DR. PAUL M BERGER MD
NPI 1225027352
Urology in Allentown, PA

Q: What is Paul Berger's NPI number?

The NPI number for Paul Berger is 1225027352. It was assigned to this individual provider in the NPPES registry on October 20, 2005.

Q: What is Paul Berger's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Paul Berger was last updated on February 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since October 20, 2005PECOS EnrolledAccepts Medicare Assignment

95.64/100

CMS Quality Rating

5018 MEDICAL CENTER CIR, SUITE 240, ALLENTOWN, PA 18106(484) 876-5649(610) 841-3914 Get Directions Write a Review

NPPES record last updated: February 19, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Paul M Berger Md NPPES

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

DR. PAUL M BERGER MD (NPI 1225027352) is an individual urology provider in Allentown, Pennsylvania, licensed in Pennsylvania (MD058959L) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital Bethlehem, and is a graduate of University Of Maryland School Of Medicine (1994).

NPPES Registry Identity

NPI1225027352

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameDR. PAUL M BERGERCredential: MD

Location Address5018 MEDICAL CENTER CIR, SUITE 240Allentown, PA 18106-9661

Mailing Address5018 Medical Center Cir, Suite 240Allentown, PA 18106-9661 · (484) 876-5649 · Fax (610) 841-3914

Phone(484) 876-5649

Fax(610) 841-3914

Sole ProprietorNo

Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1994

Enumeration DateOctober 20, 2005

Last NPPES UpdateFebruary 19, 2016

✔ NPI 1225027352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in PA · MD058959L

Definition

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.

5018 MEDICAL CENTER CIR, Allentown, PA 18106

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Other Identifiers 4

Medicare UPINH11516PA

Medicare PIN094128FRHPA

Other50075231PA · Capital Blue Cross

Medicaid102267334PA

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. Paul M Berger Md 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 ID6709819451

PECOS Enrollment IDI20050914000339

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 21

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.

352 services285 patients

Leuprolide acetate (for depot suspension), 7.5 mg J9217

Leuprolide acetate is a medication that helps regulate certain hormone levels in your body. It's injected into your muscle once a month. This treatment can help manage various health conditions related to hormone imbalance. Always follow your doctor's instructions.

213 services29 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.

200 services180 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

151 services121 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

113 services104 patients

Simple change of bladder tube 51705

A simple change of bladder tube involves replacing your current urinary drainage tube with a new one. This is done to maintain hygiene and prevent infections. It's a straightforward process, usually causing minimal discomfort, and helps ensure your body can properly dispose of waste fluids.

94 services18 patients

Insertion of lower leg neurostimulator electrode 64566

The insertion of a lower leg neurostimulator electrode is a procedure where a small device is placed under your skin. This device sends mild electrical signals to nerves in the lower leg, helping to manage chronic pain. It's a safe, minimally invasive procedure.

84 services15 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

77 services63 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

44 services44 patients

Simple insertion of temporary bladder tube 51702

This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.

43 services15 patients

Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle 96402

This procedure involves the injection of hormone-based anti-cancer drugs under the skin or into a muscle. These medications help to slow down or stop the growth of certain types of cancer cells. The process is usually quick and can be performed in a clinic or hospital.

37 services30 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

36 services36 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

36 services36 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

29 services24 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.

25 services25 patients

Crushing of stone of ureter with insertion of stent using an endoscope 52356

This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.

23 services20 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.

16 services16 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

15 services14 patients

Exam with injections of chemical for destruction of bladder using an endoscope 52287

This procedure involves the use of a thin, flexible tube with a light (endoscope) for internal examination. A chemical is then injected to help eliminate specific issues in the bladder. It's a standard and safe process.

14 services11 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

14 services12 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390049

Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County

Emergency services Birthing friendly

St Luke's Miners Memorial Hospital

Acute Care Hospitals · Coaldale, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390183

Location360 W Ruddle StreetCoaldale, PA 18218 · Schuylkill County

Emergency services

St Luke's Hospital - Monroe Campus

Acute Care Hospitals · Stroudsburg, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390330

Location100 St Luke's LaneStroudsburg, PA 18360 · Monroe County

Emergency services

Geisinger St. Luke's Hospital

Acute Care Hospitals · Orwigsburg, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390332

Location100 Paramount BoulevardOrwigsburg, PA 17961 · Schuylkill County

St Luke's Hospital - Carbon Campus

Acute Care Hospitals · Lehighton, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390335

Location500 St Luke's DriveLehighton, PA 18235 · Carbon County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18106 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

95.64/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.57

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 6

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

Lubricant, individual sterile packet, each A4332

DME-Medical/Surgical Supplies · category DA000N

4 suppliers27 claims3,900 services$0.10 avg. paid by Medicare

Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4338

DME-Orthotic Devices · category DF000N

3 suppliers12 claims36 services$10.17 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

7 suppliers44 claims10,000 services$1.62 avg. paid by Medicare

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

4 suppliers38 claims6,390 services$6.18 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

6 suppliers28 claims128 services$8.48 avg. paid by Medicare

Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358

DME-Orthotic Devices · category DF000N

3 suppliers22 claims111 services$6.41 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 10

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

DR. BRIAN P MURPHY MD

Urology

5018 MEDICAL CENTER CIR, SUITE 101B
ALLENTOWN, PA 18106

Lehigh County (484) 876-5649

MS. DENISE MARTINEZ CRNP

Nurse Practitioner

5018 MEDICAL CENTER CIR, SUITE 240
ALLENTOWN, PA 18106

Lehigh County (484) 876-5649

ARTHUR E FETZER MD

Urology

5018 MEDICAL CENTER CIR
ALLENTOWN, PA 18106

Lehigh County (610) 432-7760

UROLOGY SPECIALISTS OF THE LEHIGH VALLEY PC

Urology

5018 MEDICAL CENTER CIR, SUITE 240
ALLENTOWN, PA 18106

Lehigh County (484) 876-5649

DEBRA A KRAMER CRNP

Nurse Practitioner

5018 MEDICAL CENTER CIR, SUITE 240
ALLENTOWN, PA 18106

Lehigh County (484) 876-5649

UROLOGY SPECIALISTS OF THE LEHIGH VALLEY, PC

Non-Pharmacy Dispensing Site

5018 MEDICAL CENTER CIR, SUITE 101B
ALLENTOWN, PA 18106

Lehigh County (484) 876-5649

PREMIER PHYSICAL THERAPY, INC

Clinic/Center (Physical Therapy)

5018 MEDICAL CENTER CIR
ALLENTOWN, PA 18106

Lehigh County (267) 639-2555

MINDI JOAN SHERER FNP-C

Nurse Practitioner (Family)

5018 MEDICAL CENTER CIR
ALLENTOWN, PA 18106

Lehigh County (484) 526-2598

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 Paul Berger's NPI number?

The NPI number for Paul Berger is 1225027352. It was assigned to this individual provider in the NPPES registry on October 20, 2005.

Where is Paul Berger located?

Paul Berger practices at 5018 Medical Center Cir Suite 240, Allentown, PA 18106. The listed phone number is (484) 876-5649.

What is Paul Berger's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Paul Berger enrolled in Medicare?

Yes. Paul 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.

Is Paul Berger affiliated with any hospitals?

According to CMS data, Paul Berger is affiliated with St Luke's Hospital Bethlehem, St Luke's Miners Memorial Hospital, St Luke's Hospital - Monroe Campus, Geisinger St. Luke's Hospital and St Luke's Hospital - Carbon Campus.

When was this NPI record last updated?

The NPPES record for Paul Berger was last updated on February 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.