NPI registry status
Active
2026 NPPES data Physical Medicine & Rehabilitation Physician NPI 1841268885 MD
Verify on CMS → Matthew Berke, MD
Physical Medicine & Rehabilitation Physician in Birmingham, Alabama.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 15,306 in Physical Medicine & Rehabilitation 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
14K
Medicare Part D claims · 1K beneficiaries · Physical Medicine & Rehabilitation Physician avg: 781
Generic prescribing
97%
generic claims · 3% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
77.7/100
▼ 5 pts below national avg 83.1 · Above neutral
Industry payments
$682.47
46 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Matthew Berke, MD reported a CMS MIPS final score of 77.7/100 - below the 83.1 national average - and filed 13,985 Medicare Part D claims in 2023.
- 77.7/100
- MIPS score · -5 vs avg
- 14K
- Part D claims, 2023
- 97%
- 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.
Matthew Berke, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
78 24th percentile higher than 24% of 477,587 scored providers
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
Where Matthew Berke, MD sits
This provider among physical medicine & rehabilitation physician peers
Across the 2,781 physical medicine & rehabilitation physician providers who report both Medicare Part D prescribing and a MIPS quality score, Matthew Berke, MD writes more Part D claims than 99% of them and scores higher on MIPS quality than 39% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one physical medicine & rehabilitation physician peer from a representative sample of 60; the gold marker is Matthew Berke, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Matthew Berke, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - 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 Matthew Berke, MD?
Below national averagePrimary specialty
Physical Medicine & Rehabilitation Physician
Medicare Part D claims
13,985 18× vs specialty avg
MIPS final score
77.7/100 5.4 pts vs avg
Specialty distribution in Alabama
How Physical Medicine & Rehabilitation Physician compares to other specialties among Alabama providers
Medicare quality performance, MIPS
Matthew Berke, MD's 2023 MIPS final score plotted against the Physical Medicine & Rehabilitation Physician national average
- MIPS Final Score
- 77.7/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Physical Medicine & Rehabilitation Physician) - 77.7/100 vs national avg 83.1
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).
Matthew Berke, MD appears in the CMS NPPES registry as a Physical Medicine & Rehabilitation Physician provider holding MD credentials at 1020 26TH S ST 100, Birmingham, AL, 35205, with a listed phone of (205) 332-3155. NPI 1841268885 was issued on 03/08/2006.
Medicare Part D records for calendar year 2023 show 13,985 prescription claims written by this provider, covering 1,146 Medicare beneficiaries and totaling roughly $812K in drug spend, split 3% brand-name and 97% generic by claim count, with an opioid prescribing rate of 57.6%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 77.7/100 for the 2023 performance year (Quality 62.7), compared with the national average of 83.1.
Physical Medicine & Rehabilitation Physician is a mid-sized specialty nationwide, with 15,306 enrolled providers across 54 states and an average of 781 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
Provider Details
| NPI | 1841268885 |
|---|---|
| Specialty | Physical Medicine & Rehabilitation Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 03/08/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
77.7108
Final Score
Avg: 83.1
62.7468
Quality
94
Promoting Interoperability
Reporting: Individual
Hospital and facility affiliations
Facilities where Matthew Berke, MD 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.
Southside Pain Specialists, PC
Birmingham, AL
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 Matthew Berke, MD. Source: openpaymentsdata.cms.gov.
Total received
$682
Largest payer
Forte Bio-Pharma LLC
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.
Brand vs generic prescribing mix · Generic-heavy
Matthew Berke, MD - brand share 3.0%
Physical Medicine & Rehabilitation Physician average
3% brand-name claims vs 97% generic, on 13,985 2023 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 2023.
13,985
Total Claims
$812K
Total Drug Cost
1,146
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 14,987
- Total Day Supply
- 440,325
- Brand vs Generic
- 3% brand / 97% generic
- Brand Drug Cost
- $144K
- Generic Drug Cost
- $668K
- Opioid Claims
- 8,061 (57.6% rate)
Patient Demographics
- Average Patient Age
- 67.0 years
- Avg HCC Risk Score
- 1.64
- Gender Split
- 64% female / 36% male
- Age Distribution
- <65: 402, 65-74: 503, 75-84: 210, 85+: 31
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Matthew Berke, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
4,058 claims
- Oxycodone-Acetamin…
Oxycodone-Acetaminophen
2,925 claims
- Gabapentin
Gabapentin
2,009 claims
- Tizanidine Hcl 789
Tizanidine Hcl
789 claims
- Pregabalin 614
Pregabalin
614 claims
- Diclofenac Sodium 411
Diclofenac Sodium
411 claims
- Baclofen 393
Baclofen
393 claims
- Cyclobenzaprine Hcl 312
Cyclobenzaprine Hcl
312 claims
| Drug | Claims |
|---|---|
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 4,058 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 2,925 |
| Gabapentin | 2,009 |
| Tizanidine Hcl | 789 |
| Pregabalin | 614 |
| Diclofenac Sodium | 411 |
| Baclofen | 393 |
| Cyclobenzaprine Hcl | 312 |
| Methocarbamol | 261 |
| Tramadol Hcl | 246 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Physical Medicine & Rehabilitation Physician in AL →
All providers in Alabama →
Compare specialties →
Physical Medicine & Rehabilitation Physician Overview
How Matthew Berke, MD fits within the Physical Medicine & Rehabilitation Physician landscape nationally.
15,306
Physical Medicine & Rehabilitation Physician Providers in US
54
States with Physical Medicine & Rehabilitation Physician
781
Avg Claims per Provider
Matthew Berke, MD's 13,985 claims are above the specialty average of 781.
Nearby Physical Medicine & Rehabilitation Physician Providers in Alabama
Other clinicians with the same primary specialty enrolled in Alabama, drawn from the same CMS NPPES roster as Berke.
Dr. Ryan Aaron
M.D.
Huntsville, AL
Dr. Keith Anderson
DO
Huntsville, AL
Mary Arminio
Opelika, AL
Dr. Frederick Aziz
M.D.
Montgomery, AL
Dr. James Barnett
M.D.
Northport, AL
Compare Physical Medicine & Rehabilitation Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Alabama medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Physical Medicine & Rehabilitation Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Matthew Berke, MD's specialty? ▼
Matthew Berke, MD specializes in Physical Medicine & Rehabilitation Physician and practices in Birmingham, Alabama. Credentials: MD.
How much does Matthew Berke, MD prescribe under Medicare Part D? ▼
In 2023, Matthew Berke, MD wrote 13,985 Medicare Part D claims totaling $812K in drug costs for 1,146 beneficiaries.
What is Matthew Berke, MD's Medicare quality score? ▼
Matthew Berke, MD has a CMS MIPS Final Score of 77.7/100 (Quality: 62.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Matthew Berke, MD located? ▼
Matthew Berke, MD is located at 1020 26TH S ST 100, Birmingham, AL, 35205. Phone: (205) 332-3155.
What is Matthew Berke, MD's NPI number? ▼
Matthew Berke, MD's National Provider Identifier (NPI) is 1841268885, issued on 03/08/2006.
Does Matthew Berke, MD prescribe more brand-name or generic drugs? ▼
Matthew Berke, MD's prescribing is 3% brand-name and 97% generic drugs by claim count, with $144K in brand drug costs.
Does Matthew Berke, MD prescribe opioids? ▼
Yes, Matthew Berke, MD had 8,061 opioid claims in 2023 with an opioid prescribing rate of 57.6%.
How many Physical Medicine & Rehabilitation Physician providers are there in the US? ▼
There are 15,306 Physical Medicine & Rehabilitation Physician providers across 54 states in the US. The average Physical Medicine & Rehabilitation Physician provider writes 781 Medicare Part D claims per year.
What drugs does Matthew Berke, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Matthew Berke, MD's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Oxycodone-Acetaminophen, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Matthew Berke, MD accept Medicare? ▼
Matthew Berke, MD appears in CMS Medicare data with 13,985 Part D claims and 1,146 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Matthew Berke, MD's credentials? ▼
Matthew Berke, MD's NPI is 1841268885 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 (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
Compiled from official public sources by the PlainDoctor editorial team.