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DR. ETHAN MICHAEL BERKE MD, MPH
NPI 1902858855
Family Medicine in Lebanon, NH

Active since May 17, 2006PECOS Enrolled
18 OLD ETNA RD, DHMC - DEPARTMENT OF COMMUNITY AND FAMILY MEDICINE, LEBANON, NH 03766(603) 650-4000(603) 650-4198 Get Directions Write a Review

NPPES record last updated: October 10, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ethan Michael Berke Md, Mph NPPES

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

DR. ETHAN MICHAEL BERKE MD, MPH (NPI 1902858855) is an individual family medicine provider in Lebanon, New Hampshire, licensed in Minnesota (63043) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902858855
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ETHAN MICHAEL BERKECredential: MD, MPH
Location Address18 OLD ETNA RD, DHMC - DEPARTMENT OF COMMUNITY AND FAMILY MEDICINELebanon, NH 03766
Mailing Address1 Medical Center Dr, Dhmc - Department Of Community And Family MedicineLebanon, NH 03756-1000
Phone(603) 650-4000
Fax(603) 650-4198
Sole ProprietorNo
Enumeration DateMay 17, 2006
Last NPPES UpdateOctober 10, 2022
NPPES CertifiedOctober 10, 2022
✔ NPI 1902858855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MN · 63043✔ Licensed in WA · MD00035349✔ Licensed in NH · 13084
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
18 OLD ETNA RD, Lebanon, NH 03766
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Other Identifiers 2

Medicaid1012802VT
Medicaid30206160NH

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ethan Michael Berke Md, Mph 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 03766 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
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
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 20

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

ZANIRA FAZAL M.D.
Internal Medicine
18 OLD ETNA RD
LEBANON, NH 03766
Grafton County (603) 650-4000
DR. BRIAN SIMMONS MD
Dermatology
18 OLD ETNA RD
LEBANON, NH 03766
Grafton County (603) 650-3100
JEFFREY K SHORNICK MD
Dermatology
18 OLD ETNA RD, DHMC - DERMATOLOGY
LEBANON, NH 03766
Grafton County (603) 650-3100
NATHANIEL T SHERMAN PA-C
Physician Assistant
18 OLD ETNA RD
LEBANON, NH 03766
Grafton County (603) 650-4000
JAMIE PLIMPTON PA-C
Physician Assistant
18 OLD ETNA RD
LEBANON, NH 03766
Grafton County (603) 650-4000
CHRISTOPHER J VODILA ARNP
Nurse Practitioner (Family)
18 OLD ETNA RD
LEBANON, NH 03766
Grafton County (603) 650-5000
ZOE FROLKING
Pediatrics
18 OLD ETNA RD
LEBANON, NH 03766
Grafton County (603) 650-5000
DR. ELAINE LOUISE FLEMING M.D.
Internal Medicine
18 OLD ETNA RD, DHMC - INTERNAL MEDICINE
LEBANON, NH 03766
Grafton County (603) 650-4000

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 Ethan Berke's NPI number?

The NPI number for Ethan Berke is 1902858855. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Ethan Berke located?

Ethan Berke practices at 18 Old Etna Rd Dhmc - Department Of Community And Family Medicine, Lebanon, NH 03766. The listed phone number is (603) 650-4000.

What is Ethan Berke's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ethan Berke enrolled in Medicare?

Yes. Ethan Berke is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ethan Berke was last updated on October 10, 2022. 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.