AMANDA BERRY – Anesthesiology Physician, NPI 1063916419
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,330 ANESTHESIOLOGY in GA
Provider Addresses for AMANDA BERRY
106 MOSS TRL
THOMASVILLE, GA 317921670
Phone:
Type: Mailing
MIMOSA AT GORDON AVENUE
THOMASVILLE, GA 31792
Phone: (386) 697-9386
Type: Location
1611 NW 12TH AVE RM 1004
MIAMI, FL 331361005
Phone:
Type: Mailing
Jackson Memorial Hospital, 1611, Northwest 12th Avenue, Miami, Miami-Dade County, Florida, 33136, United States
MIAMI, FL 331361005
Phone: (386) 697-9386
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $199.
Total Amount is formed as General ($199) + Research ($0) + Ownership ($0) = $199.
Last reported payment date: 2024-10-15 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($115).
Total Amount
$199
General + Research + Ownership
Payments
5
Total payment records
General Amount
$199
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $115 |
| Merck Sharp & Dohme LLC | $55 |
| Janssen Pharmaceuticals, Inc | $29 |
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: 2022-07-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220711002627 | I | Anesthesiology | GA | 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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 122 | 121 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 96 | 90 | $0 |
| 00813 | Anesthesia for procedure on small and large bowel using an endoscope | 47 | 47 | $0 |
| 00520 | Anesthesia for other closed procedure on chest | 22 | 22 | $0 |
| 00790 | Anesthesia for other procedure on upper abdomen | 13 | 13 | $0 |
Insurance plans in this area (ZIP 31792)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Anesthesiology Assistant | GA | |
| Anesthesiology Assistant | GA | |
| A N E S T H E S I O L O G Y | FL | |
| - | AL | |
| Certified Registered Nurse Anesthetist (Crna) | GA | |
| Certified Registered Nurse Anesthetist (Crna) | GA | |
| Certified Registered Nurse Anesthetist (Crna) | AL | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| Certified Registered Nurse Anesthetist (Crna) | AL |
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