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MICHAEL BEREND MD
NPI 1790761666
Orthopaedic Surgery in Indianapolis, IN

Active since December 21, 2005PECOS EnrolledAccepts Medicare Assignment
30/100
CMS Quality Rating
6920 GATWICK DR, SUITE 200, INDIANAPOLIS, IN 46241(317) 455-1064(317) 455-1204 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 9, 2024, May 18, 2023, Jun 17, 2021 (3 updates tracked since 2021).

About Michael Berend Md NPPES

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

MICHAEL BEREND MD (NPI 1790761666) is an individual orthopaedic surgery provider in Indianapolis, Indiana, licensed in Indiana (01048412A) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Hendricks Regional Health, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1790761666
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMICHAEL BERENDCredential: MD
Location Address6920 GATWICK DR, SUITE 200Indianapolis, IN 46241-9504
Mailing Address3600 W Bethel AveMuncie, IN 47304-5407 · (800) 622-6575 · Fax (317) 455-1204
Phone(317) 455-1064
Fax(317) 455-1204
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 1992
Enumeration DateDecember 21, 2005
Last NPPES UpdateSeptember 9, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
✔ NPI 1790761666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in IN · 01048412A
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
6920 GATWICK DR, Indianapolis, IN 46241
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1541 S Landmark AveBloomington, IN 47403-3239 · Phone (317) 455-1064
Location 23051 S US Highway 41Terre Haute, IN 47802-3791 · Phone (317) 455-1064

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 and accepts Medicare assignment

Michael Berend Md 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 ID8729113543
PECOS Enrollment IDI20100410000075
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 Michael Berend reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Central Indiana Orthopedics, LLC
29 mi
Orthopaedic Surgery
14300 E 138TH STE B
Fishers, IN 46037
  • Reassigned Medicare billing, Indiana enrollment
  • 135 clinicians in this Medicare group
NPI 1962061135 (317) 773-4301

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 15

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.

X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
368 services273 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
331 services249 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
288 services254 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
130 services130 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
99 services93 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
97 services87 patients

Hospital Affiliations CMS Care Compare 5

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

Hendricks Regional Health

Acute Care Hospitals · Danville, IN
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150005
Location1000 E Main StDanville, IN 46122 · Hendricks County
Emergency services Birthing friendly

Indiana University Health Bloomington Hospital

Acute Care Hospitals · Bloomington, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150051
Location2651 East Discovery ParkwayBloomington, IN 47408 · Monroe County
Emergency services Birthing friendly

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Franciscan Health Mooresville

Acute Care Hospitals · Mooresville, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150057
Location1201 Hadley RdMooresville, IN 46158 · Morgan County
Emergency services Birthing friendly

Daviess Community Hospital

Acute Care Hospitals · Washington, IN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150061
Location1314 E Walnut StWashington, IN 47501 · Daviess County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46241 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

30/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Promoting Interoperability0
Improvement Activities0
Cost100

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
94%2,891 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%934 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
94%963 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
0%2,136 patients1/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
4%2,069 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 0% · 435 patients
0%435 patients1/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
50%2,136 patients3/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
15%2,136 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf L1833
DME-Orthotic Devices · category DF011N
2 suppliers131 claims131 services$384.92 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 11

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

DR. WESLEY GRAYSON LACKEY M.D.
Orthopaedic Surgery
6920 GATWICK DR, SUITE 200
INDIANAPOLIS, IN 46241
Marion County (317) 455-1064
DR. JOSHUA LEE CARTER MD
Orthopaedic Surgery
6920 GATWICK DR, SUITE 200
INDIANAPOLIS, IN 46241
Marion County (317) 455-1064
ADAM MICHAEL MCCORMICK PA
Physician Assistant
6920 GATWICK DR, SUITE 200
INDIANAPOLIS, IN 46241
Marion County (317) 455-1064
LAUREN C STOKES PA
Physician Assistant
6920 GATWICK DR, SUITE 200
INDIANAPOLIS, IN 46241
Marion County (317) 455-1064
DR. RICHARD WAYNE JACKSON M.D.
Orthopaedic Surgery
6920 GATWICK DR, STE 200
INDIANAPOLIS, IN 46241
Marion County (317) 455-1064
MRS. VICTORIA LOUISE CRAWLEY MSPT
Physical Therapist
6920 GATWICK DR, STE 120
INDIANAPOLIS, IN 46241
Marion County (317) 856-1162
CENTRAL INDIANA ORTHOPEDICS, LLC
Orthopaedic Surgery
6920 GATWICK DR, STE 200
INDIANAPOLIS, IN 46241
Marion County (317) 455-1064
SHARON CRANE N.P.
Nurse Practitioner
6920 GATWICK DR, SUITE 100
INDIANAPOLIS, IN 46241
Marion County (317) 856-2945

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 Michael Berend's NPI number?

The NPI number for Michael Berend is 1790761666. It was assigned to this individual provider in the NPPES registry on December 21, 2005.

Where is Michael Berend located?

Michael Berend practices at 6920 Gatwick Dr Suite 200, Indianapolis, IN 46241. The listed phone number is (317) 455-1064.

What is Michael Berend's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Michael Berend enrolled in Medicare?

Yes. Michael Berend 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 organization bills Medicare for Michael Berend's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Berend reassigns Medicare benefits to Central Indiana Orthopedics, LLC (Fishers, IN). 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 Michael Berend's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Berend accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Michael Berend 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 Michael Berend affiliated with any hospitals?

According to CMS data, Michael Berend is affiliated with Hendricks Regional Health, Indiana University Health Bloomington Hospital, Indiana University Health, Franciscan Health Mooresville and Daviess Community Hospital.

When was this NPI record last updated?

The NPPES record for Michael Berend was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.