DEBRA BERRIDGE (M.D.) – Diagnostic Radiology Physician, NPI 1194707968

DEBRA BERRIDGE (M.D.) is a healthcare provider. based in Mequon, Wisconsin. specializing in Diagnostic Radiology Physician. They hold the professional credentials M.D.. They hold a License No. 30649 (WI). The NPI Number for DEBRA BERRIDGE (M.D.) is 1194707968

Main info

Female
38 Years Of Experience
Accepts Medicare Assignment
Name
DEBRA BERRIDGE (M.D.)
NPI
1194707968
Phone
Not provided
Address
10945 N PORT WASHINGTON RD STE 201
Enumeration Date
17 November 2005
Last Update Date
17 November 2023

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
2627852035
Graduation Year
1988 (38 years ago)
PAC ID
0749223402
Group Practice PAC ID
2961314091
Professional Enrollment ID
I20050603000967
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for DEBRA BERRIDGE (M.D.)

  • 10945 N PORT WASHINGTON RD STE 201

    MEQUON, WI 530925078

    Phone:

    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: 2024-02-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20050603000967IDiagnostic RadiologyWITBD
I20210929001052IDiagnostic RadiologyTNTBD
I20240210000537IDiagnostic RadiologyILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
77067Screening mammography748748$0
77063Screening 3d breast mammography747747$0
G0279Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)116116$0
76642Limited ultrasound scan of 1 breast9392$0
77065Diagnostic mammography of 1 breast7370$0
View full utilization report →

Insurance plans in this area (ZIP 53092)

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Provider's Procedures

DEBRA BERRIDGE (M.D.) performs procedures in Diagnostic Radiology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYWI71250CT scan chest3636
DIAGNOSTIC RADIOLOGYWI73630X-ray of foot, minimum of 3 views1312
DIAGNOSTIC RADIOLOGYWI74177CT scan of abdomen and pelvis with contrast6161

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: 2961314091View full group profile

Reviews

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Frequently asked questions

How do payers reference DEBRA BERRIDGE (M.D.)?
For DEBRA BERRIDGE (M.D.), use NPI 1194707968 as the unique 10-digit identifier.
Is DEBRA BERRIDGE (M.D.) still an active registrant?
DEBRA BERRIDGE (M.D.) carries an active NPI according to the public dataset.
How would a patient describe DEBRA BERRIDGE (M.D.)'s focus?
For DEBRA BERRIDGE (M.D.), the primary taxonomy reads as Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DEBRA BERRIDGE (M.D.)?
Directory geography for DEBRA BERRIDGE (M.D.) centers on Mequon, Wisconsin.
Does DEBRA BERRIDGE (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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