DR. GARY LEE BERGER MD
NPI 1205818804
Urology in Port Charlotte, FL
NPI Status: Active since November 18, 2005
Contact Information
2400 HARBOR BLVD
SUITE 21
PORT CHARLOTTE, FL
ZIP 33952
Phone: (941) 625-6992
Fax: (941) 625-7238
- Individual
- Male
- Urology
- Medicare Quality Reporting
About GARY BERGER
This page provides the complete NPI Profile along with additional information for Gary Berger, a provider established in Port Charlotte, Florida with a medical specialization in Urology. The healthcare provider is registered in the NPI registry with number 1205818804 assigned on November 2005. The practitioner's primary taxonomy code is 208800000X with license number ME0030516 (FL). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1205818804
- Provider Name
- DR. GARY LEE BERGER MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2400 HARBOR BLVD SUITE 21 PORT CHARLOTTE, FL 33952
- Location Phone
- (941) 625-6992
- Location Fax
- (941) 625-7238
- Mailing Address
- 2234 COLONIAL BLVD MANAGED CARE DEPARTMENT FORT MYERS, FL 33907
- Mailing Phone
- (239) 931-7342
- Mailing Fax
- (941) 625-7238
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-18-2005
- Last Update Date
- 04-25-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Urology
- Taxonomy Code
- 208800000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME0030516
- License State
- FL
- Taxonomy Description
- A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 217124 | OTHER (01) | FL | AVMED |
| 8707000 | OTHER (01) | FL | CIGNA PROVIDER # |
| D53420 | MEDICARE UPIN (02) | FL | |
| 1192904 | OTHER (01) | FL | WELLCARE |
| 002736800 | MEDICAID (05) | FL | |
| 25028Z | MEDICARE PIN (08) | FL | |
| 47450 | OTHER (01) | FL | BCBS OF FL |
| 8707000 | OTHER (01) | FL | CIGNA |
| 25028 | OTHER (01) | FL | BCBS PROVIDER # |
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Annual registration in the Prescription Drug Monitoring Program | Yes | N/A |
| Annual registration by eligible clinician or group in the prescription drug monitoring program of the state where they practice. Activities that simply involve registration are not sufficient. MIPS eligible clinicians and groups must participate for a minimum of 6 months. | ||
| Consultation of the Prescription Drug Monitoring Program | Yes | N/A |
| Clinicians would attest to reviewing the patients’ history of controlled substance prescription using state prescription drug monitoring program (PDMP) data prior to the issuance of a Controlled Substance Schedule II (CSII) opioid prescription lasting longer than 3 days. For the transition year, clinicians would attest to 60 percent review of applicable patient’s history. For the Quality Payment Program Year 2 and future years, clinicians would attest to 75 percent review of applicable patient’s history performance. | ||
| Implementation of formal quality improvement methods, practice changes, or other practice improvement processes | Yes | N/A |
| Adopt a formal model for quality improvement and create a culture in which all staff actively participates in improvement activities that could include one or more of the following such as: • Multi-Source Feedback; • Train all staff in quality improvement methods; • Integrate practice change/quality improvement into staff duties; • Engage all staff in identifying and testing practices changes; • Designate regular team meetings to review data and plan improvement cycles; • Promote transparency and accelerate improvement by sharing practice level and panel level quality of care, patient experience and utilization data with staff; and/or • Promote transparency and engage patients and families by sharing practice level quality of care, patient experience and utilization data with patients and families, including activities in which clinicians act upon patient experience data. | ||
| Use of Patient Safety Tools | Yes | N/A |
| Use of tools that assist specialty practices in tracking specific measures that are meaningful to their practice, such as use of a surgical risk calculator, evidence based protocols such as Enhanced Recovery After Surgery (ERAS) protocols, the CDC Guide for Infection Prevention for Outpatient Settings, (https://www.cdc.gov/hai/settings/outpatient/outpatient-care-guidelines.html), predictive algorithms, or other such tools. | ||
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1205818804, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PORT CHARLOTTE, FL 33952
PORT CHARLOTTE, FL 33952
PORT CHARLOTTE, FL 33952
PORT CHARLOTTE, FL 33952
PORT CHARLOTTE, FL 33952
PORT CHARLOTTE, FL 33952
PORT CHARLOTTE, FL 33952
PORT CHARLOTTE, FL 33952
PORT CHARLOTTE, FL 33952
PORT CHARLOTTE, FL 33952
PORT CHARLOTTE, FL 33952
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205818804, enumerated as an "individual" on November 18, 2005.
The provider is located at 2400 HARBOR BLVD SUITE 21 PORT CHARLOTTE, FL 33952 and the phone number is (941) 625-6992.
Urology with taxonomy code 208800000X.
The provider might be accepting Accepts: Medicare, Medicaid, Cigna, Wellcare and Blue Cross. Please consult your insurance carrier or call the provider to verify.
