DANIELLE KUSSEROW BERSABE (M.D.) – Internal Medicine Physician, NPI 1003177593
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DANIELLE KUSSEROW BERSABE (M.D.)
2200 BERGQUIST DR
WILFORD HALL AMBULATORY SURGICAL CENTER
LACKLAND A F B, TX 782369907
Phone: (210) 292-7805
Fax: (210) 292-7868
Type: Location
920 CEDAR LAKE RD STE R
BILOXI, MS 395322107
Phone: (228) 207-0260
Type: Location
2200 BERQUIST DR
INTERNAL MEDICINE CLINIC
LACKLAND AFB, TX 78233
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $441.
Total Amount is formed as General ($441) + Research ($0) + Ownership ($0) = $441.
Last reported payment date: 2024-06-24 • Largest payer in this snapshot: EMD Serono, Inc. ($124).
Total Amount
$441
General + Research + Ownership
Payments
13
Total payment records
General Amount
$441
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-24
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2020-01-08
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 |
|---|---|---|---|---|
| I20200108000601 | I | Internal Medicine | MS | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 126 | 47 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 29 | 19 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 25 | 25 | $0 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 21 | 21 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 21 | 21 | $0 |
Insurance plans in this area (ZIP 78236)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MS | |
| A N E S T H E S I O L O G Y | MS | |
| - | MS | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | MS | |
| Cardiovascular Disease (Cardiology) | KY | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | MS | |
| N E U R O L O G Y | MS | |
| Internal Medicine | MS |
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