NPI registry status
Active
2026 NPPES data Colon & Rectal Surgery Physician NPI 1164861589 MD
Verify on CMS → James Berry, MD
Colon & Rectal Surgery Physician in East Syracuse, New York.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,642 in Colon & Rectal Surgery Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
257
Medicare Part D claims · 165 beneficiaries · Colon & Rectal Surgery Physician avg: 210
Generic prescribing
58%
generic claims · 42% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
80.8/100
▼ 3 pts below national avg 83.5 · Above neutral
Industry payments
$506.69
11 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
James Berry, MD reported a CMS MIPS final score of 80.8/100 - below the 83.5 national average - and filed 257 Medicare Part D claims in 2024.
- 80.8/100
- MIPS score · -3 vs avg
- 257
- Part D claims, 2024
- 58%
- generic prescribing
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about James Berry, MD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1164861589), first enumerated 06/19/2013.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 257 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 80.8/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Industry payment transparency
$506.69 in reported industry payments (11 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
New York statewide board action statistics are published annually — these figures describe aggregate state activity, not James Berry, MD's individual license status. Verify directly with the state medical board.
Source: NYSBPMC annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1164861589 · Colon & Rectal Surgery Physician
NPI-10 · ENUM-MID · TAX-NARROW · MIPS-INLINE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1164861589
- ENUM-MID 2013
- TAX-NARROW 1,642
- MIPS-INLINE 80.8/100
- RX-LIGHT 257
- BOOK-THIN 139 in New York
- PHOTO-FINISH Thomas Dekoj · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Brian McGuinness…
Brian McGuinness
80.4 MIPS pts
- Berry · this pro…
Berry · this provider
80.8 MIPS pts
- Thomas Dekoj · n…
Thomas Dekoj
80.8 MIPS pts
- Jeffrey Butcher …
Jeffrey Butcher
81.1 MIPS pts
- Nguyet Tran · near
Nguyet Tran
81.1 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
James Berry, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
81 ≥ 30th percentile 30% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where James Berry, MD sits
This provider among colon & rectal surgery physician peers
Across the 511 colon & rectal surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, James Berry, MD writes more Part D claims than 72% of them and scores higher on MIPS quality than 30% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one colon & rectal surgery physician peer from a representative sample of 60; the gold marker is James Berry, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
James Berry, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about James Berry, MD?
Near national averagePrimary specialty
Colon & Rectal Surgery Physician
Medicare Part D claims
257 22% vs specialty avg
MIPS final score
80.8/100 2.7 pts vs avg
Specialty distribution in New York
How Colon & Rectal Surgery Physician compares to other specialties among New York providers
Medicare quality performance, MIPS
James Berry, MD's 2023 MIPS final score plotted against the Colon & Rectal Surgery Physician national average
- MIPS Final Score
- 80.8/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1164861589 |
|---|---|
| Specialty | Colon & Rectal Surgery Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 06/19/2013 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
80.7603
Final Score
Measured-score avg: 83.5
72.5872
Quality
72.418
Cost
Reporting: Group practice
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for James Berry, MD. Source: openpaymentsdata.cms.gov.
Total received
$507
Largest payer
TELA Bio, Inc.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
License & disciplinary context - New York NYSBPMC 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~100K New York medical licensees in 2023 - they are NOT specific to James Berry, MD. To verify James Berry, MD's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases
NYSBPMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Above average
James Berry, MD - brand share 42.0%
Colon & Rectal Surgery Physician average
42% brand-name claims vs 58% generic, on 257 2024 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
257
Total Claims
$26K
Total Drug Cost
165
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 281.1
- Total Day Supply
- 2,459
- Brand vs Generic
- 42% brand / 58% generic
- Brand Drug Cost
- $16K
- Generic Drug Cost
- $9K
- Antibiotic Claims
- 53
Patient Demographics
- Average Patient Age
- 71.8 years
- Avg HCC Risk Score
- 1.19
- Gender Split
- 50% female / 50% male
- Age Distribution
- <65: 11, 65-74: 100, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What James Berry, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Sod Sulf-Potass Su…
Sod Sulf-Potass Sulf-Mag Sulf
65 claims
- Clenpiq
Clenpiq
58 claims
- Metronidazole
Metronidazole
39 claims
- Dicyclomine Hcl 17
Dicyclomine Hcl
17 claims
| Drug | Claims |
|---|---|
| Sod Sulf-Potass Sulf-Mag Sulf Sodium, Potassium,mag Sulfates | 65 |
| Clenpiq Sod Picosulf/Mag Ox/Citric Ac | 58 |
| Metronidazole | 39 |
| Dicyclomine Hcl | 17 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Colon & Rectal Surgery Physician Overview
How James Berry, MD fits within the Colon & Rectal Surgery Physician landscape nationally.
1,642
Colon & Rectal Surgery Physician Providers in US
50
States with Colon & Rectal Surgery Physician
210
Avg Claims per Provider
James Berry, MD's 257 claims are above the specialty average of 210.
Nationwide Colon & Rectal Surgery Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Berry, both outside New York so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (80.8 here).
Same NPPES enumeration year (2013)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Colon & Rectal Surgery Physician Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Berry.
One of 139 Colon & Rectal Surgery Physician providers enrolled in New York, 5 are shown here.
Dr. Cary Aarons
MD
New York, NY
Dr. Alan Abrams
M.D.
New York, NY
Dr. Samer Abu Salem
MD
New York, NY
Dr. Timothy Adams
M.D.
Williamsville, NY
Dr. Poppy Addison
MD
Staten Island, NY
Compare Colon & Rectal Surgery Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is James Berry, MD's specialty? ▼
James Berry, MD specializes in Colon & Rectal Surgery Physician and practices in East Syracuse, New York. Credentials: MD.
How much does James Berry, MD prescribe under Medicare Part D? ▼
In 2024, James Berry, MD wrote 257 Medicare Part D claims totaling $26K in drug costs for 165 beneficiaries.
What is James Berry, MD's Medicare quality score? ▼
James Berry, MD has a CMS MIPS Final Score of 80.8/100 (Quality: 72.6, Cost: 72.4). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is James Berry, MD located? ▼
James Berry, MD is located at GLACIER CREEK OFFICE PARK-BLDG II, East Syracuse, NY, 13057. Phone: (315) 458-2211.
What is James Berry, MD's NPI number? ▼
James Berry, MD's National Provider Identifier (NPI) is 1164861589, issued on 06/19/2013.
Does James Berry, MD prescribe more brand-name or generic drugs? ▼
James Berry, MD's prescribing is 42% brand-name and 58% generic drugs by claim count, with $16K in brand drug costs.
How many Colon & Rectal Surgery Physician providers are there in the US? ▼
There are 1,642 Colon & Rectal Surgery Physician providers across 50 states in the US. The average Colon & Rectal Surgery Physician provider writes 210 Medicare Part D claims per year.
What drugs does James Berry, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, James Berry, MD's most frequently prescribed drugs include Sod Sulf-Potass Sulf-Mag Sulf, Clenpiq, Metronidazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Berry, MD accept Medicare? ▼
James Berry, MD appears in CMS Medicare data with 257 Part D claims and 165 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Berry, MD's credentials? ▼
James Berry, MD's NPI is 1164861589 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.