MICHAEL BERRY (PA) – Medical Physician Assistant, NPI 1083601900

MICHAEL BERRY (PA) is a healthcare provider. based in Melbourne, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA2470 (FL). The NPI Number for MICHAEL BERRY (PA) is 1083601900

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL BERRY (PA)
NPI
1083601900
Phone
(321) 837-3820
Address
PO BOX 2400
Enumeration Date
5 October 2005
Last Update Date
23 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1990 (36 years ago)
PAC ID
2264613173
Group Practice PAC ID
5395161186
Professional Enrollment ID
I20110225000393
Address ID
FL320864198ST2460XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for MICHAEL BERRY (PA)

  • Melbourne Post Office, 910, Mary Ingles Highway, Melbourne, Campbell County, Kentucky, 41059, United States

    MELBOURNE, FL 329022400

    Phone: (321) 837-3820

    Type: Mailing

  • 811 N SUMMIT ST

    CRESCENT CITY, FL 321122191

    Phone: (386) 698-2101

    Type: Location

  • Rollins Street, Orwin Manor, Orlando, Orange County, Florida, 32803, United States

    ORLANDO, FL 328031248

    Phone: (407) 303-5600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2024-05-08 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2011-02-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110225000393IPhysician AssistantFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes19691$0
99214Established patient office or other outpatient visit, 30-39 minutes7249$0
96372Injection of drug or substance under skin or into muscle5532$0
J1100Injection, dexamethasone sodium phosphate, 1 mg2413$0
J0696Injection, ceftriaxone sodium, per 250 mg2015$0
View full utilization report →

Insurance plans in this area (ZIP 32902)

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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: 5395161186View full group profile
NameSpecialtyState
General PracticeFL
General PracticeFL
General PracticeFL
General PracticeFL
Nurse PractitionerFL
Internal MedicineFL
Family PracticeFL
Physician AssistantFL
Internal Medicine, Cardiovascular Disease (Cardiology)FL
Interventional Cardiology, Cardiovascular Disease (Cardiology)FL

Reviews

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Frequently asked questions

Can I cross-check MICHAEL BERRY (PA) using NPI 1083601900?
NPI 1083601900 belongs to MICHAEL BERRY (PA); compare other details if you need extra assurance.
Is MICHAEL BERRY (PA) shown as active in public data?
Registry records indicate MICHAEL BERRY (PA) maintains an active NPI.
What kind of doctor is MICHAEL BERRY (PA)?
MICHAEL BERRY (PA) is associated with Medical Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Is MICHAEL BERRY (PA) associated with Melbourne?
Public fields place MICHAEL BERRY (PA) around Melbourne, Florida. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for MICHAEL BERRY (PA) is noted as October 5, 2005 where the registry provides it.

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