KAREN BERGER MD
NPI 1376562702
Family Medicine in Madison, WI

Q: What is Karen Berger's NPI number?

The NPI number for Karen Berger is 1376562702. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Q: What is Karen Berger's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Karen Berger was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment

99.3/100

CMS Quality Rating

5621 VARSITY HL, MADISON, WI 53705(608) 469-0310 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 6, 2026, Feb 9, 2017 (2 updates tracked since 2017).

On this page

About Karen Berger Md NPPES

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

KAREN BERGER MD (NPI 1376562702) is an individual family medicine provider in Madison, Wisconsin, licensed in Wisconsin (41302) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Upland Hills Health, and is a graduate of University Of Wisconsin School Of Medicine (1997).

NPPES Registry Identity

NPI1376562702

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameKAREN BERGERCredential: MD

Location Address5621 VARSITY HLMadison, WI 53705-4653

Mailing Address5621 Varsity HlMadison, WI 53705-4653 · (608) 469-0310

Phone(608) 469-0310

Sole ProprietorNo

Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1997

Enumeration DateJuly 18, 2006

Last NPPES UpdateJanuary 6, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 6, 2026

✔ NPI 1376562702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WI · 41302

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5621 VARSITY HL, Madison, WI 53705

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Group Health Cooperative-SCW.Insurance ›

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

Karen 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 ID7315908597

PECOS Enrollment IDI20041021000120

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.

Hospital Affiliations CMS Care Compare

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

Upland Hills Health

Critical Access Hospitals · Dodgeville, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521352

Location800 Compassion WayDodgeville, WI 53533 · Iowa County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53705 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

99.3/100

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

Scored as part of a group practice

Quality

98.74

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers14 claims43 services$6.60 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

1 supplier12 claims12 services$17.37 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

2 suppliers13 claims78 services$2.36 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier14 claims14 services$3.76 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers12 claims14 services$178.51 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Karen Berger's NPI number?

The NPI number for Karen Berger is 1376562702. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Karen Berger located?

Karen Berger practices at 5621 Varsity Hl, Madison, WI 53705. The listed phone number is (608) 469-0310.

What is Karen Berger's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Karen Berger enrolled in Medicare?

Yes. Karen 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.

What insurance does Karen Berger accept?

Health plans from Group Health Cooperative-SCW list Karen 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 Karen Berger affiliated with any hospitals?

According to CMS data, Karen Berger is affiliated with Upland Hills Health.

When was this NPI record last updated?

The NPPES record for Karen Berger was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.