LISA MARIE BERGER P.A.
NPI 1497729172
Physician Assistant in Grand Rapids, MI

Active since February 17, 2006PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
145 MICHIGAN ST NE, SUITE 3100, GRAND RAPIDS, MI 49503(616) 954-9800(616) 954-1724 Get Directions Write a Review

NPPES record last updated: March 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 13, 2020, Apr 27, 2018 (2 updates tracked since 2018).

About Lisa Marie Berger P.a. NPPES

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

LISA MARIE BERGER P.A. (NPI 1497729172) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601004069) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1497729172
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLISA MARIE BERGERCredential: P.A.
Location Address145 MICHIGAN ST NE, SUITE 3100Grand Rapids, MI 49503-2562
Mailing Address5800 Foremost Dr Se Ste 300Grand Rapids, MI 49546-7062 · (616) 954-9800
Fax(616) 954-1724
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateFebruary 17, 2006
Last NPPES UpdateMarch 13, 20202 updates tracked since enumeration
NPPES CertifiedMarch 13, 2020
NPI 1497729172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601004069
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
145 MICHIGAN ST NE, Grand Rapids, MI 49503

Other Names 1

Former Name (1)Lisa Marie Duga

Accepted 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

Lisa Marie Berger P.a. 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 ID4183619984
PECOS Enrollment IDI20040420000565
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

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 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.
31 services28 patients

Hospital Affiliations CMS Care Compare

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.75
Promoting Interoperability98
Improvement Activities40

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.

Otolaryngology
145 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Internal Medicine (Medical Oncology)
145 MICHIGAN ST NE, SUITE 5200
GRAND RAPIDS, MI 49503
Nurse Practitioner (Women's Health)
145 MICHIGAN ST NE, SUITE 6300
GRAND RAPIDS, MI 49503
Pharmacist
145 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Genetic Counselor, MS
145 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Registered Nurse (Oncology)
145 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Obstetrics & Gynecology (Gynecologic Oncology)
145 MICHIGAN ST NE, SUITE 6300
GRAND RAPIDS, MI 49503
Nurse Practitioner (Women's Health)
145 MICHIGAN ST NE
GRAND RAPIDS, MI 49503

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 Lisa Berger's NPI number?

The NPI number for Lisa Berger is 1497729172. It was assigned to this individual provider in the NPPES registry on February 17, 2006. The provider is also known as Lisa Marie Duga.

Where is Lisa Berger located?

Lisa Berger practices at 145 Michigan St NE Suite 3100, Grand Rapids, MI 49503. The listed phone number is (616) 954-9800.

What is Lisa Berger's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lisa Berger enrolled in Medicare?

Yes. Lisa 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 Lisa Berger accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 4 other insurers list Lisa 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 Lisa Berger affiliated with any hospitals?

According to CMS data, Lisa Berger is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Lisa Berger was last updated on March 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.