JAMES R BERRY (MD) – Orthopaedic Surgery Physician, NPI 1831170778

JAMES R BERRY (MD) is a healthcare provider. based in Sandusky, Ohio. specializing in Orthopaedic Surgery Physician. They hold the professional credentials MD. They hold a License No. 321423 (NY). The NPI Number for JAMES R BERRY (MD) is 1831170778

Main info

Male
52 Years Of Experience
Accepts Medicare Assignment
Name
JAMES R BERRY (MD)
NPI
1831170778
Phone
(419) 625-4900
Address
1401 BONE CREEK DR
Enumeration Date
8 November 2005
Last Update Date
17 March 2023

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
4197320700
Graduation Year
1974 (52 years ago)
PAC ID
5092706069
Group Practice PAC ID
6305810201
Professional Enrollment ID
I20100326000691
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

Provider Addresses for JAMES R BERRY (MD)

  • 1401 BONE CREEK DR

    SANDUSKY, OH 448707267

    Phone: (419) 625-4900

    Fax: (419) 621-9768

    Type: Location

  • 206 Cornelia St

    Plattsburgh, NY 129012878

    Phone: (518) 561-5516

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $189.

Total Amount is formed as General ($189) + Research ($0) + Ownership ($0) = $189.

Last reported payment date: 2023-11-30 • Largest payer in this snapshot: NuVasive, Inc. ($168).

Total Amount

$189

General + Research + Ownership

Payments

2

Total payment records

General Amount

$189

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-30

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: 2023-03-23

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230123002199IOrthopedic SurgeryGATBD
I20230323001746IOrthopedic SurgeryNYTBD

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 44870)

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Provider's Procedures

JAMES R BERRY (MD) performs procedures in Orthopaedic Surgery Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYOH20610Aspiration and/or injection of large joint or joint capsule456171
ORTHOPEDIC SURGERYOH27447Repair of knee joint3028

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: 6305810201View full group profile
NameSpecialtyState
Internal MedicineLA
Nurse PractitionerOH
General PracticeOH
Vascular SurgeryOH
P S Y C H I A T R YOH
Internal MedicineOH
Cardiovascular Disease (Cardiology)NV
Nurse PractitionerOH
Family PracticeOH
N E U R O S U R G E R YMI

Reviews

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Frequently asked questions

Can I use this page to confirm JAMES R BERRY (MD)'s NPI?
Yes. JAMES R BERRY (MD) is listed with NPI 1831170778 in the public NPI dataset.
Is JAMES R BERRY (MD) listed as active for patients and plans?
The listing shows JAMES R BERRY (MD) as active in the NPI system.
What is JAMES R BERRY (MD)'s primary classification?
Orthopaedic Surgery Physician is the headline specialty for JAMES R BERRY (MD) here. Clinical services aligned with this taxonomy classification.
Where should I expect JAMES R BERRY (MD) on a map?
Expect Sandusky, Ohio as a primary anchor for JAMES R BERRY (MD) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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