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DR. PAUL ANTHONY BERRY MD
NPI 1871738831
Surgery - Plastic and Reconstructive Surgery in Mcallen, TX

Active since December 04, 2008PECOS EnrolledAccepts Medicare Assignment
81.44/100
CMS Quality Rating
1100 E DOVE AVE STE 400, MCALLEN, TX 78504(956) 362-8160(956) 362-8169 Get Directions Write a Review

NPPES record last updated: January 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 18, 2024, May 8, 2019, Feb 20, 2019 (3 updates tracked since 2019).

About Dr. Paul Anthony Berry Md NPPES

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

DR. PAUL ANTHONY BERRY MD (NPI 1871738831) is an individual plastic and reconstructive surgery provider in Mcallen, Texas, licensed in Texas (N1552) and active in the NPI registry since December 2008. He is enrolled in Medicare PECOS, is affiliated with Doctors Hosptal At Renaissance, and is a graduate of Washington University School Of Medicine (2004).

NPPES Registry Identity

NPI1871738831
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameDR. PAUL ANTHONY BERRYCredential: MD
Location Address1100 E DOVE AVE STE 400Mcallen, TX 78504-4684
Mailing AddressPo Box 749Pharr, TX 78577-1614 · (956) 362-8160 · Fax (956) 362-8169
Phone(956) 362-8160
Fax(956) 362-8169
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 2004
Enumeration DateDecember 4, 2008
Last NPPES UpdateJanuary 20, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2025
✔ NPI 1871738831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in TX · N1552
Definition
A surgeon who specializes in plastic and reconstructive surgery.
Also ListedPlastic SurgeryTaxonomy 208200000X · License N1552 (TX), ME169780 (FL)
Also ListedPlastic Surgery · Plastic Surgery Within the Head and NeckTaxonomy 2082S0099X · License N1552 (TX)
Also ListedPlastic Surgery · Surgery of the HandTaxonomy 2082S0105X · License N1552 (TX)
1100 E DOVE AVE STE 400, Mcallen, TX 78504
Open in Google Maps ↗

Other Identifiers 2

Medicaid218444202TX
Other8KL198TX · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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

Dr. Paul Anthony Berry Md 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 ID7911195680
PECOS Enrollment IDI20101222000034
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.

Hospital Affiliations CMS Care Compare

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

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450869
Location5501 South MccollEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

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.

81.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.83
Promoting Interoperability98
Improvement Activities40
Cost49.23

Reported Quality Measures

Breast Cancer Screening
16%63 patients1/55-star benchmark: 93%
Cervical Cancer Screening
19%124 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
19%141 patients1/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
98%483 patients4/55-star benchmark: 100%
e-Prescribing
94%210 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
29%247 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
22%411 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 56% · 193 patients
54%193 patients
Provide Patients Electronic Access to Their Health Information
74%208 patients3/55-star benchmark: 100%
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 6

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

DR. MAURICIO DE LA GARZA M.D.
Surgery (Plastic and Reconstructive Surgery)
1100 E DOVE AVE STE 400
MCALLEN, TX 78504
Hidalgo County (956) 362-8160
AIDEE C NUNEZ
Nurse Practitioner (Family)
1100 E DOVE AVE STE 400
MCALLEN, TX 78504
Hidalgo County (956) 362-8160
DR. ALI KILIC
Plastic Surgery (Surgery of the Hand)
1100 E DOVE AVE STE 400
MCALLEN, TX 78504
Hidalgo County (956) 362-8160
DR. ARMANDO MONCADA M.D.
Surgery (Plastic and Reconstructive Surgery)
1100 E DOVE AVE STE 400
MCALLEN, TX 78504
Hidalgo County (956) 362-8160
DR. ALEXANDER CHASE CASTILLO M.D.
Surgery (Plastic and Reconstructive Surgery)
1100 E DOVE AVE STE 400
MCALLEN, TX 78504
Hidalgo County (956) 362-8160
BIANCA GISELLE MEDINA PA
Physician Assistant
1100 E DOVE AVE STE 400
MCALLEN, TX 78504
Hidalgo County (956) 362-8160

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 Berry's NPI number?

The NPI number for Paul Berry is 1871738831. It was assigned to this individual provider in the NPPES registry on December 4, 2008.

Where is Paul Berry located?

Paul Berry practices at 1100 E Dove Ave Ste 400, Mcallen, TX 78504. The listed phone number is (956) 362-8160.

What is Paul Berry's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Paul Berry enrolled in Medicare?

Yes. Paul Berry 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.

What insurance does Paul Berry accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Paul 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.

Is Paul Berry affiliated with any hospitals?

According to CMS data, Paul Berry is affiliated with Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Paul Berry was last updated on January 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.