DR. IRA LAWRENCE BERGER MD
NPI 1013913284
Internal Medicine in Rockville, MD

Active since June 22, 2005PECOS EnrolledAccepts Medicare Assignment
1201 SEVEN LOCKS RD, STE 111, ROCKVILLE, MD 20854(301) 762-5020(301) 294-7569 Get Directions Write a Review

NPPES record last updated: October 10, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ira Lawrence Berger Md NPPES

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

DR. IRA LAWRENCE BERGER MD (NPI 1013913284) is an individual internal medicine provider in Rockville, Maryland, licensed in Maryland (D0044157) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Suburban Hospital, and is a graduate of Tufts University School Of Medicine (1983).

NPPES Registry Identity

NPI1013913284
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. IRA LAWRENCE BERGERCredential: MD
Location Address1201 SEVEN LOCKS RD, STE 111Rockville, MD 20854-2957
Mailing AddressPo Box 79632Baltimore, MD 21279-0632 · (301) 762-5020 · Fax (301) 309-3783
Fax(301) 294-7569
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 1983
Enumeration DateJune 22, 2005
Last NPPES UpdateOctober 10, 2016
NPI 1013913284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MD · D0044157
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License D0044157 (MD)
1201 SEVEN LOCKS RD, Rockville, MD 20854

Other Identifiers 4

Medicare UPINF50141MD
Medicaid415096100MD
Medicare PIN194522DC
Medicare PIN504564DC

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

Dr. Ira Lawrence Berger 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 ID8820159650
PECOS Enrollment IDI20081211000261
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 39

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
1,023 services694 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
986 services728 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
903 services657 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.
839 services558 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
815 services629 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
743 services612 patients

Hospital Affiliations CMS Care Compare

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

Suburban Hospital

Acute Care Hospitals · Bethesda, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210022
Location8600 Old Georgetown RoadBethesda, MD 20814 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20854 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%5,589 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%251 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
86%2,509 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%2,509 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
66%2,509 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
66%2,509 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 16

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
15 suppliers41 claims114 services$6.79 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers22 claims32 services$1.14 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers11 claims11 services$34.35 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
7 suppliers17 claims17 services$42.97 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers13 claims13 services$16.06 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
6 suppliers12 claims12 services$10.73 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
1201 SEVEN LOCKS RD, SUITE 200
ROCKVILLE, MD 20854
Pharmacy (Mail Order Pharmacy)
1201 SEVEN LOCKS RD
ROCKVILLE, MD 20854
Physiological Laboratory
1201 SEVEN LOCKS RD, SUITE 100
ROCKVILLE, MD 20854
Internal Medicine
1201 SEVEN LOCKS RD, SUITE 111
ROCKVILLE, MD 20854
Internal Medicine
1201 SEVEN LOCKS RD, SUITE 111
ROCKVILLE, MD 20854
Internal Medicine
1201 SEVEN LOCKS RD, STE 111
ROCKVILLE, MD 20854
Podiatrist (Foot Surgery)
1201 SEVEN LOCKS RD, STE 202
ROCKVILLE, MD 20854
Nurse Practitioner (Family)
1201 SEVEN LOCKS RD, SUITE 111
ROCKVILLE, MD 20854

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 Ira Berger's NPI number?

The NPI number for Ira Berger is 1013913284. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Where is Ira Berger located?

Ira Berger practices at 1201 Seven Locks Rd Ste 111, Rockville, MD 20854. The listed phone number is (301) 762-5020.

What is Ira Berger's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ira Berger enrolled in Medicare?

Yes. Ira 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 Ira Berger affiliated with any hospitals?

According to CMS data, Ira Berger is affiliated with Suburban Hospital.

When was this NPI record last updated?

The NPPES record for Ira Berger was last updated on October 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.