Alain Berthold, M.D.
NPI 1538320403 · Hospitalist Physician · Oceanside, NY
Enrolled with Medicare as Practitioner - Hospitalist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Alain Berthold, M.D. is a Hospitalist Physician provider in Oceanside, NY (NPI 1538320403).
Provider details
- NPI number
- 1538320403
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 256542 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
17 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
838 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 648 | $90 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 89 | $131 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 53 | $111 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 48 | $150 |
Typical Medicare-allowed amounts for these services range $90–$150 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 39 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 110 | 30 |
| Amlodipine Besylate | 83 | 24 |
| Apixabanbrand: Eliquis | 80 | 11 |
| Famotidine | 60 | 13 |
| Metformin Hcl | 57 | 12 |
| Metoprolol Succinate | 46 | 13 |
| Levothyroxine Sodium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$13 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 300 Community DrManhasset, NY 11030-3816Phone: (516) 562-1000
Registry dates
- Enumerated
- 2008-06-23
- Last updated
- 2023-06-21
- Certified
- 2023-06-21
Frequently asked questions
- What is Alain Berthold's NPI number?
- Alain Berthold's National Provider Identifier (NPI) is 1538320403, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Alain Berthold's specialty?
- Alain Berthold is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Alain Berthold located?
- Alain Berthold's practice location on file with NPPES is 1 Healthy Way, Oceanside, NY 11572-1551.
- What is Alain Berthold's phone number?
- The practice phone number listed in the NPPES registry for Alain Berthold is (516) 632-3000.
- Does Alain Berthold accept Medicare?
- Alain Berthold is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Alain Berthold's NPI active?
- Yes — Alain Berthold's NPI (1538320403) is active in the NPPES registry as of the last update on 2023-06-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.