Active NPI 1790724490 Individual Practitioner Male Practitioner

Dr. Joel A Berman , MD

Surgery • Fountain Valley, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Joel Berman, MD is a certified Surgery practicing in Fountain Valley, CA. With approximately 59 years of clinical experience since graduating from State University Of New York Downstate Medical Center in 1967, Dr. Berman delivers high-quality medical care to the local community at 11100 WARNER AVE.

Dr. Berman accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11100 Warner Ave
108

Fountain Valley, CA 927087506

Telephone 7149793201

Fax 7149791406

Associated Practice Facility / Clinic

🏢 Pathway Medical Group, Inc Facility NPI 1578519054

Medicare Profile & Education

Medical School

State University Of New York Downstate Medical Center

Graduation Year

1967

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Fountain Valley, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

59 Yrs +32.2 yrs vs City Avg

City Avg: 26.8 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

14 Specialists

Practicing in Fountain Valley, CA (3346 Statewide)

Telehealth Adoption Rate

42.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

39.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Berman (59 Years) 59 Yrs

Fountain Valley Specialty Average (26.8 Years) 26.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	103	37	$120.00	$81.37
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	72	67	$330.00	$178.73
99231 Follow-up hospital inpatient care per day, typically 15 minutes	38	20	$60.00	$50.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	58	27	$120.00	$83.22
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	43	43	$330.00	$182.37
99231 Follow-up hospital inpatient care per day, typically 15 minutes	27	18	$60.00	$51.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	46	22	$60.00	$40.84
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	17	$120.00	$75.16
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	29	$330.00	$209.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	13	$180.00	$141.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$280.00	$182.03
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$170.00	$106.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	14	$120.00	$76.84
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	23	$330.00	$214.15
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	12	$60.00	$41.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$280.00	$184.79
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$170.00	$107.47
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$225.00	$145.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	26	$330.00	$218.51
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	12	$120.00	$78.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99221 Initial hospital inpatient care per day, typically 30 minutes	20	19	$170.00	$107.20
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	13	$120.00	$77.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$180.00	$118.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$180.00	$115.64

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA G24685

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00G246851 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

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Dr. Toquynh Kieu , MD

Pediatrics

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Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active June 30, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location June 30, 2016

Registered at 11100 WARNER AVE, 108, FOUNTAIN VALLEY, CA 927087506 (Tel: 7149793201)

📍

Updated Business Mailing Address June 30, 2016

Registered at 11100 WARNER AVE, 108, FOUNTAIN VALLEY, CA 927087506 (Tel: 7149793201)

👤

Provider Name / Credentials Updated June 30, 2016

Recorded as JOEL BERMAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2016

Surgery (License #G24685 in CA)

🟢

Initial NPI Registration & Enumeration June 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790724490

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 06, 2006

Last Update: June 30, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

11100 Warner Ave, 108

Fountain Valley, CA 927087506

Phone: 7149793201

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.