ZACHARY TYLER BERMAN M.D.
NPI 1033521190
Radiology - Vascular & Interventional Radiology in San Diego, CA

Medicare Participation & PECOS Enrollment Status

Zachary Berman is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Zachary Berman is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

• Is the provider registered in PECOS? Yes

• PECOS PAC ID: 3678998176

  What is the PECOS Associate Control ID?
  A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

• PECOS Enrollment ID: I20200730003327

  What is the Provider Enrollment ID?
  The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

• Accepts Medicare Assignment? Yes

  What does it mean "accepts medicare assignment"?
  When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
  A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

• Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

• Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

• Eligible to Order or Refer a Home Health Agency (HHA): Yes

• Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

3d radiographic procedure with computerized image postprocessing

A 3D radiographic procedure with computerized image postprocessing is a high-tech imaging test. It uses X-rays to create detailed 3D images of the body. The computerized postprocessing further enhances these images for more precise diagnosis and treatment planning.

This service was performed 60 times for 41 patients

Biopsy and aspiration of bone marrow sample for diagnosis

A bone marrow biopsy and aspiration is a procedure where a small amount of bone marrow is removed for testing. It involves inserting a needle into a bone, typically the hip, to collect a sample. It can help diagnose various diseases and monitor treatment effectiveness.

This service was performed 33 times for 33 patients

Drainage of fluid from abdominal cavity

This procedure, also known as paracentesis, involves the removal of excess fluid from the abdominal cavity. It's typically done to relieve pressure or analyze the fluid for diagnosis. A thin needle is inserted through the skin to draw out the fluid.

This service was performed 42 times for 21 patients

Drainage of fluid from abdominal cavity using imaging guidance

This procedure involves removing excess fluid from your abdominal cavity, which can relieve discomfort. A specialist uses imaging technology to guide a thin needle into the right spot. The fluid is then drained out safely.

This service was performed 45 times for 35 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 15 times for 14 patients

Fluoroscopic guidance for insertion or removal of central vein access device

Fluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.

This service was performed 53 times for 49 patients

Fluoroscopic guidance for needle placement

Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.

This service was performed 34 times for 34 patients

Injection of contrast through abdominal cavity tube for x-ray study

This procedure involves injecting a contrast substance through a tube in your abdominal cavity. This helps to highlight certain areas in your body for an X-ray study. It's a crucial step for accurate diagnosis and treatment planning.

This service was performed 15 times for 13 patients

Insertion of central venous tube with port (5 years or older)

A central venous tube with port is a small, flexible tube inserted into a large vein, usually in the chest. It allows for easy administration of medication, fluids, or blood products over a long period. A port is attached under the skin for easy access. It's safe for individuals aged 5 and above.

This service was performed 25 times for 25 patients

Insertion of stomach tube using fluoroscopic guidance with contrast

This is a procedure where a tube is inserted into your stomach to assist with digestion or removal of substances. It's done under fluoroscopic guidance, a type of imaging that allows real-time viewing. Contrast dye is used to enhance the visibility of structures.

This service was performed 14 times for 14 patients

Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older

This procedure involves placing a tube into a vein for medication or fluid delivery. Imaging guidance helps ensure correct placement, while a radiologist reviews the process for safety. It's suitable for patients aged 5 and above.

This service was performed 12 times for 12 patients

Insertion of tube into abdominal, pelvic, or leg artery, additional second, third, and beyond

This procedure involves placing a tube into an artery in the abdomen, pelvis, or leg. It's done to improve blood flow or deliver medication. If more than one tube is needed, each additional insertion is done separately.

This service was performed 82 times for 36 patients

Insertion of tube into abdominal, pelvic, or leg artery, each first order branch

This procedure involves inserting a tube into an artery in your abdomen, pelvis, or leg. The tube is placed into the first order branch of the artery. It's done to investigate or treat conditions affecting blood flow. It's a safe, common procedure.

This service was performed 12 times for 12 patients

Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch

This procedure involves placing a tube into an artery in the abdomen, pelvis, or leg. The tube is inserted into the initial third order branch of the artery. This can help doctors diagnose or treat certain conditions by allowing access to these blood vessels.

This service was performed 70 times for 46 patients

Insertion of tunneled central venous tube for infusion (5 years or older)

The insertion of a tunneled central venous tube is a procedure where a thin, flexible tube is placed into a large vein, usually in the neck or chest. This tube allows healthcare providers to give medications, fluids, or nutrients directly into your bloodstream over a longer period.

This service was performed 20 times for 20 patients

Needle biopsy of liver through skin

A needle biopsy of the liver through skin is a procedure where a small tissue sample from your liver is collected using a thin needle. This is done to diagnose liver diseases or conditions. It involves inserting the needle through your skin and into your liver.

This service was performed 29 times for 29 patients

Needle biopsy or removal of surface lymph nodes

A needle biopsy or removal of surface lymph nodes is a procedure where a small needle is inserted into a lymph node to collect a tissue sample. This sample is then examined under a microscope to check for diseases such as cancer. The procedure is usually quick and minimally invasive.

This service was performed 11 times for 11 patients

Occlusion of growths or obstructed vessels with review by radiologist

This procedure involves blocking abnormal growths or blocked vessels in your body. A radiologist, a doctor specialized in imaging techniques, will review the process. The aim is to improve your health by preventing these issues from causing further complications.

This service was performed 29 times for 24 patients

Radioactive drug therapy through a tube inserted in an artery

Radioactive drug therapy involves the use of a tiny tube, inserted into an artery. This tube delivers a radioactive drug directly to the area requiring treatment. This precise approach helps to maximize effectiveness while minimizing side effects.

This service was performed 27 times for 23 patients

Removal of central venous tube with port or pump

The removal of a central venous tube with port or pump is a procedure that eliminates a device implanted under your skin. This device helped deliver medication or nutrients directly into a large vein near your heart. Its removal involves a minor surgical procedure performed under local anesthesia.

This service was performed 19 times for 19 patients

Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance

A lower back spinal tap, guided by imaging, is a procedure to collect spinal fluid for testing. A needle is carefully inserted into the lower back to draw out fluid. This can help diagnose various conditions. It's performed under local anesthesia to minimize discomfort.

This service was performed 16 times for 16 patients

Removal of tunneled central venous tube

A tunneled central venous tube removal is a procedure to take out a long, thin tube that was previously placed in a large vein in your body. This tube helps deliver medication or nutrition. The removal is usually quick and done under local anesthesia.

This service was performed 16 times for 16 patients

Replacement of kidney drainage tube using imaging guidance with review by radiologist

This procedure involves replacing an existing kidney drainage tube. Using imaging technology, a radiologist precisely guides the process to ensure accuracy. This helps drain excess fluid from kidneys, improving their function and your comfort.

This service was performed 28 times for 21 patients

Replacement of stomach or large bowel tube using fluoroscopic guidance with contrast

This procedure involves replacing a tube in your stomach or large bowel. It's guided by a special type of X-ray called fluoroscopy, which helps ensure accurate placement. Contrast material is used to enhance the visibility of your internal structures.

This service was performed 12 times for 12 patients

Review by radiologist of abdominal artery image

This procedure involves a radiologist examining an image of your abdominal artery. The goal is to identify any abnormalities or issues that might impact your health. It's a non-invasive method that provides valuable information about your body's circulatory system.

This service was performed 54 times for 38 patients

Review by radiologist of abscess or sinus cavity study

This procedure involves a specialist, known as a radiologist, examining images of your abscess or sinus cavity. These images help identify any problems or changes in your condition. The radiologist's review is crucial in determining the best course of treatment.

This service was performed 15 times for 13 patients

Review by radiologist of additional artery image

This procedure involves a radiologist examining an extra image of your artery. It's done to gain more insight into your vascular health. The radiologist will study the image to identify any abnormalities or issues that may need further medical attention.

This service was performed 106 times for 41 patients

Review by radiologist of ct guidance for needle placement

This process involves a radiologist examining CT scan images to accurately guide a needle's placement within the body. This technique is often used for biopsies or treatments, ensuring precision and safety.

This service was performed 16 times for 15 patients

Ultrasonic guidance for needle placement

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

This service was performed 49 times for 49 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

This service was performed 277 times for 239 patients

Physician Visit Costs

The typical physician office visit costs for Medicare beneficiaries in this area are: $23.71 for a new patient copayment and $19.21 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 92103 ZIP code area.

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

The NPI number 1033521190 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

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Frequently Asked Questions