Doctor profile · Federal record
Dr. Marco Berrones, PA
Surgical Physician Assistant (CMS: Physician Assistant) · Plainview, NY
- NPI 1215017397
- Accepts Medicare
- MIPS 85.0 / 100 · 2023
- 25 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
888 Old Country RD
Plainview, NY 118034914
(516) 719-3000 - Mailing address
-
972 Brush Hollow RD
Westbury, NY 115901740
Credentials & registration
- NPI registered
- October 2006 — 20 yrs on file
- Profile last updated
- June 25, 2009
- Year of graduation
- 2001 — 25 yrs since
- Specialty taxonomy
- 363AS0400X — NUCC code
- State license (1)
- New York #008261-1
- Medicaid
- NY #00246075
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1215017397. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
92
Distinct HCPCS
4
Medicare allowed
$12,275
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
44213 |
Partial release of large bowel and partial removal of large bowel using an endoscope | 35 | 34 | $31 | |
44207 |
Partial removal of large bowel and reattachment to rectum using an endoscope | 23 | 23 | $305 | |
38570 |
Biopsy and removal of lymph nodes of abdominal cavity using an endoscope | 21 | 20 | $42 | |
44204 |
Partial removal of large bowel using an endoscope | 13 | 12 | $252 |
In context: peer comparison
Among 2 peers in Plainview Surgical Physician Assistant, average services per provider: 23. This provider delivers 4.0× the peer median.Open Payments
Industry payments received
All-time total
$80
Transactions
3
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Medtronic, INC. | 2 | $51.49 | |
| Ethicon US, LLC | 1 | $28.41 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
202
Patients
149
Total drug cost
$6,143
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) | Brand | 62 | 57 | $265 |
| Metronidazole | Generic | 30 | 30 | $102 |
| Erythromycin (Erythromycin Base) | Brand | 19 | 19 | $1,083 |
| Sod Sulf-Potass Sulf-Mag Sulf (Sodium, Potassium,Mag Sulfates) | Brand | 18 | 17 | $1,389 |
| Hydrocortisone | Generic | 16 | 0 | $325 |
| Loperamide (Loperamide Hcl) | Brand | 16 | 0 | $1,964 |
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 15 | 12 | $154 |
| Oxycodone Hcl | Generic | 14 | 14 | $88 |
| Diphenoxylate-Atropine (Diphenoxylate Hcl/Atropine) | Brand | 12 | 0 | $772 |
Hospital affiliations
Frequently asked questions
What is Dr. Marco Berrones's medical specialty?
Dr. Marco Berrones practices Surgical Physician Assistant in Plainview, NY.
Where does Dr. Marco Berrones practice?
Dr. Marco Berrones practices at 888 Old Country RD, Plainview, NY 118034914. Office phone: 5167193000.
What is Dr. Marco Berrones's NPI?
Dr. Marco Berrones's National Provider Identifier (NPI) is 1215017397, issued by NPPES.
Does Dr. Marco Berrones accept Medicare assignment?
Yes. Dr. Marco Berrones accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Marco Berrones commonly perform?
Top Medicare-reported procedures in 2023: Partial release of large bowel and partial removal of large bowel using an endoscope (HCPCS 44213); Partial removal of large bowel and reattachment to rectum using an endoscope (HCPCS 44207); Biopsy and removal of lymph nodes of abdominal cavity using an endoscope (HCPCS 38570). Source: CMS Medicare Physician & Other Practitioners file.