DR. WILLIAM SCOTT BERGER M.D.
NPI 1497715213
Surgery in Winston-salem, NC

Q: What is William Berger's NPI number?

The NPI number for William Berger is 1497715213. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Q: What is William Berger's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for William Berger was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 March 24, 2006PECOS EnrolledAccepts Medicare Assignment

2915 LYNDHURST AVE, WINSTON-SALEM, NC 27103(336) 765-5221(336) 765-0430 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Oct 25, 2020 (2 updates tracked since 2020).

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About Dr. William Scott Berger M.d. NPPES

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

DR. WILLIAM SCOTT BERGER M.D. (NPI 1497715213) is an individual surgery provider in Winston-salem, North Carolina, licensed in North Carolina (200400807) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and is a graduate of University Of Alabama School Of Medicine (1999).

NPPES Registry Identity

NPI1497715213

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. WILLIAM SCOTT BERGERCredential: M.D.

Location Address2915 LYNDHURST AVEWinston-salem, NC 27103-4005

Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (336) 765-5221 · Fax (336) 765-0430

Phone(336) 765-5221

Fax(336) 765-0430

Sole ProprietorNo

Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1999

Enumeration DateMarch 24, 2006

Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 6, 2020

✔ NPI 1497715213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in NC · 200400807✔ Licensed in NC · 02282

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

2915 LYNDHURST AVE, Winston-salem, NC 27103

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Other Identifiers 2

Other02282NC · Nc License

Medicaid89137V0NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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. William Scott Berger M.d. 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 ID9931164266

PECOS Enrollment IDI20041129000049

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 12

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

74 services74 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

37 services33 patients

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

35 services35 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.

29 services28 patients

Repair of groin hernia (5 years or older) 49505

Repair of a groin hernia is a procedure aimed at fixing an abnormal bulge that can occur in the area between your abdomen and thigh. This condition happens when tissue pushes through a weak spot in your lower abdominal wall. The repair procedure returns this tissue back to its proper place.

27 services27 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

25 services25 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

24 services24 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

20 services20 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

16 services15 patients

Removal of gallbladder using an endoscope 47562

This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.

12 services12 patients

Repair of groin hernia using an endoscope 49650

This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.

12 services12 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340014

Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County

Emergency services Birthing friendly

Novant Health Medical Park Hospital

Acute Care Hospitals · Winston-Salem, NC

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number340148

Location1950 S Hawthorne RdWinston-Salem, NC 27103 · Forsyth County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27103 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

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.

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

91%123 patients4/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

67%150 patients3/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

45%177 patients2/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis

54%56 patients3/55-star benchmark: 98%

Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older

Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months

6%65 patients1/55-star benchmark: 100%

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.

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.

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

2 suppliers13 claims243 services$5.77 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 14

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

NIKHIL TEPPARA M.D.

Surgery

2915 LYNDHURST AVE
WINSTON SALEM, NC 27103

Forsyth County (336) 765-5221

NOVANT HEALTH MEDICAL GROUP, LLC

Surgery

2915 LYNDHURST AVE
WINSTON SALEM, NC 27103

Forsyth County (336) 765-5221

SALEM SURGICAL ASSOCS PA

Surgery

2915 LYNDHURST AVE
WINSTON SALEM, NC 27103

Forsyth County (336) 765-5221

DR. PATRICK BRYAN DENNIS MD

Surgery

2915 LYNDHURST AVE
WINSTON SALEM, NC 27103

Forsyth County (336) 765-5221

JOHN WILLIAM FOSTER MANN MD

Surgery

2915 LYNDHURST AVE
WINSTON-SALEM, NC 27103

Forsyth County (336) 765-5221

SARAH ANDERSON PA-C

Physician Assistant

2915 LYNDHURST AVE
WINSTON SALEM, NC 27103

Forsyth County (336) 765-5221

KEVIN LEON SPAINHOUR N.P.

Nurse Practitioner

2915 LYNDHURST AVE
WINSTON SALEM, NC 27103

Forsyth County (336) 765-5221

PAUL STEVEN CHANDLER MD

Surgery

2915 LYNDHURST AVE
WINSTON SALEM, NC 27103

Forsyth County (336) 765-5221

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 William Berger's NPI number?

The NPI number for William Berger is 1497715213. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is William Berger located?

William Berger practices at 2915 Lyndhurst Ave, Winston-Salem, NC 27103. The listed phone number is (336) 765-5221.

What is William Berger's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is William Berger enrolled in Medicare?

Yes. William 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 William Berger accept?

Health plans from Blue Cross and Blue Shield of NC list William 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 William Berger affiliated with any hospitals?

According to CMS data, William Berger is affiliated with Novant Health Forsyth Medical Center and Novant Health Medical Park Hospital.

When was this NPI record last updated?

The NPPES record for William Berger was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.