NPI Lens

Philip Alton Berry, M.D.

NPI 1497916753ActiveIndividual· Internal Medicine, Endocrinology, Diabetes & Metabolism· Roswell, GA

Opted out of Medicare from April 2025 to April 2027. Internal Medicine, Endocrinology, Diabetes & Metabolism (M.D.) in Roswell, Georgia, licensed in GA, with an NPI issued in June 2008. Their prescriptions cost Medicare Part D more than their services did: $606,022 for 1,343 claims, against $9,283 paid for services in 2024.

Overview

NPI1497916753
StatusActive
Entity typeIndividual
CredentialM.D.
Sole proprietorYes
NPI issuedJun 19, 2008
Last updated in NPPESJul 8, 2026
Certified by providerJul 8, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Internal Medicine, Endocrinology, Diabetes & Metabolism Primary207RE0101X72184GA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Opt-outOpted out Apr 1, 2025 – Apr 1, 2027
Can order and referYes
Accepts assignmentYes (participating)

During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.

Medicare services in 2024

Medicare patients62
Services billed469 across 20 procedure codes
Paid by Medicare$9,283

Part D prescriptions in 2024

Prescriptions (claims)1,343 · 3,154 30-day fills
Patients301
Total drug cost$606,022
Generic share46% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other endocrinologists in Roswell

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