2026 NPPES data Physician Assistant NPI 1316584857 PA-C
Verify on CMS →

KEVIN BERARDI, PA-C

Physician Assistant in SAN DIEGO, California. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
57
Medicare Part D claims · 41 beneficiaries · Physician Assistant avg: 790
MIPS score
90.761/100
▲ 8 pts above national avg 83.1 · [object Object]
Industry payments
$63.13
3 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

KEVIN BERARDI, PA-C reported a CMS MIPS final score of 90.761/100 — above the 83.1 national average — and filed 57 Medicare Part D claims in 2023.

90.761/100
MIPS score · +8 vs avg
57
Part D claims, 2023
$63.13
industry payments (Sunshine Act)

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.

KEVIN BERARDI, PA-C's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

91 Top 40% higher than 60% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored 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.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

What does the federal data show about KEVIN BERARDI, PA-C?

High performer (top quartile)

NPI registry status

Active

Issued 12/03/2019

NPI 1316584857

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

57 93% vs specialty avg

2023 prescription claims

Specialty avg: 790

MIPS final score

90.761/100 7.661000000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in California

How Physician Assistant compares to other specialties among California providers

California providers

Physician Assistant share within California

1. Physician Assistant42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Physician Assistant share within California

Medicare quality performance — MIPS

KEVIN BERARDI, PA-C's 2023 MIPS final score plotted against the Physician Assistant national average

High performer (top quartile)
MIPS Final Score
90.761/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physician Assistant) — 90.761/100 vs national avg 83.1

0%100%National avg83%90.8%
MIPS final score (Physician Assistant) — 90.761/100 vs national avg 83.1

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).

KEVIN BERARDI, PA-C appears in the CMS NPPES registry as a Physician Assistant provider holding PA-C credentials at 4077 FIFTH AVE, SAN DIEGO, CA, 92103, with a listed phone of (858) 832-2478. NPI 1316584857 was issued on 12/03/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BERARDI most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 57 prescription claims written by this provider, covering 41 Medicare beneficiaries and totaling roughly $1K in drug spend, with an opioid prescribing rate of 31.6%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 90.761/100 for the 2023 performance year (Quality 87.872), compared with the national average of 83.1.

Physician Assistant is a high-volume specialty nationwide, with 149,975 enrolled providers across 56 states and an average of 790 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

4077 FIFTH AVE
SAN DIEGO, CA 92103

Provider Details

NPI 1316584857
Specialty Physician Assistant
Credentials PA-C
Gender Male
NPI Issued 12/03/2019

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

90.761
Final Score
Avg: 83.1
87.872
Quality

Reporting: Group practice

Hospital and facility affiliations

Facilities where KEVIN BERARDI, PA-C bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

MSKCC RADIOLOGY GROUP
NEW YORK, NY
MSKCC SURGERY GROUP
NEW YORK, NY
NEW YORK UNIVERSITY
NEW YORK, NY
SCRIPPS HEALTH INPATIENT PROVIDERS MEDICAL GROUP INC
CHULA VISTA, CA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

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 KEVIN BERARDI, PA-C. Source: openpaymentsdata.cms.gov.

Total received

$63

Largest payer

Solventum Corporation

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 — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to KEVIN BERARDI, PA-C. To verify KEVIN BERARDI, PA-C's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

57
Total Claims
$1K
Total Drug Cost
41
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
57
Total Day Supply
322
Generic Drug Cost
$533
Opioid Claims
18 (31.6% rate)
Antibiotic Claims
31

Patient Demographics

Average Patient Age
68.3 years
Avg HCC Risk Score
1.56

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Cefadroxil
14
Oxycodone Hcl
11

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Physician Assistant Overview

How KEVIN BERARDI, PA-C fits within the Physician Assistant landscape nationally.

149,975
Physician Assistant Providers in US
56
States with Physician Assistant
790
Avg Claims per Provider

KEVIN BERARDI, PA-C's 57 claims are below the specialty average of 790.

Nearby Physician Assistant Providers in California

Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as BERARDI.

Compare Physician Assistant nationally: see state-by-state distribution →

Frequently Asked Questions

What is KEVIN BERARDI, PA-C's specialty?
KEVIN BERARDI, PA-C specializes in Physician Assistant and practices in SAN DIEGO, California. Credentials: PA-C.
How much does KEVIN BERARDI, PA-C prescribe under Medicare Part D?
In 2023, KEVIN BERARDI, PA-C wrote 57 Medicare Part D claims totaling $1K in drug costs for 41 beneficiaries.
What is KEVIN BERARDI, PA-C's Medicare quality score?
KEVIN BERARDI, PA-C has a CMS MIPS Final Score of 90.761/100 (Quality: 87.872). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KEVIN BERARDI, PA-C located?
KEVIN BERARDI, PA-C is located at 4077 FIFTH AVE, SAN DIEGO, CA, 92103. Phone: (858) 832-2478.
What is KEVIN BERARDI, PA-C's NPI number?
KEVIN BERARDI, PA-C's National Provider Identifier (NPI) is 1316584857, issued on 12/03/2019.
Does KEVIN BERARDI, PA-C prescribe opioids?
Yes, KEVIN BERARDI, PA-C had 18 opioid claims in 2023 with an opioid prescribing rate of 31.6%.
How many Physician Assistant providers are there in the US?
There are 149,975 Physician Assistant providers across 56 states in the US. The average Physician Assistant provider writes 790 Medicare Part D claims per year.
What drugs does KEVIN BERARDI, PA-C prescribe most often?
Based on 2023 Medicare Part D data, KEVIN BERARDI, PA-C's most frequently prescribed drugs include Cefadroxil, Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KEVIN BERARDI, PA-C accept Medicare?
KEVIN BERARDI, PA-C appears in CMS Medicare data with 57 Part D claims and 41 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KEVIN BERARDI, PA-C's credentials?
KEVIN BERARDI, PA-C's NPI is 1316584857 with credentials PA-C. 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

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 (2023). 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 April 2026 (NPPES) / 2023 (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