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NELSON A BERRIOS M.D.
NPI 1841243110
Psychiatry & Neurology - Neurology in Houston, TX

Active since May 18, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
7777 SOUTHWEST FWY, SUITE 900, HOUSTON, TX 77074(713) 981-9971(713) 981-1457 Get Directions Write a Review

NPPES record last updated: February 16, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nelson A Berrios M.d. NPPES

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

NELSON A BERRIOS M.D. (NPI 1841243110) is an individual neurology provider in Houston, Texas, licensed in Texas (H1041) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Puerto Rico School Of Medicine (1978).

NPPES Registry Identity

NPI1841243110
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameNELSON A BERRIOSCredential: M.D.
Location Address7777 SOUTHWEST FWY, SUITE 900Houston, TX 77074-1802
Mailing Address7777 Southwest Fwy, Suite 900Houston, TX 77074-1812 · (713) 981-9971 · Fax (713) 981-1457
Phone(713) 981-9971
Fax(713) 981-1457
Sole ProprietorNo
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 1978
Enumeration DateMay 18, 2006
Last NPPES UpdateFebruary 16, 2012
✔ NPI 1841243110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in TX · H1041
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
7777 SOUTHWEST FWY, Houston, TX 77074
Open in Google Maps ↗

Other Identifiers 11

OtherBE0871312Bcbs Out Of State
Other375890300TX · Dept Of Labor
Other10014682TX · Amerigroup
Other130010767TX · Railroad Medicare
Other4010178TX · Aetna
Other871312TX · Blue Cross Blue Shield
Medicare UPINB21229TX
Other29053TX · Texan Plus
OtherMDH1041W/c
Medicare ID-Type Unspecified871312TX
Medicaid119003502TX

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nelson A Berrios M.d. 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 ID5991758617
PECOS Enrollment IDI20050222000990
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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77074 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality0
Improvement Activities0

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
73%71 patients3/55-star benchmark: 99%
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.
99%1,846 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.
84%2,163 patients2/55-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.
98%362 patients4/55-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.
99%1,033 patients5/55-star benchmark: 97%
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…
41%1,033 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
3%1,033 patients1/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 487 patients
2%487 patients4/55-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.
7%1,033 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.

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.

JUDITH GOLD, M.D., P.A.
Internal Medicine (Nephrology)
7777 SOUTHWEST FWY, 1052
HOUSTON, TX 77074
Harris County (713) 988-8776
SOUTHWEST NEPHROLOGY ASSOCIATES, LLP
Specialist
7777 SOUTHWEST FWY, STE.# 304
HOUSTON, TX 77074
Harris County (713) 270-4545
ENRIQUE HEBERTO RIOS JR. M.D.
Pediatrics (Neonatal-Perinatal Medicine)
7777 SOUTHWEST FWY, SUITE 310
HOUSTON, TX 77074
Harris County (713) 772-3300
KEVIN G NICKELL MD
Urology
7777 SOUTHWEST FWY, # 1032
HOUSTON, TX 77074
Harris County (713) 351-0644
CHERYL SCHULTZ OPAC
Physician Assistant (Surgical)
7777 SOUTHWEST FWY, SUITE 432
HOUSTON, TX 77074
Harris County (713) 777-4785
DR. JOHN DAVID FISHER MD
Surgery
7777 SOUTHWEST FWY, SUITE 810
HOUSTON, TX 77074
Harris County (713) 772-1200
DR. CARL VICTOR VARTIAN MD
Internal Medicine (Infectious Disease)
7777 SOUTHWEST FWY, 740
HOUSTON, TX 77074
Harris County (713) 777-7751
PROF. ANITHA THOMAS ABRAHAM MD
Psychiatry & Neurology (Neurology)
7777 SOUTHWEST FWY, STE 724
HOUSTON, TX 77074
Harris County (713) 456-6864

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 Nelson Berrios's NPI number?

The NPI number for Nelson Berrios is 1841243110. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Nelson Berrios located?

Nelson Berrios practices at 7777 Southwest Fwy Suite 900, Houston, TX 77074. The listed phone number is (713) 981-9971.

What is Nelson Berrios's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Nelson Berrios enrolled in Medicare?

Yes. Nelson Berrios 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.

When was this NPI record last updated?

The NPPES record for Nelson Berrios was last updated on February 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.