Seth Berney, M.D.
NPI 1205858651 · Rheumatology Physician · Norfolk, VA
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Seth Berney, M.D. is a Rheumatology Physician provider in Norfolk, VA (NPI 1205858651).
Provider details
- NPI number
- 1205858651
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- T2014-141 (AR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
134 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 42 | $16 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 26 | $206 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 22 | $55 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 20 | $88 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 12 | $108 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 40 | 14 |
| Alendronate Sodium | 37 | — |
| Methotrexate Sodiumbrand: Methotrexate | 29 | — |
| Mycophenolate Mofetil | 18 | — |
| Sulfasalazine | 14 | — |
| Omeprazole | 13 | — |
| Celecoxib | 12 | — |
| Belimumab |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-24
- Last updated
- 2023-01-04
- Certified
- 2022-12-05
Frequently asked questions
- What is Seth Berney's NPI number?
- Seth Berney's National Provider Identifier (NPI) is 1205858651, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Seth Berney's specialty?
- Seth Berney is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Seth Berney located?
- Seth Berney's practice location on file with NPPES is 825 Fairfax Ave Ste 445, Norfolk, VA 23507-1912.
- What is Seth Berney's phone number?
- The practice phone number listed in the NPPES registry for Seth Berney is (757) 446-8920.
- Does Seth Berney accept Medicare?
- Seth Berney is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Seth Berney's NPI active?
- Yes — Seth Berney's NPI (1205858651) is active in the NPPES registry as of the last update on 2023-01-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.