1. Home
  2. Directory
  3. Pennsylvania
  4. Johnstown
  5. Pediatrics
  6. NPI Profile

KARL BERGER MD
NPI 1083661417
Pediatrics in Johnstown, PA

Active since May 30, 2006PECOS Enrolled
1141 FRANKLIN ST, FRANKLIN STREET PEDIATRICS, JOHNSTOWN, PA 15905(814) 536-8956(814) 539-6601 Get Directions Write a Review

NPPES record last updated: June 3, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Karl Berger Md NPPES

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

KARL BERGER MD (NPI 1083661417) is an individual pediatrics provider in Johnstown, Pennsylvania, licensed in Pennsylvania (MD016219E) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083661417
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameKARL BERGERCredential: MD
Location Address1141 FRANKLIN ST, FRANKLIN STREET PEDIATRICSJohnstown, PA 15905
Mailing Address1086 Franklin StJohnstown, PA 15905-4305 · (814) 410-8300 · Fax (814) 410-8311
Phone(814) 536-8956
Fax(814) 539-6601
Sole ProprietorNo
Enumeration DateMay 30, 2006
Last NPPES UpdateJune 3, 2014
✔ NPI 1083661417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in PA · MD016219E
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1141 FRANKLIN ST, Johnstown, PA 15905
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified172470PA
Medicaid0006096710001PA
Medicare UPINB40624

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karl Berger 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Karl Berger reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dlp Conemaugh Memorial Medical Center LLC
Same address
Family Medicine
1086 FRANKLIN ST
Johnstown, PA 15905
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 103 clinicians in this Medicare group
NPI 1669873881 (814) 534-9106
Dlp Conemaugh Physician Practices LLC
Same address
Pediatrics
1086 FRANKLIN ST
Johnstown, PA 15905
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 771 clinicians in this Medicare group
NPI 1184025876 (814) 539-8725

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15905 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Other Providers at the Same Location NPPES 3

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

CONEMAUGH HEALTH INITIATIVES
Clinical Medical Laboratory
1141 FRANKLIN ST
JOHNSTOWN, PA 15905
Cambria County (814) 536-8956
CONEMAUGH HEALTH INITIATIVES
Pediatrics
1141 FRANKLIN ST
JOHNSTOWN, PA 15905
Cambria County (814) 536-8956
FRANKLIN STREET PEDIATRICS
Pediatrics
1141 FRANKLIN ST
JOHNSTOWN, PA 15905
Cambria County (814) 536-8956

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 Karl Berger's NPI number?

The NPI number for Karl Berger is 1083661417. It was assigned to this individual provider in the NPPES registry on May 30, 2006.

Where is Karl Berger located?

Karl Berger practices at 1141 Franklin St Franklin Street Pediatrics, Johnstown, PA 15905. The listed phone number is (814) 536-8956.

What is Karl Berger's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Karl Berger enrolled in Medicare?

Yes. Karl Berger is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Karl Berger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karl Berger reassigns Medicare benefits to 2 organizations: Dlp Conemaugh Memorial Medical Center LLC (Johnstown, PA) and Dlp Conemaugh Physician Practices LLC (Johnstown, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Karl Berger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karl Berger accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Karl 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.

When was this NPI record last updated?

The NPPES record for Karl Berger was last updated on June 3, 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.