WAYNE JEFFERSON II BERRY (MD) – Family Medicine Physician, NPI 1790764009
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
3,174 FAMILY PRACTICE in VA
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Provider Addresses for WAYNE JEFFERSON II BERRY (MD)
Shenandoah Memorial Hospital, 759, South Main Street, Woodstock, Shenandoah County, Virginia, 22664, United States
WOODSTOCK, VA 226641127
Phone: (540) 459-1100
Type: Location
199 GLENDOBBIN LANE
WINCHESTER, VA 22603
Phone: (540) 535-1645
Type: Mailing
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: 2025-06-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20061201000214 | I | Emergency Medicine | VA | TBD |
| I20250618001835 | I | Family Practice | TN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 22664)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| Emergency Medicine | TN | |
| Emergency Medicine | WV | |
| - | AR | |
| Emergency Medicine | MA | |
| - | TN | |
| - | KY | |
| Emergency Medicine, Internal Medicine, Emergency Medicine | FL | |
| Emergency Medicine | TX | |
| Family Practice, Emergency Medicine | AR |
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