MICHAEL RICHARD BERRY (MD) – Orthopaedic Surgery Physician, NPI 1114121969
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,265 ORTHOPEDIC SURGERY in IL
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Provider Addresses for MICHAEL RICHARD BERRY (MD)
520, Valley View Drive, Moline, Rock Island County, Illinois, 61265, United States
MOLINE, IL 612656194
Phone: (309) 762-3621
Fax: (309) 762-3690
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $21,095.
Total Amount is formed as General ($21,095) + Research ($0) + Ownership ($0) = $21,095.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Alphatec Spine, Inc ($12,762).
Total Amount
$21,095
General + Research + Ownership
Payments
19
Total payment records
General Amount
$21,095
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alphatec Spine, Inc | $12,762 |
| NuVasive, Inc. | $7,636 |
| Prism Medical | $697 |
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: 2011-07-25
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
2
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 |
|---|---|---|---|---|
| I20110713000398 | I | Orthopedic Surgery | IL | TBD |
| I20110725000567 | I | Orthopedic Surgery | IA | 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 |
|---|---|---|---|---|
| A9575 | Injection, gadoterate meglumine, 0.1 ml | 3,480 | 22 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 70 | 64 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 65 | 56 | $0 |
| 72170 | X-ray of pelvis, 1-2 views | 63 | 63 | $0 |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 59 | 59 | $0 |
Insurance plans in this area (ZIP 61265)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | IL | 97001 | Physical therapy evaluation | 34 | 34 |
| ORTHOPEDIC SURGERY | IL | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 681 | 221 |
| ORTHOPEDIC SURGERY | IL | 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 156 | 90 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Orthopedic Surgery | IA | |
| - | SC | |
| Physical Therapist In Private Practice | IA | |
| - | IA | |
| Physical Therapist In Private Practice | IA | |
| Orthopedic Surgery | IA | |
| Physician Assistant | IA | |
| Orthopedic Surgery | IL | |
| Physical Therapist In Private Practice | CO |
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