Matthew Berlinger
NPI 1952763831 · Pulmonary Disease Physician · Baton Rouge, LA
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Matthew Berlinger is a Pulmonary Disease Physician provider in Baton Rouge, LA (NPI 1952763831).
Provider details
- NPI number
- 1952763831
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 312029 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
10 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
432 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) |
|---|---|---|
| Critical Care, First 30-74 Minutes99291 | 224 | $199 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 166 | $111 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 16 | $163 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 15 | $74 |
| Insertion of Non-Tunneled Central Venous Tube for Infusion (5 Years Or Older)36556 | 11 | $79 |
Typical Medicare-allowed amounts for these services range $74–$199 (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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$139 across 5 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 (1)
- 7777 Hennessy Blvd Ste 409Baton Rouge, LA 70808-4365Phone: (225) 381-2755Fax: (225) 381-2759
Registry dates
- Enumerated
- 2016-03-22
- Last updated
- 2024-03-20
- Certified
- 2024-03-20
Frequently asked questions
- What is Matthew Berlinger's NPI number?
- Matthew Berlinger's National Provider Identifier (NPI) is 1952763831, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Berlinger's specialty?
- Matthew Berlinger is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Matthew Berlinger located?
- Matthew Berlinger's practice location on file with NPPES is 5246 Brittany Dr, Baton Rouge, LA 70808-9136.
- What is Matthew Berlinger's phone number?
- The practice phone number listed in the NPPES registry for Matthew Berlinger is (225) 270-1726.
- Does Matthew Berlinger accept Medicare?
- Matthew Berlinger is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Matthew Berlinger's NPI active?
- Yes — Matthew Berlinger's NPI (1952763831) is active in the NPPES registry as of the last update on 2024-03-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.