NPI Details
Michael Richard Berry, MD is an orthopaedic surgery in Moline, IL with 21 years of experience. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. Michael Richard Berry, MD NPI is 1114121969. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2005
The provider's business location address is:
520 VALLEY VIEW DR
MOLINE, IL
ZIP 61265-194
Phone: (309) 762-3621
Fax: (309) 762-3690
The NPI 1114121969 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
- X-ray of pelvis, 1-2 views (HCPCS:72170)
- X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Insertion of cage or mesh device to spine bone and disc space during spine fusion (HCPCS:22853)
- Mri scan of lower spinal canal without contrast (HCPCS:72148)
- Fusion of spine in lower back with partial removal of spine bone and disc (HCPCS:22633)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- Placement of stabilizing device to back of 1 spine bone in neck (HCPCS:22840)
- Partial removal of bone of additional segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back (HCPCS:63053)
- Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back (HCPCS:63052)
- X-ray of upper spine, 4-5 views (HCPCS:72050)
- X-ray of entire middle and lower spine, 2-3 views (HCPCS:72082)
- Hip replacement (HCPCS:NAN09)
- Spinal fusion (HCPCS:NAN02)
- Laminectomy or laminotomy (partial removal of spine bones) (HCPCS:NAN18)
The enumeration date for this NPI number is 6/14/2007 and was last updated on 8/15/2011.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 390200000X | Student in an Organized Health Care Education/Training Program | | 2006020074 | MISSOURI | No |
| 2 | 207X00000X | Orthopaedic Surgery | | 39450 | IOWA | No |
| 3 | 207XS0117X | Orthopaedic Surgery | Orthopaedic Surgery of the Spine | 036127202 | ILLINOIS | No |
| 4 | 207XS0117X | Orthopaedic Surgery | Orthopaedic Surgery of the Spine | 39450 | IOWA | No |
| 5 | 207X00000X | Orthopaedic Surgery | | 036127202 | ILLINOIS | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 209395016 | OTHER | ILLINOIS | MEDICARE PTAN |
| 2 | 578210011 | OTHER | IOWA | MEDICARE PTAN |
