cypress Gardens Blvd, Winter Haven, FL 33884. The listed phone number is (863) 325-8185.

What is Matthew Berrios's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Matthew Berrios enrolled in Medicare?

Yes. Matthew Berrios 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 Matthew Berrios's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Berrios reassigns Medicare benefits to 20 organizations: Ridgewood Emergency Group, LLC (Winter Haven, FL), Observation Medical Group LLC (Riverview, FL), Emergency Medical Associates Of Tampa Bay, LLC (Tampa, FL), Sheridan Emergency Physician Services Inc (Bushnell, FL), Gilford Sound Emergency Physicians LLC (Vero Beach, FL) and 15 more organizations, listed in the Medicare section above. 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 Matthew Berrios's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Berrios accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Texas and 5 other insurers list Matthew Berrios 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 Matthew Berrios affiliated with any hospitals?

According to CMS data, Matthew Berrios is affiliated with Hca Florida Highlands Hospital, Hca Florida Brandon Hospital and Hca Florida Bayonet Point Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Berrios was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.