DR. WIL BERRY (M.D.) – Psychiatry Physician, NPI 1174840615

DR. WIL BERRY (M.D.) is a healthcare provider. based in Bend, Oregon. specializing in Psychiatry Physician. They hold the professional credentials M.D.. They hold a License No. MD167568 (OR). The NPI Number for DR. WIL BERRY (M.D.) is 1174840615

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. WIL BERRY (M.D.)
NPI
1174840615
Phone
(541) 322-7516
Address
2577 NE COURTNEY DR
Enumeration Date
23 April 2010
Last Update Date
18 November 2015

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Secondary Phone
5413181377
Graduation Year
2010 (16 years ago)
PAC ID
2769631928
Group Practice PAC ID
1557460524
Professional Enrollment ID
I20140728002310
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:16State licenses:1Digital endpointsOther names

Provider Addresses for DR. WIL BERRY (M.D.)

  • 2577 NE COURTNEY DR

    DESCHUTES COUNTY HEALTH SERVICES

    BEND, OR 977017638

    Phone: (541) 322-7516

    Fax: (541) 322-7565

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2014-07-28

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
I20140728002310IPsychiatryORTBD

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 97701)

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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: 1557460524View full group profile
NameSpecialtyState
P S Y C H I A T R YOR
Clinical Social WorkerOR

Reviews

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Frequently asked questions

What number should I use to identify DR. WIL BERRY (M.D.) for billing?
Administrative and clinical systems typically use NPI 1174840615 for DR. WIL BERRY (M.D.).
Quick check: is DR. WIL BERRY (M.D.) active?
Public NPPES data shows DR. WIL BERRY (M.D.) with an active NPI status right now.
What type of care does DR. WIL BERRY (M.D.) provide?
DR. WIL BERRY (M.D.)'s profile centers on Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. WIL BERRY (M.D.) in Bend, Oregon?
For routing, start with Bend, Oregon for DR. WIL BERRY (M.D.), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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