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PAUL D. BERKNER DO
NPI 1801009139
Pediatrics in Farmington, ME

Active since May 07, 2007PECOS Enrolled
181 FRANKLIN HEALTH CMNS, FARMINGTON, ME 04938(207) 778-0482(207) 778-0133 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Paul D. Berkner Do NPPES

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

PAUL D. BERKNER DO (NPI 1801009139) is an individual pediatrics provider in Farmington, Maine, licensed in Maine (DO1427) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Waterville.

NPPES Registry Identity

NPI1801009139
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NamePAUL D. BERKNERCredential: DO
Location Address181 FRANKLIN HEALTH CMNSFarmington, ME 04938-6144
Mailing Address181 Franklin Health CmnsFarmington, ME 04938-6144 · (207) 778-0482 · Fax (207) 778-0133
Phone(207) 778-0482
Fax(207) 778-0133
Sole ProprietorNo
Enumeration DateMay 7, 2007
Last NPPES UpdateMarch 19, 2025
NPPES CertifiedMarch 19, 2025
✔ NPI 1801009139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in ME · DO1427
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.
181 FRANKLIN HEALTH CMNS, Farmington, ME 04938
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Secondary Practice Location 1

Location 14460 Mayflower HlWaterville, ME 04901-8844 · Phone (207) 859-4460 · Fax (207) 859-4475

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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)

Paul D. Berkner Do 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 04938 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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 20

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

MS. DALENE ELIZABETH SINSKIE LCSW
Social Worker (Clinical)
181 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Franklin County (207) 778-3326
ANFIN ERICKSON M.D.
Surgery
181 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Franklin County (207) 778-6031
ANTHONY MARTIN TOTH DO
Obstetrics & Gynecology
181 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Franklin County (207) 563-4700
TAYLOR LEIGH MUNSCH MD
Family Medicine
181 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Franklin County (207) 778-3326
AMY S DAVIS LCSW
Social Worker (Clinical)
181 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Franklin County (207) 778-0482
ABIODUN FATIMA BALOGUN MD
Pediatrics
181 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Franklin County (207) 778-0482
DR. ALISA M CLEARY DO
Family Medicine (Addiction Medicine)
181 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Franklin County (207) 778-4922
KELSEY CHARLENE CAMPBELL MD
Family Medicine
181 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Franklin County (207) 778-3326

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 Paul Berkner's NPI number?

The NPI number for Paul Berkner is 1801009139. It was assigned to this individual provider in the NPPES registry on May 7, 2007.

Where is Paul Berkner located?

Paul Berkner practices at 181 Franklin Health Cmns, Farmington, ME 04938. The listed phone number is (207) 778-0482.

What is Paul Berkner's specialty?

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

Is Paul Berkner enrolled in Medicare?

Yes. Paul Berkner is registered in the Medicare PECOS enrollment system.

What insurance does Paul Berkner accept?

Health plans from Anthem Blue Cross and Blue Shield list Paul Berkner 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 Paul Berkner was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.