JOSEPH R BERGER III D.O.
NPI 1508859596
Family Medicine in Buffalo, TX
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
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
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
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.
Medicare Billing Reassignments
7Medicare enrollment records show Joseph Berger reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Buffalo, TX 75831
- Reassigned Medicare billing, Texas enrollment
- 24 clinicians in this Medicare group
Fairfield, TX 75840
- Reassigned Medicare billing, Texas enrollment
- 76 clinicians in this Medicare group
Fairfield, TX 75840
- Reassigned Medicare billing, Texas enrollment
- 68 clinicians in this Medicare group
Palestine, TX 75801
- Reassigned Medicare billing, Texas enrollment
- 78 clinicians in this Medicare group
Pasadena, TX 77505
- Reassigned Medicare billing, Texas enrollment
- 644 clinicians in this Medicare group
Lubbock, TX 79401
- Reassigned Medicare billing, Texas enrollment
- 1,338 clinicians in this Medicare group
Lubbock, TX 79401
- Reassigned Medicare billing, Texas enrollment
- 1,439 clinicians in this Medicare group
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 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Parkview Regional Hospital
Acute Care Hospitals · Mexia, TXFreestone Medical Center
Acute Care Hospitals · Fairfield, TXPalestine Regional Medical Center
Acute Care Hospitals · Palestine, TXPhysician 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.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organizations bill Medicare for Joseph Berger's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Berger reassigns Medicare benefits to 7 organizations: Fairfield Hospital District (Buffalo, TX), Ess Of Fairfield LLC (Fairfield, TX), Hcc Of Fairfield LLC (Fairfield, TX), Texas Specialty Physicians (Palestine, TX), Integrative Emergency Services Physician Group-Houston PLLC (Pasadena, TX) and 2 more organizations, listed in the Medicare section above. 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 Joseph Berger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Joseph Berger accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers 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, Freestone Medical Center and Palestine Regional 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 8 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.
# Joseph R Berger III, D.O. · NPI 1508859596
Family Medicine physician in Buffalo, Texas. Individual provider, active in the CMS NPPES registry since August 25, 2005.
## Identity
- **NPI:** 1508859596 (Entity type: Individual)
- **Enumerated:** August 25, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** K0636 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 249 S CRAIG ST, Buffalo, TX 75831-7707
- **Phone:** (903) 322-1080 · **Fax:** (903) 322-1086
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Fairfield Hospital District (NPI 1831782614, Buffalo, TX); Ess Of Fairfield LLC (NPI 1588132856, Fairfield, TX); Hcc Of Fairfield LLC (NPI 1487122750, Fairfield, TX); Texas Specialty Physicians (NPI 1861378168, Palestine, TX); Integrative Emergency Services Physician Group-Houston PLLC (NPI 1801458708, Pasadena, TX); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of North Texas Hsc, College Of Osteopathic Med, class of 1994
## Record status
- **NPPES last updated:** January 28, 2026
- **Other identifiers:** Medicaid 1666786-02 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1508859596) · Data from the CMS NPPES public registry.