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BRIAN BERBERIAN M.D.
NPI 1861422586
Internal Medicine - Gastroenterology in Bangor, ME

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
360 BROADWAY STE 100, BANGOR, ME 04401(207) 907-3550(207) 907-3562 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 7, 2026, Apr 29, 2026, Nov 19, 2025 and 5 more (8 updates tracked since 2015).

About Brian Berberian M.d. NPPES

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

BRIAN BERBERIAN M.D. (NPI 1861422586) is an individual gastroenterology provider in Bangor, Maine, licensed in New Jersey (25MA07878000) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Penobscot Valley Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1861422586
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameBRIAN BERBERIANCredential: M.D.
Location Address360 BROADWAY STE 100Bangor, ME 04401
Mailing AddressPo Box 7291Lewiston, ME 04243-7291 · (207) 777-8941 · Fax (207) 777-8800
Phone(207) 907-3550
Fax(207) 907-3562
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 5, 2006
Last NPPES UpdateMay 7, 20268 updates tracked since enumeration
NPPES CertifiedMay 7, 2026
✔ NPI 1861422586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in NJ · 25MA07878000✔ Licensed in ME · MD22765✔ Licensed in SC · 85891✔ Licensed in PA · MD441631
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 25MA13028400 (NJ)
360 BROADWAY STE 100, Bangor, ME 04401
Open in Google Maps ↗

Secondary Practice Locations 3

Location 163 Kresson Rd, Suite 104Cherry Hill, NJ 08034-3200 · Phone (856) 751-7420 · Fax (856) 424-3113
Location 2954 Isabel DrLebanon, PA 17042-7482 · Phone (717) 376-1180
Location 32350 Freedom Way Ste 200York, PA 17402-8200 · Phone (717) 812-5120

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Blue Cross and Blue Shield of Texas 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

Brian Berberian 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 ID4486686490
PECOS Enrollment IDI20050912000832, I20171103001779, I20211108000215
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

11

Medicare enrollment records show Brian Berberian reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Joseph Hospital
1.7 mi
General Acute Care Hospital
360 BROADWAY
Bangor, ME 04401
  • Reassigned Medicare billing, Maine enrollment
  • 259 clinicians in this Medicare group
NPI 1154321545 (207) 907-1000
Penobscot Valley Hospital
40 mi
Critical Access
7 TRANSALPINE RD
Lincoln, ME 04457
  • Reassigned Medicare billing, Maine enrollment
  • 36 clinicians in this Medicare group
NPI 1093716086 (207) 794-3321
Bergen County Improvement Authority
376 mi
Internal Medicine
230 E RIDGEWOOD AVE
Paramus, NJ 07652
  • Reassigned Medicare billing, New Jersey enrollment
  • 120 clinicians in this Medicare group
NPI 1891836441 (201) 967-4000
Barnabas Health Medical Group PC
397 mi
Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group
NPI 1841557246 (888) 724-7123
SW Infusion LLC
411 mi
Infusion Therapy
15 ROUTE 516
Old Bridge, NJ 08857
  • Reassigned Medicare billing, New Jersey enrollment
NPI 1174450878 (856) 745-2241
Prospect Health Access Network, Inc.
471 mi
Obstetrics & Gynecology
2100 KEYSTONE AVE, SUITE 707
Drexel Hill, PA 19026
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 654 clinicians in this Medicare group
NPI 1255786729 (610) 626-7070
Advanced Gastroenterology Of Northern Nj LLC
484 mi
Multi-Specialty
15 ARKANSAS AVE
Ocean City, NJ 08226
  • Reassigned Medicare billing, New Jersey enrollment
  • 5 clinicians in this Medicare group
NPI 1821564634 (609) 382-0111
Wellspan Medical Group
484 mi
Family Medicine
964 CARPENTER RD
Milton, PA 17847
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,080 clinicians in this Medicare group
NPI 1942002811 (570) 742-2300
Bon Secours Medical Group Greenville Specialty Care LLC
996 mi
Cardiovascular Disease
1 SAINT FRANCIS DR
Greenville, SC 29601
  • Reassigned Medicare billing, South Carolina enrollment
  • 389 clinicians in this Medicare group
NPI 1821679580 (864) 603-6099
Southwest Medical Associates, LLC
2,092 mi
General Practice
6701 JEFFERSON ST NE
Albuquerque, NM 87109
  • Reassigned Medicare billing, New Mexico enrollment
  • 554 clinicians in this Medicare group
NPI 1164491072 (505) 727-6200

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 5

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.
238 services85 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
29 services29 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
28 services27 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services19 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
16 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Penobscot Valley Hospital

Critical Access Hospitals · Lincoln, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201303
Location7 Transalpine Road, PO Box 368Lincoln, ME 04457 · Penobscot County
Emergency services

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Bergen New Bridge Medical Center

Acute Care Hospitals · Paramus, NJ
OwnershipVoluntary non-profit - Private
CMS Certification Number310058
Location230 East Ridgewood AveParamus, NJ 07652 · Bergen County
Emergency services

Lovelace Medical Center

Acute Care Hospitals · Albuquerque, NM
3/5 CMS rating
OwnershipProprietary
CMS Certification Number320009
Location601 Dr Martin Luther King Jr Ave NEAlbuquerque, NM 87102 · Bernalillo County
Emergency services

Wellspan York Hospital

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390046
Location1001 South George StreetYork, PA 17403 · York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04401 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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
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 7

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

DR. MICHAEL PAUL SIGHINOLFI M.D.
Internal Medicine (Gastroenterology)
360 BROADWAY STE 100
BANGOR, ME 04401
Penobscot County (207) 907-3550
MIRA REGINA OLSON M.D.
Internal Medicine (Gastroenterology)
360 BROADWAY STE 100
BANGOR, ME 04401
Penobscot County (207) 907-3550
TAHIRA SAIFUDDIN MD
Internal Medicine (Gastroenterology)
360 BROADWAY STE 100
BANGOR, ME 04401
Penobscot County (207) 907-3550
MARK R LENA MD
Internal Medicine (Gastroenterology)
360 BROADWAY STE 100
BANGOR, ME 04401
Penobscot County (207) 907-3550
MR. NORMAN ROBERT MALLORY PA-C
Physician Assistant (Medical)
360 BROADWAY STE 100
BANGOR, ME 04401
Penobscot County (207) 907-3550
DR. STEPHEN IRA ESKIN M.D.
Internal Medicine (Gastroenterology)
360 BROADWAY STE 100
BANGOR, ME 04401
Penobscot County (207) 907-3550
JOSEPH P GALLAGHER MD
Internal Medicine (Gastroenterology)
360 BROADWAY STE 100
BANGOR, ME 04401
Penobscot County (207) 907-3550

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 Brian Berberian's NPI number?

The NPI number for Brian Berberian is 1861422586. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Brian Berberian located?

Brian Berberian practices at 360 Broadway Ste 100, Bangor, ME 04401. The listed phone number is (207) 907-3550.

What is Brian Berberian's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Brian Berberian enrolled in Medicare?

Yes. Brian Berberian 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 organizations bill Medicare for Brian Berberian's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Berberian reassigns Medicare benefits to 11 organizations: St. Joseph Hospital (Bangor, ME), Penobscot Valley Hospital (Lincoln, ME), Bergen County Improvement Authority (Paramus, NJ), Barnabas Health Medical Group PC (Elizabeth, NJ), SW Infusion LLC (Old Bridge, NJ) and 6 more organizations, listed in the Medicare section above. Each 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 Brian Berberian's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Berberian accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Blue Cross and Blue Shield of Texas and First Choice Next list Brian Berberian 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 Brian Berberian affiliated with any hospitals?

According to CMS data, Brian Berberian is affiliated with Penobscot Valley Hospital, Community Medical Center, Bergen New Bridge Medical Center, Lovelace Medical Center and Wellspan York Hospital.

When was this NPI record last updated?

The NPPES record for Brian Berberian was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.