CRAIG L BERGER MD
NPI 1225145097
Emergency Medicine in Sewanee, TN

Q: What is Craig Berger's NPI number?

The NPI number for Craig Berger is 1225145097. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Q: What is Craig Berger's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Craig Berger was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 August 25, 2006PECOS EnrolledAccepts Medicare Assignment

84.53/100

CMS Quality Rating

1260 UNIVERSITY AVE, SEWANEE, TN 37375(931) 598-5691 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Craig L Berger Md NPPES

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

CRAIG L BERGER MD (NPI 1225145097) is an individual emergency medicine provider in Sewanee, Tennessee, licensed in Tennessee (41116) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Carson Tahoe Regional Medical Center, and is a graduate of University Of Nevada School Of Medicine (2004).

NPPES Registry Identity

NPI1225145097

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameCRAIG L BERGERCredential: MD

Location Address1260 UNIVERSITY AVESewanee, TN 37375-2303

Mailing Address1431 Centerpoint BlvdKnoxville, TN 37932-1984

Phone(931) 598-5691

Sole ProprietorNo

Medical School CMSUniversity Of Nevada School Of MedicineGraduated 2004

Enumeration DateAugust 25, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1225145097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in TN · 41116

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1260 UNIVERSITY AVE, Sewanee, TN 37375

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Other Identifiers 3

Medicare ID-Type UnspecifiedPENDINGTN

MedicaidPENDINGTN

Medicare UPINPENDINGTN

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

Craig L 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 ID3072512607

PECOS Enrollment IDI20070914000139

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 5

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

200 services193 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

88 services81 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

58 services57 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

40 services39 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.

28 services27 patients

Hospital Affiliations CMS Care Compare

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

Carson Tahoe Regional Medical Center

Acute Care Hospitals · Carson City, NV

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number290019

Location1600 Medical ParkwayCarson City, NV 89703 · Carson City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37375 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

84.53/100

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

Scored as part of a group practice

Quality

81.81

Improvement Activities

Other Providers at the Same Location NPPES 5

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

KAREN M GILSON M.D.

Family Medicine