PAUL S. BERG MD
NPI 1003870429
Internal Medicine - Gastroenterology in New Hyde Park, NY

Active since April 13, 2006PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
2001 MARCUS AVE, SUITE N204, NEW HYDE PARK, NY 11042(516) 684-9229(516) 977-8589 Get Directions Write a Review

NPPES record last updated: February 7, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Paul S. Berg Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAUL S. BERG MD (NPI 1003870429) is an individual gastroenterology provider in New Hyde Park, New York, licensed in New York (198682) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Icahn School Of Medicine At Mount Sinai (1993).

NPPES Registry Identity

NPI1003870429
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NamePAUL S. BERGCredential: MD
Location Address2001 MARCUS AVE, SUITE N204New Hyde Park, NY 11042-2061
Mailing Address130 Shore Rd, #139Port Washington, NY 11050-2205 · (516) 684-9229 · Fax (516) 977-8589
Fax(516) 977-8589
Sole ProprietorYes
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 1993
Enumeration DateApril 13, 2006
Last NPPES UpdateFebruary 7, 2012
NPI 1003870429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in NY · 198682
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

2001 MARCUS AVE, New Hyde Park, NY 11042

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Paul S. Berg Md 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.

PECOS PAC ID7911079447
PECOS Enrollment IDI20080627000540
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 12

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
277 services140 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
151 services106 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
103 services100 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
68 services66 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
63 services62 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
63 services63 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Northwell Hospital Glen Cove

Acute Care Hospitals · Glen Cove, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330181
Location101 St Andrews LaneGlen Cove, NY 11542 · Nassau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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.

Dermatology (Procedural Dermatology)
2001 MARCUS AVE, SUITE N218
LAKE SUCCESS, NY 11042
Optometrist
2001 MARCUS AVE, SUITE 286 WEST
NEW HYDE PARK, NY 11042
Anesthesiology
2001 MARCUS AVE, STE N18
NEW HYDE PARK, NY 11042
Internal Medicine
2001 MARCUS AVE
NEW HYDE PARK, NY 11042
Surgery (Vascular Surgery)
2001 MARCUS AVE, SUITE S50
NEW HYDE PARK, NY 11042
Acupuncturist
2001 MARCUS AVE
NEW HYDE PARK, NY 11042
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
2001 MARCUS AVE, STE 170 W NEW YORK SPECIALISTS LLP
LAKE SUCCESS, NY 11042
Dentist
2001 MARCUS AVE, STE 168 S
LAKE SUCCESS, NY 11042

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 Paul Berg's NPI number?

The NPI number for Paul Berg is 1003870429. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Where is Paul Berg located?

Paul Berg practices at 2001 Marcus Ave Suite N204, New Hyde Park, NY 11042. The listed phone number is (516) 684-9229.

What is Paul Berg's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Paul Berg enrolled in Medicare?

Yes. Paul Berg 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.

Is Paul Berg affiliated with any hospitals?

According to CMS data, Paul Berg is affiliated with North Shore University Hospital and Northwell Hospital Glen Cove.

When was this NPI record last updated?

The NPPES record for Paul Berg was last updated on February 7, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.