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DR. JENNIFER K BERGE M.D.
NPI 1063492361
Otolaryngology in West Burlington, IA

Active since January 20, 2006PECOS EnrolledAccepts Medicare Assignment
79.21/100
CMS Quality Rating
1225 S GEAR AVE, STE 255, WEST BURLINGTON, IA 52655(319) 752-2725(319) 753-1084 Get Directions Write a Review

NPPES record last updated: February 4, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jennifer K Berge M.d. NPPES

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

DR. JENNIFER K BERGE M.D. (NPI 1063492361) is an individual otolaryngology provider in West Burlington, Iowa, licensed in Iowa (34553) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Southeast Iowa Regional Medical Center, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1992).

NPPES Registry Identity

NPI1063492361
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameDR. JENNIFER K BERGECredential: M.D.
Location Address1225 S GEAR AVE, STE 255West Burlington, IA 52655-1691
Mailing Address1225 S Gear Ave, Ste 255West Burlington, IA 52655-1691 · (319) 752-2725 · Fax (319) 753-1084
Phone(319) 752-2725
Fax(319) 753-1084
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1992
Enumeration DateJanuary 20, 2006
Last NPPES UpdateFebruary 4, 2014
✔ NPI 1063492361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in IA · 34553
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedAllergy & ImmunologyTaxonomy 207K00000X · License 34553 (IA)
Also ListedAllergy & Immunology · AllergyTaxonomy 207KA0200X · License 34553 (IA)
Also ListedAllergy & Immunology · Clinical & Laboratory ImmunologyTaxonomy 207KI0005X · License 34553 (IA)
1225 S GEAR AVE, West Burlington, IA 52655
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Other Identifiers 6

Other49542IA · Wellmark Individual #
Medicare ID-Type UnspecifiedI5597IA · Group Medicare #
Medicare UPINH45102
Medicaid0260893IA
Other06724IA · Wellmark Group #
Medicare ID-Type UnspecifiedI6406IA · Indvidual Medicare #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan 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 and accepts Medicare assignment

Dr. Jennifer K Berge 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 ID2668507583
PECOS Enrollment IDI20100317000827
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 4

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.
178 services150 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.
148 services134 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.
89 services89 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
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.

Southeast Iowa Regional Medical Center

Acute Care Hospitals · West Burlington, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160057
Location1221 South Gear AvenueWest Burlington, IA 52655 · Des Moines County
Emergency services Birthing friendly

Van Buren County Hospital

Critical Access Hospitals · Keosauqua, IA
OwnershipGovernment - Local
CMS Certification Number161337
Location304 Franklin StreetKeosauqua, IA 52565 · Van Buren County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52655 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.

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.

79.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.43
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 11

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

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers32 claims32 services$104.62 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers29 claims58 services$42.40 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers13 claims59 services$25.58 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
4 suppliers23 claims23 services$67.34 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers30 claims30 services$24.03 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers41 claims41 services$21.27 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.

LISA ANN LAKE DNP
Nurse Practitioner (Family)
1225 S GEAR AVE, SUITE 159
WEST BURLINGTON, IA 52655
Des Moines County (319) 768-1570
RAJ BHUI
Family Medicine
1225 S GEAR AVE, SUITE 159
WEST BURLINGTON, IA 52655
Des Moines County (319) 768-1570
RICHARD E WHITAKER LMFT
Counselor (Mental Health)
1225 S GEAR AVE, STE 252
WEST BURLINGTON, IA 52655
Des Moines County (319) 768-3700
DR. EUGENE R PANKEY D.D.S.
Dentist (Oral and Maxillofacial Surgery)
1225 S GEAR AVE, MERCY PLZ STE 156
W BURLINGTON, IA 52655
Des Moines County (319) 752-2659
ANEESH NEEKHRA MD
Psychiatry & Neurology (Neurology)
1225 S GEAR AVE, SUITE 153, MERCY PLAZA
WEST BURLINGTON, IA 52655
Des Moines County (319) 754-4400
JAMESON ORTHOPEDIC CLINIC PC
Orthopaedic Surgery
1225 S GEAR AVE, SUITE 159
WEST BURLINGTON, IA 52655
Des Moines County (319) 752-4553
MARY CATHERINE BENTLER P.A.
Physician Assistant
1225 S GEAR AVE, SUITE 153
WEST BURLINGTON, IA 52655
Des Moines County (319) 754-4400
DR. VIREN MAWOJ KUMAR RAHEJA MBBS
Internal Medicine
1225 S GEAR AVE
WEST BURLINGTON, IA 52655
Des Moines County (319) 768-3700

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 Jennifer Berge's NPI number?

The NPI number for Jennifer Berge is 1063492361. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Where is Jennifer Berge located?

Jennifer Berge practices at 1225 S Gear Ave Ste 255, West Burlington, IA 52655. The listed phone number is (319) 752-2725.

What is Jennifer Berge's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Jennifer Berge enrolled in Medicare?

Yes. Jennifer Berge 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 Jennifer Berge accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Jennifer Berge 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 Jennifer Berge affiliated with any hospitals?

According to CMS data, Jennifer Berge is affiliated with Southeast Iowa Regional Medical Center and Van Buren County Hospital.

When was this NPI record last updated?

The NPPES record for Jennifer Berge was last updated on February 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.