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JOSEPH PAUL BERGER M.D.
NPI 1053361832
Obstetrics & Gynecology in Dubuque, IA

Active since May 11, 2006PECOS EnrolledAccepts Medicare Assignment
1500 ASSOCIATES DR, DUBUQUE, IA 52002(563) 584-4435(563) 584-4295 Get Directions Write a Review

NPPES record last updated: January 12, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Joseph Paul Berger M.d. NPPES

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

JOSEPH PAUL BERGER M.D. (NPI 1053361832) is an individual obstetrics & gynecology provider in Dubuque, Iowa, licensed in Iowa (33053) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Mercyone Dubuque Medical Center, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1990).

NPPES Registry Identity

NPI1053361832
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameJOSEPH PAUL BERGERCredential: M.D.
Location Address1500 ASSOCIATES DRDubuque, IA 52002-2201
Mailing Address1500 Associates DrDubuque, IA 52002-2201 · (563) 584-4100 · Fax (563) 584-4110
Phone(563) 584-4435
Fax(563) 584-4295
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1990
Enumeration DateMay 11, 2006
Last NPPES UpdateJanuary 12, 2011
✔ NPI 1053361832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in IA · 33053
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1500 ASSOCIATES DR, Dubuque, IA 52002
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Other Identifiers 3

Medicare UPINF18355
Medicaid1189381IA
Medicare ID-Type UnspecifiedI17176IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Insurance Company.Insurance ›

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

Joseph Paul 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 ID1153338868
PECOS Enrollment IDI20060321000162
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.

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.
68 services46 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
23 services18 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
17 services13 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
17 services17 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
15 services15 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Mercyone Dubuque Medical Center

Acute Care Hospitals · Dubuque, IA
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number160069
Location250 Mercy DriveDubuque, IA 52001 · Dubuque County
Emergency services Birthing friendly

Guttenberg Municipal Hospital

Critical Access Hospitals · Guttenberg, IA
OwnershipGovernment - Local
CMS Certification Number161312
Location200 Main StreetGuttenberg, IA 52052 · Clayton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52002 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

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.

TRI-STATE SURGERY CENTER, L.L.C.
Clinic/Center (Ambulatory Surgical)
1500 ASSOCIATES DR
DUBUQUE, IA 52002
Dubuque County (563) 584-4536
JULIE C IVANOV PA-C
Physician Assistant
1500 ASSOCIATES DR, THE MEDICAL ASSOCIATES CLINIC PC
DUBUQUE, IA 52002
Dubuque County (563) 584-4460
DR. JENNIFER MARIE MOHR D.O.
Family Medicine
1500 ASSOCIATES DR
DUBUQUE, IA 52002
Dubuque County (563) 584-4450
BETHANN BONNER M.D.
Pediatrics
1500 ASSOCIATES DR
DUBUQUE, IA 52002
Dubuque County (563) 584-4440
EDWIN T. CASTANEDA M.D.
Orthopaedic Surgery (Hand Surgery)
1500 ASSOCIATES DR
DUBUQUE, IA 52002
Dubuque County (563) 584-4460
BRIAN WELFORD COVEY M.D.
Internal Medicine (Gastroenterology)
1500 ASSOCIATES DR
DUBUQUE, IA 52002
Dubuque County (563) 584-4430
TERRY LYNN BOYLE D.P.M.
Podiatrist
1500 ASSOCIATES DR
DUBUQUE, IA 52002
Dubuque County (563) 584-4420
TARA LYNN BROCK D.P.M.
Podiatrist
1500 ASSOCIATES DR
DUBUQUE, IA 52002
Dubuque County (563) 584-4420

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 Joseph Berger's NPI number?

The NPI number for Joseph Berger is 1053361832. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Joseph Berger located?

Joseph Berger practices at 1500 Associates Dr, Dubuque, IA 52002. The listed phone number is (563) 584-4435.

What is Joseph Berger's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Joseph Berger enrolled in Medicare?

Yes. Joseph 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.

What insurance does Joseph Berger accept?

Health plans from Medica and Oscar Insurance Company list Joseph 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.

Is Joseph Berger affiliated with any hospitals?

According to CMS data, Joseph Berger is affiliated with Mercyone Dubuque Medical Center and Guttenberg Municipal Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Berger was last updated on January 12, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.