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DR. DON LOUIS BERARDINUCCI M.D.
NPI 1699774679
Urology in Houston, TX

Active since July 20, 2005PECOS Enrolled
74.94/100
CMS Quality Rating
17070 RED OAK DR, SUITE 200, HOUSTON, TX 77090(281) 444-7077(281) 444-5799 Get Directions Write a Review

NPPES record last updated: November 21, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Don Louis Berardinucci M.d. NPPES

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

DR. DON LOUIS BERARDINUCCI M.D. (NPI 1699774679) is an individual urology provider in Houston, Texas, licensed in Texas (K5809) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699774679
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. DON LOUIS BERARDINUCCICredential: M.D.
Location Address17070 RED OAK DR, SUITE 200Houston, TX 77090-2619
Mailing Address22710 Professional Dr, Ste 102Kingwood, TX 77339-6009 · (972) 997-8000 · Fax (972) 234-0813
Phone(281) 444-7077
Fax(281) 444-5799
Sole ProprietorNo
Enumeration DateJuly 20, 2005
Last NPPES UpdateNovember 21, 2018
✔ NPI 1699774679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in TX · K5809
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
17070 RED OAK DR, Houston, TX 77090
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Other Identifiers 1

Medicaid083556301TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, WellPoint.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Don Louis Berardinucci M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77090 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

74.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality59.96
Promoting Interoperability97
Improvement Activities40
Cost54.25

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
2 suppliers12 claims1,110 services$0.10 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier12 claims1,080 services$1.61 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
1 supplier11 claims1,320 services$6.05 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 20

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

MRS. SHEILA ODOM GILLETTE
Pharmacist
17070 RED OAK DR, STE 103
HOUSTON, TX 77090
Harris County (281) 586-0771
RED OAK PODIATRY, PC
Podiatrist (Foot & Ankle Surgery)
17070 RED OAK DR, STE 209
HOUSTON, TX 77090
Harris County (281) 537-1999
DR. FRANCIS M BONNER III MD
Otolaryngology
17070 RED OAK DR, STE 205
HOUSTON, TX 77090
Harris County (281) 440-0734
DEXTER G TURNQUEST MD PA
Surgery
17070 RED OAK DR, SUITE 507
HOUSTON, TX 77090
Harris County (281) 444-8090
DR. MICHELLE A ZANIEWSKI MD
Specialist
17070 RED OAK DR, SUITE 309
HOUSTON, TX 77090
Harris County (281) 580-7401
DR. HOWARD ROY LIPPMAN M.D.
Urology
17070 RED OAK DR, SUITE 200
HOUSTON, TX 77090
Harris County (281) 444-7077
DONALD L. LEASS, MD, FAAP, PA
Clinic/Center (Primary Care)
17070 RED OAK DR, SUITE 105
HOUSTON, TX 77090
Harris County (281) 444-0075
ARNOLD B SKOR MD
Urology
17070 RED OAK DR, STE 200
HOUSTON, TX 77090
Harris County (281) 444-7077

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 Don Berardinucci's NPI number?

The NPI number for Don Berardinucci is 1699774679. It was assigned to this individual provider in the NPPES registry on July 20, 2005.

Where is Don Berardinucci located?

Don Berardinucci practices at 17070 Red Oak Dr Suite 200, Houston, TX 77090. The listed phone number is (281) 444-7077.

What is Don Berardinucci's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Don Berardinucci enrolled in Medicare?

Yes. Don Berardinucci is registered in the Medicare PECOS enrollment system.

What insurance does Don Berardinucci accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and WellPoint list Don Berardinucci 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.

When was this NPI record last updated?

The NPPES record for Don Berardinucci was last updated on November 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.