1. Home
  2. Directory
  3. Texas
  4. Buffalo
  5. Family Medicine
  6. NPI Profile

JOSEPH R BERGER III D.O.
NPI 1508859596
Family Medicine in Buffalo, TX

Active since August 25, 2005PECOS EnrolledAccepts Medicare Assignment
249 S CRAIG ST, BUFFALO, TX 75831(903) 322-1080(903) 322-1086 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 28, 2026, Sep 30, 2016, Sep 21, 2016 (3 updates tracked since 2016).

About Joseph R Berger Iii D.o. NPPES

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

JOSEPH R BERGER III D.O. (NPI 1508859596) is an individual family medicine provider in Buffalo, Texas, licensed in Texas (K0636) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Parkview Regional Hospital, and maintains a secondary practice location in Fairfield.

NPPES Registry Identity

NPI1508859596
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOSEPH R BERGER IIICredential: D.O.
Location Address249 S CRAIG STBuffalo, TX 75831-7707
Mailing Address4002 S Loop 256 Ste APalestine, TX 75801-8492 · (903) 731-5442 · Fax (903) 723-3325
Phone(903) 322-1080
Fax(903) 322-1086
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 1994
Enumeration DateAugust 25, 2005
Last NPPES UpdateJanuary 28, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2026
✔ NPI 1508859596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · K0636
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.
249 S CRAIG ST, Buffalo, TX 75831
Open in Google Maps ↗

Secondary Practice Location 1

Location 1734 W Commerce StFairfield, TX 75840-1428 · Phone (903) 389-2181 · Fax (903) 389-0901

Other Identifiers 1

Medicaid1666786-02TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, WellPoint.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

Joseph R Berger Iii D.o. 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 ID5395730527
PECOS Enrollment IDI20040417000212
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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
45 services45 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
43 services41 patients

Hospital Affiliations CMS Care Compare 2

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

Parkview Regional Hospital

Acute Care Hospitals · Mexia, TX
OwnershipProprietary
CMS Certification Number450400
Location600 South Bonham StreetMexia, TX 76667 · Limestone County
Emergency services

Freestone Medical Center

Acute Care Hospitals · Fairfield, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450658
Location125 Newman StFairfield, TX 75840 · Freestone County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75831 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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 suppliers17 claims33 services$7.03 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
2 suppliers11 claims11 services$215.40 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

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

ANDRENA PAULINE GLICK FNP-C
Nurse Practitioner (Family)
249 S CRAIG ST
BUFFALO, TX 75831
Leon County (903) 322-1080

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 Joseph Berger's NPI number?

The NPI number for Joseph Berger is 1508859596. It was assigned to this individual provider in the NPPES registry on August 25, 2005.

Where is Joseph Berger located?

Joseph Berger practices at 249 S Craig St, Buffalo, TX 75831. The listed phone number is (903) 322-1080.

What is Joseph Berger's specialty?

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

Is Joseph Berger enrolled in Medicare?

Yes. Joseph 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 Joseph Berger accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and WellPoint list Joseph 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 Joseph Berger affiliated with any hospitals?

According to CMS data, Joseph Berger is affiliated with Parkview Regional Hospital and Freestone Medical Center.

When was this NPI record last updated?

The NPPES record for Joseph Berger was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.