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TONY L BERG MD
NPI 1053492827
Family Medicine in Burke, SD

Active since October 18, 2006PECOS Enrolled
97.33/100
CMS Quality Rating
809 JACKSON ST, BURKE, SD 57523(605) 775-2631(605) 775-2564 Get Directions Write a Review

NPPES record last updated: October 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tony L Berg Md NPPES

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

TONY L BERG MD (NPI 1053492827) is an individual family medicine provider in Burke, South Dakota, licensed in South Dakota (2460) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053492827
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTONY L BERGCredential: MD
Location Address809 JACKSON STBurke, SD 57523-2065
Mailing AddressPo Box 319Burke, SD 57523-0319 · (605) 775-2631 · Fax (605) 775-2564
Phone(605) 775-2631
Fax(605) 775-2564
Sole ProprietorNo
Enumeration DateOctober 18, 2006
Last NPPES UpdateOctober 25, 2022
NPPES CertifiedOctober 25, 2022
✔ NPI 1053492827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SD · 2460
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
809 JACKSON ST, Burke, SD 57523
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Other Identifiers 3

Medicaid560052SD
Other0851370001Dme
Medicaid5600050SD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tony L Berg Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57523 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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.

97.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.25
Promoting Interoperability96
Improvement Activities40

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRITTNEY MICHELE KORTHALS CNP
Nurse Practitioner (Family)
809 JACKSON ST
BURKE, SD 57523
Gregory County (605) 775-2621
COMMUNITY MEMORIAL HOSPITAL, INC
General Acute Care Hospital (Critical Access)
809 JACKSON ST
BURKE, SD 57523
Gregory County (605) 775-2631
DEBRA K LEIBEL CNP
Nurse Practitioner (Family)
809 JACKSON ST
BURKE, SD 57523
Gregory County (605) 775-2631
MARY S CARPENTER MD
Family Medicine
809 JACKSON ST
BURKE, SD 57523
Gregory County (605) 775-2631
COMMUNITY MEMORIAL HOSPITAL, INC
Clinic/Center (Rural Health)
809 JACKSON ST
BURKE, SD 57523
Gregory County (605) 775-2631
COMMUNITY MEMORIAL HOSPITAL INC
Clinic/Center (Critical Access Hospital)
809 JACKSON ST
BURKE, SD 57523
Gregory County (605) 775-2621
MEGAN M SMITH M.D.
Family Medicine
809 JACKSON ST
BURKE, SD 57523
Gregory County (605) 775-2631
COMMUNITY MEMORIAL HOSPITAL
Home Health
809 JACKSON ST
BURKE, SD 57523
Gregory County (605) 775-2621

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 Tony Berg's NPI number?

The NPI number for Tony Berg is 1053492827. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Tony Berg located?

Tony Berg practices at 809 Jackson St, Burke, SD 57523. The listed phone number is (605) 775-2631.

What is Tony Berg's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tony Berg enrolled in Medicare?

Yes. Tony Berg is registered in the Medicare PECOS enrollment system.

What insurance does Tony Berg accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Medica and 2 other insurers list Tony Berg 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 Tony Berg was last updated on October 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.