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Adam Berns, MD

Psychiatry · Gilroy

NPI 1669835047

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
3
2 carriers
Office
1

Offices

1 location · Community Solutions for Children Families and Individuals · 8 clinicians in this group

Looking this up.

Plans that list them

3 plans · 2 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Berns’s office at (408) 842-7138 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

3 of 3 plans

Plans whose provider directory lists this clinician
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026
Anthem Medicare Advantage (HMO-POS)Anthem Blue CrossListedOct 3, 2026
Anthem Prime (HMO-POS)Anthem Blue Cross Partnership PlanListedOct 3, 2026

California Medical Board record

Licence A167143 · Current

Licensed to practise in California · since 2019 · expires 2027-12-31 · New York University School of Medicine.

Matched on the licence number without its letter prefix; check the name before relying on it.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Original Medicare doctor bills

$10,383

Medicare paid this office $10,383 for 43 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Short return visit (20+ min)33$6,369$65
Short return visit19$1,677$42

Who their Medicare patients are

43 Original Medicare patients in 2024. Average age 56 · Under 65 65% · Women 30% · Health risk score 1.26. At or below the middle of the specialty; the typical psychiatry clinician is at 1.35.

Conditions among them: High blood pressure 37% · Depression 30% · Diabetes 28%.

The office billed $71,905, Medicare allowed $17,638 and paid $10,383; for 159 services of 5 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
202443159561.26$71,905$10,383
202349141531.01$52,921$11,266

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 4 services

Original Medicare services billed in 2023
Short return visit (20+ min)31$4,157$70
Return visit (30+ min)23$2,988$83
Psychiatric diagnostic evaluation with medical services11$1,523$138
Short return visit19$1,105$43

Medicaid work

$985 in 2024

Medicaid paid $985 for 25 billed services this clinician did in 2024, up to 13 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
Short return visit (20+ min)25$985
Medicaid work by year
202425113$985

Drugs they prescribed that Part D paid

$681,909

Pharmacies billed $681,909 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 0% of their Part D prescriptions (0 of 1,909) in 2024. At or below the middle of the specialty; the typical psychiatry clinician is at 0%.

1,703 generic and 206 brand-name prescriptions · $681,909 in drug cost · 166 antipsychotic prescriptions to people over 65.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Invega Sustenna100$338,658$3,387
Austedo11$78,485$7,135
Abilify Maintena22$63,566$2,889
Aristada23$54,616$2,375
Clozapine58$9,867$170
See all 35 drugs
Every Part D drug this clinician prescribed
Invega Sustenna100$338,658$3,387
Austedo11$78,485$7,135
Abilify Maintena22$63,566$2,889
Aristada23$54,616$2,375
Clozapine58$9,867$170
Aripiprazole38$4,091$108
Divalproex91$3,641$40
Olanzapine130$3,557$27
Olanzapine Odt40$3,534$88
Fluvoxamine Maleate39$2,184$56
Lurasidone34$1,701$50
Risperidone114$1,643$14
Divalproex Sodium Er26$1,496$58
Benztropine Mesylate122$1,325$11
Fluoxetine81$1,266$16
Naltrexone28$1,203$43
Hydroxyzine56$1,028$18
Prazosin65$967$15
Bupropion Xl60$854$14
Trazodone109$842$8
Haloperidol32$838$26
Lorazepam90$725$8
Mirtazapine48$621$13
Quetiapine65$615$9
Lithium Carbonate25$413$17
Buspirone48$361$8
Clonazepam43$328$8
Gabapentin29$214$7
Lamotrigine30$195$6
Sertraline44$176$4
Escitalopram26$139$5
Hydroxyzine Pamoate11$105$10
Paroxetine23$101$4
Citalopram Hbr19$81$4
Zolpidem12$15$1

Year by year

Part D prescribing by year
20241,9091010% (0)11%$681,909
20231,026900% (0)11%$411,690
202124None0% (0)0%$396
2020154140% (0)9%$24,744
2019255180% (0)5%$34,008
2018140170% (0)None$8,074
201614None0% (0)None$1,540

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 31 drugs

Part D drugs prescribed in 2023
Invega Sustenna60$190,131$3,169
Austedo13$106,225$8,171
Aripiprazole29$6,897$238
Clozapine25$4,312$172
Olanzapine83$2,457$30
Divalproex Sodium Er24$2,152$90
Olanzapine Odt18$2,071$115
Divalproex41$1,698$41
Risperidone68$1,409$21
Ziprasidone13$1,375$106
Fluoxetine35$1,022$29
Haloperidol Decanoate12$923$77
Naltrexone11$840$76
Benztropine Mesylate57$784$14
Bupropion Xl31$782$25
Lorazepam48$566$12
Fluvoxamine Maleate13$551$42
Trazodone62$536$9
Clonazepam34$528$16
Quetiapine28$506$18
Sertraline29$485$17
Duloxetine17$367$22
Gabapentin15$326$22
Prazosin17$291$17
Mirtazapine18$286$16
Zolpidem13$282$22
Buspirone25$273$11
Propranolol16$194$12
Hydroxyzine20$178$9
Lamotrigine20$123$6
Citalopram Hbr18$48$3

2020: 3 drugs

Part D drugs prescribed in 2020
Fluphenazine Decanoate12$1,263$105
Clozapine46$910$20
Lamotrigine11$120$11

2019: 9 drugs

Part D drugs prescribed in 2019
Clozapine46$3,279$71
Olanzapine20$1,741$87
Fluphenazine Decanoate12$916$76
Trazodone15$242$16
Lamotrigine22$237$11
Mirtazapine13$174$13
Benztropine Mesylate17$162$10
Venlafaxine Hcl Er16$90$6
Risperidone11$43$4

2018: 5 drugs

Part D drugs prescribed in 2018
Fluphenazine11$1,134$103
Olanzapine18$980$54
Venlafaxine Hcl Er11$142$13
Benztropine Mesylate13$92$7
Trazodone13$60$5

Money from drug and device companies

$59 in 2022

A payment is not proof that care is biased.

Payments by company
AbbvieVraylar$39
2 payments
  • Meals for Vraylar · 2022-05-19 · $13
  • Meals for Vraylar · 2022-05-12 · $27
CoriumAzstarys$20
1 payment
  • Meals for Azstarys · 2022-03-28 · $20
See all 3 published payments
Every published payment
AbbvieMeals · 2022-05-19Vraylar$13
AbbvieMeals · 2022-05-12Vraylar$27
CoriumMeals · 2022-03-28Azstarys$20

Professional record

NPI
1669835047
Licence
CA 167143California A167143: Current · expires 2027-12-31
Trained
New York University School of Medicine, 2019
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 2084P0802X (2084P0802X)
Mailing address
1 Daniel Burnham Ct Apt 903, San Francisco, CA, 94109
NPI first listed
2016-04-01
NPI last updated
2021-12-27
NPI record certified
2021-12-27

This is when the NPI record was last certified, not a medical board exam.