DR. KEVIN ANDREW BERRY (MD) – Physical Medicine & Rehabilitation Physician, NPI 1083889638
Physical Medicine & Rehabilitation Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
125 PHYSICAL MEDICINE AND REHABILITATION in OR
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Provider Addresses for DR. KEVIN ANDREW BERRY (MD)
2001, Northwest Newcastle Street, Roseburg, Douglas County, Oregon, 97471, United States
ROSEBURG, OR 974711657
Phone: (541) 677-9700
Fax: (541) 677-9715
Type: Mailing
MS 315010
PO BOX 3947
SEATTLE, WA 981243947
Phone: (425) 688-5670
Fax: (425) 635-6388
Type: Mailing
1740 NW MAPLE ST
SUITE 111
ISSAQUAH, WA 98027
Phone: (425) 394-1200
Fax: (425) 394-0100
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $194.
Total Amount is formed as General ($194) + Research ($0) + Ownership ($0) = $194.
Last reported payment date: 2024-09-17 • Largest payer in this snapshot: Boston Scientific Corporation ($142).
Total Amount
$194
General + Research + Ownership
Payments
4
Total payment records
General Amount
$194
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $142 |
| Lundbeck LLC | $34 |
| Medtronic, Inc. | $18 |
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: 2014-07-21
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 |
|---|---|---|---|---|
| I20140721002417 | I | Physical Medicine And Rehabilitation | WA | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 290 | 18 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 214 | 107 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 120 | 30 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 109 | 72 | $0 |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 78 | 61 | $0 |
Insurance plans in this area (ZIP 97471)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | CA | |
| Qualified Speech Language Pathologist | WA | |
| Physical Therapist In Private Practice | WA | |
| Family Practice | WA | |
| - | WA | |
| Physical Therapist In Private Practice | WA | |
| Family Practice | WA | |
| - | WA | |
| Nurse Practitioner | TX | |
| - | WA |
Reviews
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