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DR. BERNETTA LYNNE AVERY M.D.
NPI 1740391630
Pediatrics in Brooklyn, NY

Active since August 31, 2006PECOS Enrolled
209 YORK ST, BROOKLYN, NY 11201(718) 630-7942(718) 630-7000 Get Directions Write a Review

NPPES record last updated: August 6, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 6, 2021, Oct 30, 2019 (2 updates tracked since 2019).

About Dr. Bernetta Lynne Avery M.d. NPPES

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

DR. BERNETTA LYNNE AVERY M.D. (NPI 1740391630) is an individual pediatrics provider in Brooklyn, New York, licensed in New York (301639-01) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Vancouver.

NPPES Registry Identity

NPI1740391630
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. BERNETTA LYNNE AVERYCredential: M.D.
Location Address209 YORK STBrooklyn, NY 11201-1509
Mailing Address700 Ne 87th AveVancouver, WA 98664-1913 · (360) 397-3352 · Fax (360) 604-1771
Phone(718) 630-7942
Fax(718) 630-7000
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateAugust 6, 20212 updates tracked since enumeration
NPPES CertifiedAugust 6, 2021
✔ NPI 1740391630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in NY · 301639-01✔ Licensed in CA · A91477✔ Licensed in OR · MD150622✔ Licensed in WA · MD 60265069
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
209 YORK ST, Brooklyn, NY 11201
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Secondary Practice Location 1

Location 1501 SE 172nd Ave, TVC - Department of PediatricsVancouver, WA 98684-9542 · Phone (360) 288-2778

Other Identifiers 1

Medicaid00A914770CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bernetta Lynne Avery 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.

Medicare Billing Reassignment

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

Nyu Langone Hospitals
2.8 mi
Internal Medicine
530 1ST AVE
New York, NY 10016
  • Reassigned Medicare billing, New York enrollment
  • 616 clinicians in this Medicare group
NPI 1790975944 (212) 460-0110

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11201 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 6

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

VICTORIA SOLO
Speech-Language Pathologist
209 YORK ST
BROOKLYN, NY 11201
Kings County (646) 982-6602
ARIEL MARIE MARTINEZ
Speech-Language Pathologist
209 YORK ST
BROOKLYN, NY 11201
Kings County (718) 834-4748
CATHERINE VALLONE MS, CCC-SLP
Speech-Language Pathologist
209 YORK ST
BROOKLYN, NY 11201
Kings County (718) 834-4748
MS. SALLY JANE ARBOLINO C.P.N.P.
Nurse Practitioner (Pediatrics)
209 YORK ST, PS 307 ROOM#140
BROOKLYN, NY 11201
Kings County (718) 834-4294
DAYNA ZEIGER
Speech-Language Pathologist
209 YORK ST
BROOKLYN, NY 11201
Kings County (718) 834-4748
MRS. ATARA MACCABI M.S.
Speech-Language Pathologist
209 YORK ST
BROOKLYN, NY 11201
Kings County (718) 834-4748

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 Bernetta Avery's NPI number?

The NPI number for Bernetta Avery is 1740391630. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Bernetta Avery located?

Bernetta Avery practices at 209 York St, Brooklyn, NY 11201. The listed phone number is (718) 630-7942.

What is Bernetta Avery's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Bernetta Avery enrolled in Medicare?

Yes. Bernetta Avery is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bernetta Avery's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bernetta Avery reassigns Medicare benefits to Nyu Langone Hospitals (New York, NY). 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 Bernetta Avery'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 Bernetta Avery was last updated on August 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.