DR. DONALD STUART BERRY (D.O., D.C.) – Public Health & General Preventive Medicine Physician, NPI 1063539625

Public Health & General Preventive Medicine Physician

DR. DONALD STUART BERRY (D.O., D.C.) is a healthcare provider. based in Kissimmee, Florida. specializing in PREVENTIVE MEDICINE. They hold the professional credentials D.O., D.C.. They hold a License No. 77025-21 (WI). The NPI Number for DR. DONALD STUART BERRY (D.O., D.C.) is 1063539625

Main info

Male

Sole Proprietor

19 Years Of Experience

Accepts Medicare Assignment

Name

DR. DONALD STUART BERRY (D.O., D.C.)

NPI

1063539625

Phone

(630) 776-1174

Address

3004 PARTIN SETTLEMENT RD

Enumeration Date

26 March 2007

Last Update Date

20 May 2024

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8153377100

Graduation Year

2007 (19 years ago)

PAC ID

2668853599

Group Practice PAC ID

7416860440

Professional Enrollment ID

I20241204000146

Address ID

IL600987401WO2000XAVEX300

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience72

Completeness75

Years active:19State licenses:1Digital endpointsOther names

85 PREVENTIVE MEDICINE in FL

Provider Addresses for DR. DONALD STUART BERRY (D.O., D.C.)

3004 PARTIN SETTLEMENT RD
KISSIMMEE, FL 347445422
Phone: (630) 776-1174
Type: Mailing
3130 WINDSOR LN
JANESVILLE, WI 535461906
Phone: (608) 746-3585
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-12-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20241017001024	I	Preventive Medicine	WI	TBD
I20241204000146	I	Preventive Medicine	IL	TBD

What to do next

No action required while the due date shows TBD.
Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34744)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 7416860440View full group profile

Name	Specialty	State
LYNN E DOLAN (MD)	-	WI
IMAD M. AZIZ (MD)	-	WI
MRS. KATHERINE JOY HORTON (NP-C)	Nurse Practitioner	IL
DR. JAMES L KNAVEL (MD)	-	WI
DR. JUNG M RHEE (MD)	O P H T H A L M O L O G Y	IL
DR. TIMOTHY S REID (MD)	-	WI
DR. RANDY S WITTMAN (MD)	-	IL
DR. DAVID E PITTENGER (MD)	-	WI
ERNEST A CONTI (MD)	Diagnostic Radiology	IL
KATHERINE A GALIAS (APRN)	Nurse Practitioner	IL

Reviews

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Frequently asked questions

Where can patients find DR. DONALD STUART BERRY (D.O., D.C.)'s NPI?

You can confirm DR. DONALD STUART BERRY (D.O., D.C.) with NPI 1063539625; it appears in the national provider directory.

Is DR. DONALD STUART BERRY (D.O., D.C.)'s enrollment marked active?

An active flag here means the NPI record is not in a deactivated state.

What does DR. DONALD STUART BERRY (D.O., D.C.) treat or focus on?

Patients typically see DR. DONALD STUART BERRY (D.O., D.C.) under the specialty Public Health & General Preventive Medicine Physician. Clinical services aligned with this taxonomy classification.

Where does public data place DR. DONALD STUART BERRY (D.O., D.C.)?

The snapshot lists Kissimmee, Florida for DR. DONALD STUART BERRY (D.O., D.C.); download NPPES for the complete set.

How can I contact DR. DONALD STUART BERRY (D.O., D.C.)?

Phone or fax may appear on the official NPI record when supplied — verify before relying on them.