Active NPI 1215017397 Individual Practitioner Male Practitioner

Marco Antonio Berrones , PA

Physician Assistant - Surgical • Plainview, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Marco Berrones, PA is a certified Physician Assistant - Surgical practicing in Plainview, NY. With approximately 25 years of clinical experience since completing medical education in 2001, Marco Berrones delivers high-quality medical care to the local community at 888 OLD COUNTRY RD.

Marco Berrones maintains professional affiliations with Samaritan Medical Services Pc, North Shore-Lij Medical Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include partial release of large bowel and partial removal of large bowel using an endoscope, partial removal of large bowel and reattachment to rectum using an endoscope, removal of abdominal cavity lymph nodes using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

888 Old Country Rd

Plainview, NY 118034914

Telephone 5167193000

Associated Practice Facility / Clinic

🏢 Plainview Hospital Facility NPI 1083621130

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Plainview, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +16.0 yrs vs City Avg

City Avg: 9.0 Yrs

State Avg: 15.5 Yrs

Regional Practice Density

11 Specialists

Practicing in Plainview, NY (2182 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

93.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Berrones (25 Years) 25 Yrs

Plainview Specialty Average (9.0 Years) 9.0 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
44213 Partial release of large bowel and partial removal of large bowel using an endoscope	37	37	$473.50	$30.10
44207 Partial removal of large bowel and reattachment to rectum using an endoscope	22	22	$4336.50	$293.88
38570 Removal of abdominal cavity lymph nodes using an endoscope	22	22	$1354.00	$39.54
44204 Partial removal of large bowel using an endoscope	17	17	$3649.50	$251.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
44213 Partial release of large bowel and partial removal of large bowel using an endoscope	35	34	$473.50	$31.33
44207 Partial removal of large bowel and reattachment to rectum using an endoscope	23	23	$4336.50	$305.21
38570 Removal of abdominal cavity lymph nodes using an endoscope	21	20	$1354.00	$42.32
44204 Partial removal of large bowel using an endoscope	13	12	$3649.50	$251.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
44213 Partial release of large bowel and partial removal of large bowel using an endoscope	33	33	$473.50	$33.91
44207 Partial removal of large bowel and reattachment to rectum using an endoscope	22	22	$4336.50	$326.04
38570 Removal of abdominal cavity lymph nodes using an endoscope	16	16	$1354.00	$43.52
44204 Partial removal of large bowel using an endoscope	12	12	$3649.50	$280.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
44213 Partial release of large bowel and partial removal of large bowel using an endoscope	26	26	$473.50	$33.03
44204 Partial removal of large bowel using an endoscope	13	13	$3649.50	$264.08
38570 Removal of abdominal cavity lymph nodes using an endoscope	13	13	$1354.00	$29.01
44207 Partial removal of large bowel and reattachment to rectum using an endoscope	13	13	$4336.50	$328.53
58660 Removal of scar tissue of ovaries or uterine tubes using an endoscope	11	11	$1695.50	$56.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
44213 Partial release of large bowel and partial removal of large bowel using an endoscope	17	17	$473.50	$33.64
44207 Partial removal of large bowel and reattachment to rectum using an endoscope	15	15	$4336.50	$326.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
44213 Partial release of large bowel and partial removal of large bowel using an endoscope	23	23	$473.50	$32.41
38570 Removal of abdominal cavity lymph nodes using an endoscope	16	16	$1354.00	$34.40
44207 Partial removal of large bowel and reattachment to rectum using an endoscope	14	14	$4336.50	$312.72
58660 Removal of scar tissue of ovaries or uterine tubes using an endoscope	13	13	$1695.50	$55.52
44204 Partial removal of large bowel using an endoscope	13	13	$3649.50	$266.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
44213 Partial release of large bowel and partial removal of large bowel using an endoscope	23	23	$473.50	$32.22
38570 Removal of abdominal cavity lymph nodes using an endoscope	17	17	$1354.00	$34.29
45123 Partial removal of rectum	14	14	$2544.50	$189.13
44204 Partial removal of large bowel using an endoscope	14	14	$3649.50	$263.27
44207 Partial removal of large bowel and reattachment to rectum using an endoscope	12	12	$4336.50	$309.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
44213 Partial release of large bowel and partial removal of large bowel using an endoscope	40	40	$473.50	$32.35
38570 Removal of abdominal cavity lymph nodes using an endoscope	25	25	$1354.00	$36.72
44207 Partial removal of large bowel and reattachment to rectum using an endoscope	24	24	$4336.50	$311.12
44204 Partial removal of large bowel using an endoscope	17	17	$3649.50	$264.29
49020 Drainage of abdominal abscess or infection, open procedure	15	15	$3667.00	$137.25
45123 Partial removal of rectum	13	13	$2544.50	$189.12
58660 Removal of scar tissue of ovaries or uterine tubes using an endoscope	12	12	$1695.50	$59.34

Medical Specialties & State Licenses

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License NY 008261-1

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00246075 (NY)

Hospital & Practice Group Affiliations

North Shore-Lij Medical Pc

300 Community Dr Ll, Manhasset, NY 110303816

Phone: 5165622229

North Shore-Lij Medical Pc

350 Community Dr, Manhasset, NY 110303816

Phone: 5165623845

North Shore-Lij Medical Pc

300 Community Dr, Manhasset, NY 110303816

Samaritan Medical Services Pc

1000 Montauk Hwy, West Islip, NY 117954927

Phone: 5167052689

North Shore-Lij Medical Pc

330 Community Dr, Manhasset, NY 110303816

Phone: 5167082550

North Shore-Lij Medical Pc

270 Park Ave, Huntington, NY 117432787

Phone: 6313512219

North Shore-Lij Medical Pc

270 Park Ave, Huntington, NY 117432787

Phone: 6313512356

Samaritan Medical Services Pc

50 Route 25a, Smithtown, NY 117871348

Phone: 6318623000

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Skye Felice , DO

Hospitalist

NPI 1003557505

Doctor of Osteopathic Medicine (D.O.)

Dr. Justin Chacko , DO

Student in an Organized Health Care Education/Training Program

NPI 1013363233

Doctor of Osteopathic Medicine (D.O.)

Amrinder Jawandha , PA-C

Physician Assistant - Surgical

NPI 1013674951

Physician Assistant (Certified)

Alexandra Cerone

Dietitian, Registered

NPI 1023483245

Dr. Michael Atallah , DO

Student in an Organized Health Care Education/Training Program

NPI 1033059209

Doctor of Osteopathic Medicine (D.O.)

Christina Moon , NP

Nurse Practitioner - Family

NPI 1063191054

Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 25, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location June 25, 2009

Registered at 888 OLD COUNTRY RD, PLAINVIEW, NY 118034914 (Tel: 5167193000)

📍

Updated Business Mailing Address June 25, 2009

Registered at 972 BRUSH HOLLOW RD, WESTBURY, NY 115901740 (Tel: 5168765555)

👤

Provider Name / Credentials Updated June 25, 2009

Recorded as MARCO BERRONES, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2009

Physician Assistant (License #008261-1 in NY)

🟢

Initial NPI Registration & Enumeration October 16, 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: 1215017397

Entity Type:

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

Enumeration Date: October 16, 2006

Last Update: June 25, 2009

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

972 Brush Hollow Rd

Westbury, NY 115901740

Phone: 5168765555

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.