WILLIAM J BERGER M.D.
NPI 1003892969
Internal Medicine - Cardiovascular Disease in Manhasset, NY

Active since December 21, 2005PECOS EnrolledAccepts Medicare Assignment
19.78/100
CMS Quality Rating
1201 NORTHERN BLVD STE 201, MANHASSET, NY 11030(516) 488-4428(516) 328-2723 Get Directions Write a Review

NPPES record last updated: December 18, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About William J Berger M.d. NPPES

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

WILLIAM J BERGER M.D. (NPI 1003892969) is an individual cardiovascular disease provider in Manhasset, New York, licensed in New York (147427) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of New York Medical College (1979).

NPPES Registry Identity

NPI1003892969
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameWILLIAM J BERGERCredential: M.D.
Location Address1201 NORTHERN BLVD STE 201Manhasset, NY 11030-3001
Mailing Address2001 Marcus Ave, Suite S250New Hyde Park, NY 11042-1011 · (516) 488-4428 · Fax (516) 328-2723
Fax(516) 328-2723
Sole ProprietorYes
Medical School CMSNew York Medical CollegeGraduated 1979
Enumeration DateDecember 21, 2005
Last NPPES UpdateDecember 18, 2017
NPI 1003892969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NY · 147427
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1201 NORTHERN BLVD STE 201, Manhasset, NY 11030

Other Identifiers 8

Other370071PNY · Hip
OtherAS566NY · Oxford
Other0096071NY · Ghi
Other26336NY · Vytra
Other08307NY · Ghi Medicare
Medicaid00963837-9NY
Other147427-9NY · Workmans Comp
Other29434NY · Aetna

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

William J Berger M.d. 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 ID9638260722
PECOS Enrollment IDI20070803000047
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 6

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
651 services276 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.
548 services231 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
101 services66 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
38 services38 patients
Telephonic rhythm strip evaluation of single, dual, multiple lead or leadless pacemaker system, up to 90 days 93293
This service involves a phone-based review of your pacemaker system's rhythm strips, which are electrical recordings of your heart. It helps monitor the pacemaker's function and your heart health for up to 90 days. It's a non-invasive, convenient way to ensure your pacemaker is working properly.
34 services13 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.
22 services22 patients

Hospital Affiliations CMS Care Compare 3

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

St Francis Hospital - The Heart Center

Acute Care Hospitals · Roslyn, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330182
Location100 Port Washington BoulevardRoslyn, NY 11576 · Nassau County
Emergency services

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11030 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
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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.

19.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost65.93

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 William Berger's NPI number?

The NPI number for William Berger is 1003892969. It was assigned to this individual provider in the NPPES registry on December 21, 2005.

Where is William Berger located?

William Berger practices at 1201 Northern Blvd Ste 201, Manhasset, NY 11030. The listed phone number is (516) 488-4428.

What is William Berger's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is William Berger enrolled in Medicare?

Yes. William 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.

Is William Berger affiliated with any hospitals?

According to CMS data, William Berger is affiliated with North Shore University Hospital, St Francis Hospital - The Heart Center and Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for William Berger was last updated on December 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.