Marco Antonio Berrones , PA
Physician Assistant - Surgical โข Plainview, NY
888 Old Country Rd
Plainview, NY 118034914
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Marco Berrones is listed in NPPES under Physician Assistant - Surgical.
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NPI assigned on October 16, 2006; this date does not establish years in practice.
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Published CMS data list 98 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 44213 โ Partial release of large bowel and partial removal of large bowel using an endoscope: 37 service units.
- 38570 โ Biopsy and removal of lymph nodes of abdominal cavity using an endoscope: 22 service units.
- 44207 โ Partial removal of large bowel and reattachment to rectum using an endoscope: 22 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 4 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 119 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) โ 107 prescription fills, including refills.
- Metronidazole โ 12 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table ยท Guide: How to read Medicare Part D prescriber data
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Close to the middle for Medicare Part B services among clinicians listed under Physician Assistant - Surgical in New York (2024, 665 clinicians with data). Median for this group: 112. Middle half: 40 to 387.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 32 in 2020 to 98 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
888 Old Country Rd
Plainview, NY 118034914
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 2 distinct group names: North Shore-Lij Medical Pc; Samaritan Medical Services Pc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2001
What Public CMS Data Show
Physician Assistant - Surgical: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
66 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $12,717 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $10,182 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
119 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$393 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2024
All general payments: $79.90 across 3 records.
By nature of payment
- Food and Beverage: $79.90 across 3 records.
Reporting-company totals
- Medtronic, Inc.: $51.49 across 2 records.
- Ethicon Inc.: $28.41 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2024 (published June 30, 2026).
Years since graduation
25 years (graduated 2001)
CMS Doctors and Clinicians data list 2001 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Marco Berrones has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Marco Berrones as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Plainview and New York
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under Physician Assistant - Surgical in New York (2024, 665 clinicians with data). Median for this group: 112. Middle half: 40 to 387.
Too few clinicians listed under Physician Assistant - Surgical in Plainview have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
Close to the middle for clinicians listed under Physician Assistant - Surgical in New York (2024, 665 clinicians with data). Median for this group: $9,573. Middle half: $3,303 to $23,960.
Too few clinicians listed under Physician Assistant - Surgical in Plainview have Medicare Part B data for 2024 to compare.
Paid by Medicare
Close to the middle for clinicians listed under Physician Assistant - Surgical in New York (2024, 665 clinicians with data). Median for this group: $7,293. Middle half: $2,542 to $18,028.
Too few clinicians listed under Physician Assistant - Surgical in Plainview have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Physician Assistant - Surgical in New York (2024, 958 clinicians with data). Median for this group: 97. Middle half: 31 to 298.
Too few clinicians listed under Physician Assistant - Surgical in Plainview have Medicare Part D data for 2024 to compare.
Part D drug cost
A lower Part D drug cost than 60% of clinicians listed under Physician Assistant - Surgical in New York (2024, 958 clinicians with data). Median for this group: $855. Middle half: $156 to $5,999.
Too few clinicians listed under Physician Assistant - Surgical in Plainview have Medicare Part D data for 2024 to compare.
11 active clinicians are listed under Physician Assistant - Surgical with a practice address in Plainview, NY (2,154 in New York).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Plainview
0% of these 11 clinicians have the CMS telehealth indicator.
72.7% of these 11 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 206% from 32 in 2020 to 98 in 2024.
- 2020: 32
- 2021: 76
- 2022: 83
- 2023: 92
- 2024: 98
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Medicare-allowed amount
Medicare-allowed amount increased 133% from $5,465 in 2020 to $12,717 in 2024.
- 2020: $5,465
- 2021: $9,563
- 2022: $12,353
- 2023: $12,275
- 2024: $12,717
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Paid by Medicare
Paid by Medicare increased 133% from $4,379 in 2020 to $10,182 in 2024.
- 2020: $4,379
- 2021: $7,688
- 2022: $9,886
- 2023: $9,799
- 2024: $10,182
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 29% from 92 in 2020 to 119 in 2024.
- 2020: 92
- 2021: 172
- 2022: 167
- 2023: 202
- 2024: 119
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30-day fills
30-day fills increased 29% from 92 in 2020 to 119 in 2024.
- 2020: 92
- 2021: 176
- 2022: 169
- 2023: 210
- 2024: 119
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Part D drug cost
Part D drug cost decreased 82% from $2,136 in 2020 to $393 in 2024.
- 2020: $2,136
- 2021: $5,114
- 2022: $3,780
- 2023: $6,143
- 2024: $393
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $65.14 in 2021 to $79.90 in 2024.
- 2021: $65.14
- 2022: $43.17
- 2024: $79.90
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2024 (payments made January 1 โ December 31, 2024): fewer than 11 records totaling $79.90.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Ethicon Inc. |
Food and Beverage
In-kind items and services
|
Echelon Flex | General | $28.41 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
|
INTERSTIM | General | $25.99 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
|
INTERSTIM | General | $25.50 |
Source: CMS Open Payments, program year 2024, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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44213
Partial release of large bowel and partial removal of large bowel using an endoscope
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37 | 37 | $473.50 | $30.10 |
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38570
Biopsy and removal of lymph nodes of abdominal cavity using an endoscope
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22 | 22 | $1354.00 | $39.54 |
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44207
Partial removal of large bowel and reattachment to rectum using an endoscope
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22 | 22 | $4336.50 | $293.88 |
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44204
Partial removal of large bowel using an endoscope
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17 | 17 | $3649.50 | $251.04 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 107 | 531 | $345.24 | 100 |
| Metronidazole | Metronidazole | 12 | 51 | $47.45 | 11 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 363AS0400X
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20090715000598
NY
6305998774
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
North Shore-Lij Medical Pc
300 Community Dr Ll, Manhasset, NY 110303816
Phone: 5165622229
North Shore-Lij Medical Pc
350 Community Dr, Manhasset, NY 110303816
Phone: 5165623845
North Shore-Lij Medical Pc
300 Community Dr, Manhasset, NY 110303816
Samaritan Medical Services Pc
1000 Montauk Hwy, West Islip, NY 117954927
Phone: 5167052689
North Shore-Lij Medical Pc
330 Community Dr, Manhasset, NY 110303816
Phone: 5167082550
North Shore-Lij Medical Pc
270 Park Ave, Huntington, NY 117432787
Phone: 6313512219
North Shore-Lij Medical Pc
270 Park Ave, Huntington, NY 117432787
Phone: 6313512356
Samaritan Medical Services Pc
50 Route 25a, Smithtown, NY 117871348
Phone: 6318623000
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine
Doctor of Medicine (M.D.)
Physician Assistant - Surgical
Nurse Practitioner - Family
Family Nurse Practitioner
Hospitalist
Doctor of Osteopathic Medicine (D.O.)
Student in an Organized Health Care Education/Training Program
Anesthesiology
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated October 16, 2006.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Physician Assistant - Surgicals in Plainview
- Sheza Ali
- Qasim Majid, PA
- Fahrina Khan, PA
- Amrinder Jawandha, PA-C
- Kelly Nordland, MS, PA-C
- Chiara Quaresimo, PHYSICIAN ASSISTANT
Mailing Address
972 Brush Hollow Rd
Westbury, NY 115901740
Phone: 5168765555