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

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: August 16, 2026.

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.

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
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

Other Identifiers 1

Medicaid0489109OH

Accepted 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)

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.

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 18

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

Physical Therapist
1401 BONE CREEK DR
SANDUSKY, OH 44870
Orthopaedic Surgery
1401 BONE CREEK DR
SANDUSKY, OH 44870
Orthopaedic Surgery
1401 BONE CREEK DR
SANDUSKY, OH 44870
Physical Therapist
1401 BONE CREEK DR
SANDUSKY, OH 44870
Orthopaedic Surgery
1401 BONE CREEK DR
SANDUSKY, OH 44870
Orthopaedic Surgery
1401 BONE CREEK DR
SANDUSKY, OH 44870
Anesthesiology (Pain Medicine)
1401 BONE CREEK DR
SANDUSKY, OH 44870
Physical Therapist
1401 BONE CREEK DR
SANDUSKY, OH 44870

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 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.

Where is James Berry located?

James Berry practices at 1401 Bone Creek Dr, Sandusky, OH 44870. The listed phone number is (419) 625-4900.

What is James Berry's specialty?

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

Is James Berry enrolled in Medicare?

Yes. James Berry is registered in the Medicare PECOS enrollment system.

What insurance does James Berry accept?

Health plans from CareSource list James Berry 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 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.