Nicholas Berlon, M.D.
NPI 1619361169 · Internal Medicine Physician · Muncie, IN
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicholas Berlon, M.D. is a Internal Medicine Physician provider in Muncie, IN (NPI 1619361169).
Provider details
- NPI number
- 1619361169
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 133989 (AK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
11 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
4,831 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 489 | $119 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 361 | $9 |
| 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 | 361 | $15 |
| Blood Test, Comprehensive Group of Blood Chemicals80053 | 255 | $10 |
| Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test and Automated Differential White Blood Cell Count85025 | 246 | $8 |
| Blood Test, Lipids (cholesterol and Triglycerides) |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 87 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 264 | 117 |
| Levothyroxine Sodium | 177 | 67 |
| Amlodipine Besylate | 130 | 50 |
| Lisinopril | 117 | 41 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 110 | 28 |
| Tamsulosin Hcl | 107 | 42 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,172 across 116 records (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 (2)
- 247 N Fireweed St Ste aSoldotna, AK 99669-7593Phone: (907) 262-8597
- 1959 Ne Pacific StRoom Bb-527, Box 356421Seattle, WA 98195-6421Phone: (206) 543-3605
Registry dates
- Enumerated
- 2015-03-23
- Last updated
- 2023-10-05
- Certified
- 2023-10-05
Frequently asked questions
- What is Nicholas Berlon's NPI number?
- Nicholas Berlon's National Provider Identifier (NPI) is 1619361169, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicholas Berlon's specialty?
- Nicholas Berlon is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Nicholas Berlon located?
- Nicholas Berlon's practice location on file with NPPES is 1910 W Royale Dr, Muncie, IN 47304-2264.
- What is Nicholas Berlon's phone number?
- The practice phone number listed in the NPPES registry for Nicholas Berlon is (765) 289-1011.
- Does Nicholas Berlon accept Medicare?
- Nicholas Berlon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicholas Berlon's NPI active?
- Yes — Nicholas Berlon's NPI (1619361169) is active in the NPPES registry as of the last update on 2023-10-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.