What is Marco Berrones's specialty?

Marco Berrones (NPI 1215017397) is a Medicare-billing provider whose primary specialty is Physician Assistant in Plainview, NY.

Where does Marco Berrones practice?

Marco Berrones practices in Plainview, NY, based on the location reported in the CMS Medicare provider datasets for NPI 1215017397.

How much does Medicare pay Marco Berrones?

Marco Berrones (NPI 1215017397) received approximately $15K in total Medicare Part B payments, serving 66 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1215017397

Marco BerronesPA

PRACTICEPLAINVIEW HOSPITALSee all providers at this practice →

Physician AssistantPlainview, NYI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

Unique beneficiaries

—

Total services

Distinct HCPCS

Medicare payment

$10K

Peer benchmark

Total Medicare services vs. 8,690 Physician Assistant providers in NY — below median (cohort median 149).

PRESCRIBING · PART D · 2024

Total Rx claims

119

Beneficiaries

—

Total drug cost

$393

Distinct drugs

Brand share

89.9%

Top prescribed drugs

Oxycodone Hcl/Acetaminophen107 claims

Metronidazole12 claims

QUALITY · MIPS · 2024

Final MIPS score

93.1

Quality

79.8

Cost

0.0

Improvement activities

40.0

Promoting interop.

88.8

Payment adjustment

0.76%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2025

No data available for this provider in 2025.

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 330045

Hospital

CCN 330106

Hospital

CCN 330401

Hospital

REFERRAL NETWORK

Where Marco Berrones's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 2 inbound referrers · 3 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
David Rivadeneira Colorectal Surgery (Proctology) · Woodbury, NY	35	79
SOUTH SHORE UNIVERSITY HOSPITAL	15	16

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
David Rivadeneira Colorectal Surgery (Proctology) · Woodbury, NY	41	98
HUNTINGTON HOSPITAL ASSOCIATION	23	32
SOUTH SHORE UNIVERSITY HOSPITAL	15	19

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events