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DR. JEFFREY SCOTT BERKLEY DDS
NPI 1699854810
Dentist - Oral and Maxillofacial Surgery in West Haven, CT

Active since November 06, 2006PECOS Enrolled
323 MAIN STREET, WEST HAVEN, CT 06516(203) 937-7181(203) 937-1940 Get Directions Write a Review

NPPES record last updated: December 20, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jeffrey Scott Berkley Dds NPPES

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

DR. JEFFREY SCOTT BERKLEY DDS (NPI 1699854810) is an individual oral and maxillofacial surgery provider in West Haven, Connecticut, licensed in Connecticut (7026) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699854810
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JEFFREY SCOTT BERKLEYCredential: DDS
Location Address323 MAIN STREETWest Haven, CT 06516
Mailing Address323 Main StreetWest Haven, CT 06516 · (203) 937-7181 · Fax (203) 937-1940
Phone(203) 937-7181
Fax(203) 937-1940
Sole ProprietorNo
Enumeration DateNovember 6, 2006
Last NPPES UpdateDecember 20, 2013
✔ NPI 1699854810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in CT · 7026
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
323 MAIN STREET, West Haven, CT 06516
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Other Identifiers 3

Medicare UPINT23252CT
Medicaid002070267CT
Medicare ID-Type Unspecified190000935CT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeffrey Scott Berkley Dds 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.

Medicare Billing Reassignment

Medicare enrollment records show Jeffrey Berkley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Connecticut Oral & Maxillofacial Surgery Centers, LLC
20 mi
Oral and Maxillofacial Surgery
546 S BROAD ST STE 2A
Meriden, CT 06450
  • Reassigned Medicare billing, Connecticut enrollment
  • 6 clinicians in this Medicare group
NPI 1083818710 (203) 639-0800

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06516 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

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 Jeffrey Berkley's NPI number?

The NPI number for Jeffrey Berkley is 1699854810. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Jeffrey Berkley located?

Jeffrey Berkley practices at 323 Main Street, West Haven, CT 06516. The listed phone number is (203) 937-7181.

What is Jeffrey Berkley's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Jeffrey Berkley enrolled in Medicare?

Yes. Jeffrey Berkley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeffrey Berkley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Berkley reassigns Medicare benefits to Connecticut Oral & Maxillofacial Surgery Centers, LLC (Meriden, CT). The 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 Jeffrey Berkley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey Berkley accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and HRI Dental & Vision and 3 other insurers list Jeffrey Berkley 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 Jeffrey Berkley was last updated on December 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.