DR. WILLIAM EZIAL BERGER M.D.
NPI 1538260583
Allergy & Immunology - Allergy in Mission Viejo, CA
NPI Status: Active since September 25, 2006
Contact Information
27800 MEDICAL CENTER RD
SUITE 244
MISSION VIEJO, CA
ZIP 92691
Phone: (949) 364-2900
Fax: (949) 365-0117
- Individual
- Male
- Allergy & Immunology
- Allergy
- PECOS Enrolled
- Medicare Quality Reporting
About WILLIAM BERGER
This page provides the complete NPI Profile along with additional information for William Berger, a provider established in Mission Viejo, California with a medical specialization in Allergy & Immunology, focusing in allergy . The healthcare provider is registered in the NPI registry with number 1538260583 assigned on September 2006. The practitioner's primary taxonomy code is 207KA0200X with license number C35918 (CA). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1538260583
- Provider Name
- DR. WILLIAM EZIAL BERGER M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 27800 MEDICAL CENTER RD SUITE 244 MISSION VIEJO, CA 92691
- Location Phone
- (949) 364-2900
- Location Fax
- (949) 365-0117
- Mailing Address
- 27800 MEDICAL CENTER RD SUITE 244 MISSION VIEJO, CA 92691
- Mailing Phone
- (949) 364-2900
- Mailing Fax
- (949) 365-0117
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-25-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Allergy & Immunology Allergy
- Taxonomy Code
- 207KA0200X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- C35918
- License State
- CA
- Taxonomy Description
- A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| A87830 | MEDICARE UPIN (02) | CA | |
| W6384 | MEDICARE ID-TYPE UNSPECIFIED (04) | CA |
Medicare Participation & PECOS Enrollment Status
William Berger is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Documentation of Current Medications in the Medical Record | 100% | 1797 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| Implementation of improvements that contribute to more timely communication of test results | Yes | N/A |
| Timely communication of test results defined as timely identification of abnormal test results with timely follow-up. | ||
| Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop | Yes | N/A |
| Performance of regular practices that include providing specialist reports back to the referring individual MIPS eligible clinician or group to close the referral loop or where the referring individual MIPS eligible clinician or group initiates regular inquiries to specialist for specialist reports which could be documented or noted in the EHR technology. | ||
| Use evidence-based decision aids to support shared decision-making. | Yes | N/A |
| Use evidence-based decision aids to support shared decision-making. | ||
| Use of decision support and standardized treatment protocols | Yes | N/A |
| Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs. | ||
Reviews for DR. WILLIAM EZIAL BERGER M.D.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1538260583, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 67 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
MISSION VIEJO, CA 92691
MISSION VIEJO, CA 92691
MISSION VIEJO, CA 92691
MISSION VIEJO, CA 92691
MISSION VIEJO, CA 92691
MISSION VIEJO, CA 92691
MISSION VIEJO, CA 92691
MISSION VIEJO, CA 92691
MISSION VIEJO, CA 92691
MISSION VIEJO, CA 92691
MISSION VIEJO, CA 92691
MISSION VIEJO, CA 92691
MISSION VIEJO, CA 92691
MISSION VIEJO, CA 92691
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1538260583, enumerated as an "individual" on September 25, 2006.
The provider is located at 27800 MEDICAL CENTER RD SUITE 244 MISSION VIEJO, CA 92691 and the phone number is (949) 364-2900.
Allergy & Immunology with taxonomy code 207KA0200X and a focus in Allergy.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
