EVAN M BERGER
NPI 1356769731
Ophthalmology - Retina Specialist in Norfolk, VA
About Evan M Berger NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVAN M BERGER (NPI 1356769731) is an individual retina specialist in Norfolk, Virginia, licensed in Virginia (0101270075) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Sentara Norfolk General Hospital, and is a graduate of Eastern Virginia Medical School (2014).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Evan M Berger 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.
Medicare Billing Reassignments
2Medicare enrollment records show Evan Berger reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Norfolk, VA 23502
- Reassigned Medicare billing, North Carolina and Virginia enrollments
- 3 clinicians in this Medicare group
Exmore, VA 23350
- Reassigned Medicare billing, Virginia enrollment
- 8 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 18
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sentara Norfolk General Hospital
Acute Care Hospitals · Norfolk, VASentara Virginia Beach General Hospital
Acute Care Hospitals · Virginia Beach, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 23502 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NORFOLK, VA 23502
NORFOLK, VA 23502
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 Evan Berger's NPI number?
The NPI number for Evan Berger is 1356769731. It was assigned to this individual provider in the NPPES registry on April 2, 2014.
Where is Evan Berger located?
Evan Berger practices at 6160 Kempsville Cir Ste 120B, Norfolk, VA 23502. The listed phone number is (757) 481-4400.
What is Evan Berger's specialty?
The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.
Is Evan Berger enrolled in Medicare?
Yes. Evan 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.
Which organizations bill Medicare for Evan Berger's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Evan Berger reassigns Medicare benefits to 2 organizations: Retina & Vitreous Center PC (Norfolk, VA) and Sdec (Exmore, VA). 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 Evan Berger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Evan Berger accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Oscar Health and 7 other insurers list Evan 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.
Is Evan Berger affiliated with any hospitals?
According to CMS data, Evan Berger is affiliated with Sentara Norfolk General Hospital and Sentara Virginia Beach General Hospital.
When was this NPI record last updated?
The NPPES record for Evan Berger was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.