Active NPI 1245288471 Individual Practitioner Female Practitioner

Dr. Debbie A. Berlin , MD

Surgery • Orange Park, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Debbie Berlin, MD is a certified Surgery practicing in Orange Park, FL. With approximately 31 years of clinical experience since graduating from Albert Einstein College Of Medicine Of Yeshiva University in 1995, Dr. Berlin delivers high-quality medical care to the local community at 1555 KINGSLEY AVE.

Dr. Berlin is affiliated with North Florida Surgeons Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, new patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1555 Kingsley Ave
Suite 503

Orange Park, FL 320739207

Telephone 9042785088

Fax 9042644910

Associated Practice Facility / Clinic

🏢 Internal Medicine Associates Of Northeast Florida Pa Facility NPI 1578514386

Medicare Profile & Education

Medical School

Albert Einstein College Of Medicine Of Yeshiva University

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Orange Park, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +10.0 yrs vs City Avg

City Avg: 21.0 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

8 Specialists

Practicing in Orange Park, FL (2030 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Berlin (31 Years) 31 Yrs

Orange Park Specialty Average (21.0 Years) 21.0 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	101	61	$209.00	$77.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$484.49	$159.35
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	62	59	$403.00	$128.64
99231 Follow-up hospital inpatient care per day, typically 15 minutes	43	25	$115.00	$48.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	28	$310.00	$124.70
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	25	$589.00	$169.82
47562 Removal of gallbladder using an endoscope	23	23	$2321.00	$649.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$315.00	$109.08
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$210.00	$88.38
19301 Partial removal of breast	13	13	$1921.15	$624.99

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	98	53	$209.00	$79.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$483.00	$165.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	57	57	$403.00	$131.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	43	$310.00	$124.71
99213 Established patient office or other outpatient visit, typically 15 minutes	38	28	$210.00	$89.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	20	$126.00	$53.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$315.00	$111.73
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	11	$115.00	$50.33
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$589.00	$174.14
49505 Repair of groin hernia (5 years or older)	11	11	$1605.00	$547.91

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	101	34	$209.00	$70.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	76	76	$483.00	$165.65
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	52	45	$403.00	$134.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	35	$310.00	$123.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$315.00	$108.96
49505 Repair of groin hernia (5 years or older)	15	15	$1605.00	$535.32
99213 Established patient office or other outpatient visit, typically 15 minutes	14	12	$210.00	$90.18
38900 Lymph node imaging during surgery	11	11	$465.82	$126.99

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	98	40	$209.00	$72.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	79	79	$483.00	$169.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	45	43	$403.00	$137.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	31	$310.00	$130.12
99213 Established patient office or other outpatient visit, typically 15 minutes	31	25	$210.00	$91.62
99231 Follow-up hospital inpatient care per day, typically 15 minutes	29	19	$115.00	$38.65
49505 Repair of groin hernia (5 years or older)	21	21	$1681.43	$545.85
47562 Removal of gallbladder using an endoscope	16	16	$2321.00	$708.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$315.00	$113.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	73	46	$210.00	$75.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	72	72	$315.00	$107.60
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	61	29	$209.00	$74.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$483.00	$163.58
99231 Follow-up hospital inpatient care per day, typically 15 minutes	40	18	$115.00	$37.60
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	37	36	$403.00	$138.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	27	$310.00	$110.00
49505 Repair of groin hernia (5 years or older)	16	16	$1805.63	$600.27
47562 Removal of gallbladder using an endoscope	16	16	$2321.00	$612.94
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	15	15	$1341.00	$236.28
38900 Lymph node imaging during surgery	15	15	$427.00	$152.77

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	102	102	$315.00	$104.78
99213 Established patient office or other outpatient visit, typically 15 minutes	68	54	$210.00	$73.15
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	54	26	$209.00	$73.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$483.00	$164.36
99231 Follow-up hospital inpatient care per day, typically 15 minutes	36	19	$115.00	$38.39
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	32	$403.00	$138.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	27	$310.00	$105.14
49505 Repair of groin hernia (5 years or older)	27	27	$1664.44	$547.90
47562 Removal of gallbladder using an endoscope	16	16	$2321.00	$621.57
49585 Repair of hernia at navel (5 years or older)	13	13	$1368.00	$398.79
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$589.00	$204.11

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	77	37	$209.00	$72.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$315.00	$104.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$483.00	$159.98
99231 Follow-up hospital inpatient care per day, typically 15 minutes	51	32	$115.00	$39.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	19	$126.00	$42.43
99213 Established patient office or other outpatient visit, typically 15 minutes	43	34	$210.00	$71.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	35	$310.00	$103.78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	36	36	$403.00	$137.97
49505 Repair of groin hernia (5 years or older)	20	20	$1845.75	$574.20
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	19	19	$1341.00	$241.33
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$299.00	$102.68
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	17	17	$2226.00	$755.25
38900 Lymph node imaging during surgery	14	14	$427.00	$147.29
19303 Total removal of breast	13	13	$5482.85	$1395.79
47562 Removal of gallbladder using an endoscope	12	12	$2321.00	$653.51
49585 Repair of hernia at navel (5 years or older)	11	11	$1368.00	$403.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	76	35	$115.00	$39.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$483.00	$159.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$320.51	$105.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	55	37	$209.00	$72.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	34	$310.00	$106.00
99221 Initial hospital inpatient care per day, typically 30 minutes	39	37	$299.00	$100.68
99213 Established patient office or other outpatient visit, typically 15 minutes	36	34	$210.00	$70.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	14	$126.00	$42.87
49505 Repair of groin hernia (5 years or older)	19	19	$1942.89	$560.64
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	19	19	$2226.00	$725.86
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$403.00	$127.71
49568 Placement of mesh to repair incisional or abdominal hernia	12	12	$841.00	$284.77

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License FL ME90493

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

274974200 (FL)

Commercial Insurance / Payer ID Railroad Medicare

P00146174 (FL)

Commercial Insurance / Payer ID Avmed

294216

Commercial Insurance / Payer ID Aetna

7431565

Commercial Insurance / Payer ID Bcbs Fl

50705

Commercial Insurance / Payer ID Cigna

5953872

Hospital & Practice Group Affiliations

North Florida Surgeons Pa

1555 Kingsley Ave, Orange Park, FL 320739207

Phone: 9042785088

Practice Associates & Co-Workers

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

6 Associated Practitioners

Dr. John Brinkman , MD

Surgery

NPI 1003898982

Doctor of Medicine (M.D.)

Jennifer Hinton , PA

Emergency Medicine - Emergency Medical Services

NPI 1396794137

Physician Assistant

Dr. Michael Gilligan , MD

Surgery

NPI 1558329789

Doctor of Medicine (M.D.)

Dr. David Samaha , MD

Surgery

NPI 1578090619

Doctor of Medicine (M.D.)

Dr. Lindsay Lindsey , MD

Surgery

NPI 1770073876

Doctor of Medicine (M.D.)

Dr. William Gazzola , DO

Surgery

NPI 1982053005

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 23, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location June 23, 2011

Registered at 1555 KINGSLEY AVE, SUITE 503, ORANGE PARK, FL 320739207 (Tel: 9042785088)

📍

Updated Business Mailing Address June 23, 2011

Registered at 11945 SAN JOSE BLVD, BLDG 300, JACKSONVILLE, FL 322231627 (Tel: 9043961725)

👤

Provider Name / Credentials Updated June 23, 2011

Recorded as DEBBIE BERLIN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2011

Surgery (License #ME90493 in FL)

🟢

Initial NPI Registration & Enumeration May 04, 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: 1245288471

Entity Type:

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

Enumeration Date: May 04, 2006

Last Update: June 23, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

11945 San Jose Blvd, Bldg 300

Jacksonville, FL 322231627

Phone: 9043961725

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.