JAMES R BERRY MD
NPI 1831170778
Orthopaedic Surgery in Sandusky, OH

Q: What is James Berry's NPI number?

The NPI number for James Berry is 1831170778. It was assigned to this individual provider in the NPPES registry on November 8, 2005.

Q: What is James Berry's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for James Berry was last updated on March 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since November 08, 2005PECOS Enrolled

1401 BONE CREEK DR, SANDUSKY, OH 44870(419) 625-4900(419) 621-9768 Get Directions Write a Review

NPPES record last updated: March 17, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About James R Berry Md NPPES

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

JAMES R BERRY MD (NPI 1831170778) is an individual orthopaedic surgery provider in Sandusky, Ohio, licensed in Ohio (3542238) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Plattsburgh.

NPPES Registry Identity

NPI1831170778

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameJAMES R BERRYCredential: MD

Location Address1401 BONE CREEK DRSandusky, OH 44870-7267

Mailing Address1401 Bone Creek DrSandusky, OH 44870-7267 · (419) 625-4900 · Fax (419) 621-9768

Phone(419) 625-4900

Fax(419) 621-9768

Sole ProprietorNo

Enumeration DateNovember 8, 2005

Last NPPES UpdateMarch 17, 2023

NPPES CertifiedMarch 17, 2023

✔ NPI 1831170778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in OH · 3542238✔ Licensed in NY · 321423

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.

1401 BONE CREEK DR, Sandusky, OH 44870

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Secondary Practice Location 1

Location 1206 Cornelia StPlattsburgh, NY 12901-2878 · Phone (518) 561-5516

Other Identifiers 1

Medicaid0489109OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James R Berry Md 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

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

Piedmont Providers LLC

489 mi

Internal Medicine

220 J L WHITE DR STE 120
Jasper, GA 30143

Reassigned Medicare billing, Georgia enrollment
689 clinicians in this Medicare group

NPI 1548273592 (770) 801-2500

Champlain Valley Physicians Hospital Medical Center

519 mi

General Acute Care Hospital

75 BEEKMAN ST
Plattsburgh, NY 12901

Reassigned Medicare billing, New York enrollment
675 clinicians in this Medicare group

NPI 1033270699 (518) 561-2000

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 44870 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

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.

Walker, heavy duty, wheeled, rigid or folding, any type E0149

DME-Other DME · category DE000N

1 supplier11 claims11 services$9.96 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 17

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

MR. NICHOLAS D REIMER DPT

Physical Therapist