DR. SCOTT LOUIS BERGER MD MPH
NPI 1487174470
Internal Medicine in Miami, FL

Q: What is Scott Berger's NPI number?

The NPI number for Scott Berger is 1487174470. It was assigned to this individual provider in the NPPES registry on June 21, 2017.

Q: What is Scott Berger's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Scott Berger was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 June 21, 2017PECOS EnrolledAccepts Medicare Assignment

81.31/100

CMS Quality Rating

1400 NW 12TH AVE, MIAMI, FL 33136(305) 243-1960 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 4, 2025, Aug 14, 2020, Jun 21, 2017 (3 updates tracked since 2017).

On this page

About Dr. Scott Louis Berger Md Mph NPPES

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

DR. SCOTT LOUIS BERGER MD MPH (NPI 1487174470) is an individual internal medicine provider in Miami, Florida, licensed in Florida (ME151255) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and is a graduate of University Of Miami, Lm Miller School Of Medicine (2017).

NPPES Registry Identity

NPI1487174470

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. SCOTT LOUIS BERGERCredential: MD MPH

Location Address1400 NW 12TH AVEMiami, FL 33136-1003

Mailing Address1400 Nw 12th AveMiami, FL 33136-1003 · (305) 243-1960

Phone(305) 243-1960

Sole ProprietorYes

Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2017

Enumeration DateJune 21, 2017

Last NPPES UpdateFebruary 4, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 4, 2025

✔ NPI 1487174470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in FL · ME151255

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1400 NW 12TH AVE, Miami, FL 33136

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Other Identifiers 1

Medicaid1112789-00FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, AvMed, Oscar Health Maintenance Organization of Florida and more.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

Dr. Scott Louis Berger Md Mph 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 ID5799101457

PECOS Enrollment IDI20210811000596

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 2

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 hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

195 services60 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

26 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 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

$141.56 typical visit price

range $60.92 – $187.05

Typical copayment $35.39 (range $15.23 – $46.76)

Most-billed visit code 99204

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

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.

81.31/100

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

Scored as part of a group practice

Quality

78.45

Promoting Interoperability

100

Improvement Activities

Cost

50.59

Referred Medical Equipment & Supplies CMS DME claims

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

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers25 claims25 services$18.88 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 20

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

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