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THOMAS MICHAEL BERGES APN-C
NPI 1396959847
Nurse Practitioner - Adult Health in Wayne, NJ

Active since May 10, 2007PECOS EnrolledAccepts Medicare Assignment
98.67/100
CMS Quality Rating
493 BLACK OAK RIDGE RD, WAYNE, NJ 07470(973) 692-5950(973) 646-7088 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Thomas Michael Berges Apn-c NPPES

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

THOMAS MICHAEL BERGES APN-C (NPI 1396959847) is an individual adult health provider in Wayne, New Jersey, licensed in New Jersey (26NO10786300) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1396959847
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameTHOMAS MICHAEL BERGESCredential: APN-C
Location Address493 BLACK OAK RIDGE RDWayne, NJ 07470-6501
Mailing Address6 Grandview RdCentral Valley, NY 10917-3724 · (845) 928-0680
Phone(973) 692-5950
Fax(973) 646-7088
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMay 10, 2007
Last NPPES UpdateOctober 1, 2024
NPPES CertifiedOctober 1, 2024
✔ NPI 1396959847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NJ · 26NO10786300
493 BLACK OAK RIDGE RD, Wayne, NJ 07470
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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

Thomas Michael Berges Apn-c 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 ID8729041488
PECOS Enrollment IDI20161019001624
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Thomas Berges reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bridgecare Provider Group LLC
Same address
Primary Care
493 BLACK OAK RIDGE RD
Wayne, NJ 07470
  • Reassigned Medicare billing, New Jersey enrollment
  • 33 clinicians in this Medicare group
NPI 1164148672 (973) 692-9500
Wcg Nj LLC
6.1 mi
Internal Medicine
290 LAFAYETTE AVE
Hawthorne, NJ 07506
  • Reassigned Medicare billing, New Jersey enrollment
  • 14 clinicians in this Medicare group
NPI 1063349892 (973) 427-9200
Wound Healing Associates PC
6.1 mi
Internal Medicine
290 LAFAYETTE AVE
Hawthorne, NJ 07506
  • Reassigned Medicare billing, New Jersey enrollment
  • 29 clinicians in this Medicare group
NPI 1932585445 (973) 427-9200
Valley Physician Services PC
10 mi
Internal Medicine
15 ESSEX RD
Paramus, NJ 07652
  • Reassigned Medicare billing, New Jersey enrollment
  • 833 clinicians in this Medicare group
NPI 1467815928 (201) 291-6086

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 8

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,380 services389 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
402 services368 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
214 services199 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
131 services94 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
46 services30 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
42 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07470 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

98.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality93.57
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%1,031 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%55 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
88%407 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
93%407 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
25%407 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
30%407 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

BRIDGECARE PROVIDER GROUP LLC
Nurse Practitioner (Primary Care)
493 BLACK OAK RIDGE RD
WAYNE, NJ 07470
Passaic County (973) 692-9500
MRS. OLUTOYIN FOLAKE ADEDEJI P.T.
Physical Therapist
493 BLACK OAK RIDGE RD
WAYNE, NJ 07470
Passaic County (973) 646-7080
JILLIAN BETH WOODS MS, OTD, OTR/L
Occupational Therapist
493 BLACK OAK RIDGE RD
WAYNE, NJ 07470
Passaic County (973) 692-9500
493 BLACK OAK RIDGE ROAD, LLC
Assisted Living Facility
493 BLACK OAK RIDGE RD
WAYNE, NJ 07470
Passaic County (973) 692-9500
CHRISTIAN PHILIP DALAGAN SANTOS PT, DPT
Physical Therapist
493 BLACK OAK RIDGE RD
WAYNE, NJ 07470
Passaic County (973) 692-9500

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 Thomas Berges's NPI number?

The NPI number for Thomas Berges is 1396959847. It was assigned to this individual provider in the NPPES registry on May 10, 2007.

Where is Thomas Berges located?

Thomas Berges practices at 493 Black Oak Ridge Rd, Wayne, NJ 07470. The listed phone number is (973) 692-5950.

What is Thomas Berges's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Thomas Berges enrolled in Medicare?

Yes. Thomas Berges 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 Thomas Berges's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Berges reassigns Medicare benefits to 4 organizations: Bridgecare Provider Group LLC (Wayne, NJ), Wcg Nj LLC (Hawthorne, NJ), Wound Healing Associates PC (Hawthorne, NJ) and Valley Physician Services PC (Paramus, NJ). 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 Thomas Berges's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Thomas Berges was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.