2026 NPPES data Emergency Medicine Physician NPI 1578893301 D.O.
Verify on CMS →

NATHAN BERRY, D.O.

Emergency Medicine Physician in FAIRMONT, West Virginia. 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
49
Medicare Part D claims · 34 beneficiaries · Emergency Medicine Physician avg: 352
MIPS score
94.1061/100
▲ 11 pts above national avg 83.1 · [object Object]
Industry payments
$765.79
8 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: NATHAN BERRY, D.O. is a Emergency Medicine Physician ([object Object]) practicing in FAIRMONT, West Virginia with a Medicare Part D prescribing footprint of 49 claims across 34 beneficiaries . Their CMS MIPS Final Score of 94.1061/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $765.79 across 8 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: NATHAN BERRY, D.O. reported a CMS MIPS final score of 94.1061 out of 100, above the 83.1 national average, and filed 49 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

NATHAN BERRY, D.O. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

NATHAN BERRY, D.O. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 12/29/2009

NPI 1578893301

Primary specialty

Emergency Medicine Physician

High-volume

64,398 US NPIs in this specialty

Medicare Part D claims

49 86% vs specialty avg

2023 prescription claims

Specialty avg: 352

MIPS final score

94.1061/100 11.006100000000004% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in West Virginia

How Emergency Medicine Physician compares to other specialties among West Virginia providers

West Virginia providers

Emergency Medicine Physician share within West Virginia

1. Emergency Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Emergency Medicine Physician share within West Virginia

Medicare quality performance — MIPS

NATHAN BERRY, D.O.'s 2023 MIPS final score plotted against the Emergency Medicine Physician national average

High performer (top quartile)
MIPS Final Score
94.1061/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Emergency Medicine Physician) — 94.1061/100 vs national avg 83.1

0%100%National avg83%94.1%
MIPS final score (Emergency Medicine Physician) — 94.1061/100 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).

NATHAN BERRY, D.O. is a Emergency Medicine Physician provider practicing in FAIRMONT, West Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: D.O.. NPI: 1578893301. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

NATHAN BERRY, D.O. appears in the CMS NPPES registry as a Emergency Medicine Physician provider holding D.O. credentials at 110 MEADOWLANE AVE, FAIRMONT, WV, 26554, with a listed phone of (256) 443-4743. NPI 1578893301 was issued on 12/29/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BERRY 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 49 prescription claims written by this provider, covering 34 Medicare beneficiaries and totaling roughly $355 in drug spend. 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 94.1061/100 for the 2023 performance year (Quality 78.4655), compared with the national average of 83.1.

Emergency Medicine Physician is a high-volume specialty nationwide, with 64,398 enrolled providers across 56 states and an average of 352 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

110 MEADOWLANE AVE
FAIRMONT, WV 26554

Provider Details

NPI 1578893301
Specialty Emergency Medicine Physician
Credentials D.O.
Gender Male
NPI Issued 12/29/2009

CMS Quality Score (MIPS)

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

94.1061
Final Score
Avg: 83.1
78.4655
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where NATHAN BERRY, D.O. 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.

ST JOSEPH'S HOSPITAL OF BUCKHANNON INC
BUCKHANNON, WV
UNITED HOSPITAL CENTER INC
BRIDGEPORT, WV

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 NATHAN BERRY, D.O.. Source: openpaymentsdata.cms.gov.

Total received

$766

Largest payer

Boston Scientific Corporation

Most common payment type

Travel and Lodging

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.

Medicare Part D Prescribing Data

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

49
Total Claims
$355
Total Drug Cost
34
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
49
Total Day Supply
967
Brand Drug Cost
$0
Generic Drug Cost
$355

Patient Demographics

Average Patient Age
72.4 years
Avg HCC Risk Score
1.44

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Prednisone
39

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

Emergency Medicine Physician Overview

How NATHAN BERRY, D.O. fits within the Emergency Medicine Physician landscape nationally.

64,398
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider

NATHAN BERRY, D.O.'s 49 claims are below the specialty average of 352.

Nearby Emergency Medicine Physician Providers in West Virginia

Other clinicians with the same primary specialty enrolled in West Virginia, drawn from the same CMS NPPES roster as BERRY.

Compare Emergency Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is NATHAN BERRY, D.O.'s specialty?
NATHAN BERRY, D.O. specializes in Emergency Medicine Physician and practices in FAIRMONT, West Virginia. Credentials: D.O..
How much does NATHAN BERRY, D.O. prescribe under Medicare Part D?
In 2023, NATHAN BERRY, D.O. wrote 49 Medicare Part D claims totaling $355 in drug costs for 34 beneficiaries.
What is NATHAN BERRY, D.O.'s Medicare quality score?
NATHAN BERRY, D.O. has a CMS MIPS Final Score of 94.1061/100 (Quality: 78.4655). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NATHAN BERRY, D.O. located?
NATHAN BERRY, D.O. is located at 110 MEADOWLANE AVE, FAIRMONT, WV, 26554. Phone: (256) 443-4743.
What is NATHAN BERRY, D.O.'s NPI number?
NATHAN BERRY, D.O.'s National Provider Identifier (NPI) is 1578893301, issued on 12/29/2009.
How many Emergency Medicine Physician providers are there in the US?
There are 64,398 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does NATHAN BERRY, D.O. prescribe most often?
Based on 2023 Medicare Part D data, NATHAN BERRY, D.O.'s most frequently prescribed drugs include Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NATHAN BERRY, D.O. accept Medicare?
NATHAN BERRY, D.O. appears in CMS Medicare data with 49 Part D claims and 34 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NATHAN BERRY, D.O.'s credentials?
NATHAN BERRY, D.O.'s NPI is 1578893301 with credentials D.O.. 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