DR. JOHN PAUL BERGER D.O.
NPI 1003014911
Internal Medicine - Pulmonary Disease in Greeley, CO
About Dr. John Paul Berger D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN PAUL BERGER D.O. (NPI 1003014911) is an individual pulmonary disease provider in Greeley, Colorado, licensed in Colorado (DR.007020) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (2007).
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. John Paul Berger D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show John Berger reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Loveland, CO 80538
- Reassigned Medicare billing, Colorado enrollment
- 2,596 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 15
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80634 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 17
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is John Berger's NPI number?
The NPI number for John Berger is 1003014911. It was assigned to this individual provider in the NPPES registry on July 3, 2007.
Where is John Berger located?
John Berger practices at 6767 29th St Fl 2, Greeley, CO 80634. The listed phone number is (970) 224-9102.
What is John Berger's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is John Berger enrolled in Medicare?
Yes. John Berger is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for John Berger's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Berger reassigns Medicare benefits to Poudre Valley Medical Group, LLC (Loveland, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Berger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Berger accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan and Select Health list John Berger as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for John Berger was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. John Paul Berger, D.O. · NPI 1003014911
Pulmonary Disease physician in Greeley, Colorado. Individual provider, active in the CMS NPPES registry since July 3, 2007.
## Identity
- **NPI:** 1003014911 (Entity type: Individual)
- **Enumerated:** July 3, 2007
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **State license:** DR.007020 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 6767 29TH ST FL 2, Greeley, CO 80634-5474
- **Phone:** (970) 224-9102 · **Fax:** (970) 224-9112
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Poudre Valley Medical Group, LLC (NPI 1366763260, Loveland, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Des Moines University Of Osteopathic Medicine And Health Sciences, class of 2007
## Record status
- **NPPES last updated:** June 5, 2025
- **Other identifiers:** Medicaid 9000219518 (CO)
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Source: [NPI Profile](https://npiprofile.com/npi/1003014911) · Data from the CMS NPPES public registry.