MR. JUSTIN M BERMAN (PA-C) – Physician Assistant, NPI 1497010664

MR. JUSTIN M BERMAN (PA-C) is a healthcare provider. based in Havertown, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. MA05563 (PA). The NPI Number for MR. JUSTIN M BERMAN (PA-C) is 1497010664

Main info

Male
14 Years Of Experience
Name
MR. JUSTIN M BERMAN (PA-C)
NPI
1497010664
Phone
(610) 609-9194
Address
1761 MARILYN DR
Enumeration Date
12 July 2012
Last Update Date
12 July 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2012 (14 years ago)
PAC ID
2264659457
Professional Enrollment ID
I20260225001643
Address ID
PA171041123HA110XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

9,689 PHYSICIAN ASSISTANT in PA

Provider Addresses for MR. JUSTIN M BERMAN (PA-C)

  • 1761 MARILYN DR

    HAVERTOWN, PA 190831226

    Phone: (610) 609-9194

    Type: Mailing

  • 1821 FULTON ST

    HARRISBURG, PA 171021522

    Phone: (717) 230-2909

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 55 Open Payments records for all available years, with a total value of $1,111.

Total Amount is formed as General ($1,111) + Research ($0) + Ownership ($0) = $1,111.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Gilead Sciences, Inc. ($250).

Total Amount

$1,111

General + Research + Ownership

Payments

55

Total payment records

General Amount

$1,111

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2026-02-25

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
I20260225001643IPhysician AssistantPATBD

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 19083)

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Reviews

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Frequently asked questions

What is the registry number for MR. JUSTIN M BERMAN (PA-C)?
The registry entry for MR. JUSTIN M BERMAN (PA-C) shows NPI 1497010664.
Should I treat MR. JUSTIN M BERMAN (PA-C) as an active provider?
Patients and plans typically see MR. JUSTIN M BERMAN (PA-C) as active in the national extract.
How should patients interpret MR. JUSTIN M BERMAN (PA-C)'s specialty?
The extract shows Physician Assistant for MR. JUSTIN M BERMAN (PA-C). Clinical services aligned with this taxonomy classification.
Is MR. JUSTIN M BERMAN (PA-C) tied to Havertown, Pennsylvania?
If you are local to Havertown, Pennsylvania, MR. JUSTIN M BERMAN (PA-C) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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