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DOUGLAS J BERNE M.D.
NPI 1760402283
Psychiatry & Neurology - Psychiatry in Temple, PA

Active since July 20, 2006PECOS Enrolled
81.19/100
CMS Quality Rating
704 HAY RD, TEMPLE, PA 19560(610) 799-7810(610) 929-4686 Get Directions Write a Review

NPPES record last updated: June 2, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Douglas J Berne M.d. NPPES

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

DOUGLAS J BERNE M.D. (NPI 1760402283) is an individual psychiatry provider in Temple, Pennsylvania, licensed in Pennsylvania (MD045342L) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760402283
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDOUGLAS J BERNECredential: M.D.
Location Address704 HAY RDTemple, PA 19560-1843
Mailing Address4085 Independence DrSchnecksville, PA 18078-2574 · (610) 977-8853 · Fax (610) 799-8001
Phone(610) 799-7810
Fax(610) 929-4686
Sole ProprietorNo
Enumeration DateJuly 20, 2006
Last NPPES UpdateJune 2, 2017
✔ NPI 1760402283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in PA · MD045342L
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
704 HAY RD, Temple, PA 19560
Open in Google Maps ↗

Other Identifiers 1

Medicaid102671034-0001PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Douglas J Berne 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 Reassignments

2

Medicare enrollment records show Douglas Berne reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tower Health Medical Group
3.4 mi
Addiction Medicine
101 WELLNESS WAY STE 210
Reading, PA 19605
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,473 clinicians in this Medicare group
NPI 1093266140 (484) 628-1324
Reading Hospital
4.2 mi
Family Medicine
430 N 2ND ST
Reading, PA 19601
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 399 clinicians in this Medicare group
NPI 1386702413 (484) 628-0400

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 19560 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
$166.87 typical visit price
range $54.64 – $166.87
Typical copayment $41.71 (range $13.66 – $41.71)
Most-billed visit code 99205
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

81.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.56
Promoting Interoperability97
Improvement Activities40
Cost65.23

Other Providers at the Same Location NPPES 3

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

KIDSPEACE CHILDREN'S HOSPITAL, INC.
Clinic/Center (Adolescent and Children Mental Health)
704 HAY RD
TEMPLE, PA 19560
Berks County (800) 854-3123
NOEL CHIN MARTINEZ MA
Counselor (Mental Health)
704 HAY RD
TEMPLE, PA 19560
Berks County (610) 799-7827
KIDSPEACE NATIONAL CENTERS, INC.
Clinic/Center (Adolescent and Children Mental Health)
704 HAY RD
TEMPLE, PA 19560
Berks County (800) 854-3123

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 Douglas Berne's NPI number?

The NPI number for Douglas Berne is 1760402283. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Douglas Berne located?

Douglas Berne practices at 704 Hay Rd, Temple, PA 19560. The listed phone number is (610) 799-7810.

What is Douglas Berne's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Douglas Berne enrolled in Medicare?

Yes. Douglas Berne is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Douglas Berne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Berne reassigns Medicare benefits to 2 organizations: Tower Health Medical Group (Reading, PA) and Reading Hospital (Reading, PA). 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 Douglas Berne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Douglas Berne accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Douglas Berne 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 Douglas Berne was last updated on June 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.