BARBARA J BERGER MD
NPI 1548203995
Internal Medicine - Infectious Disease in Jamaica, NY

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
16215 HIGHLAND AVE, SUITE 1F, JAMAICA, NY 11432(718) 661-9722 Get Directions Write a Review

NPPES record last updated: June 9, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Barbara J Berger Md NPPES

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

BARBARA J BERGER MD (NPI 1548203995) is an individual infectious disease provider in Jamaica, New York, licensed in New York (135052) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Long Island Jewish Medical Center, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1977).

NPPES Registry Identity

NPI1548203995
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameBARBARA J BERGERCredential: MD
Location Address16215 HIGHLAND AVE, SUITE 1FJamaica, NY 11432-3452
Mailing Address16215 Highland Ave, Suite 1fJamaica, NY 11432-3452 · (718) 661-9722
Sole ProprietorYes
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1977
Enumeration DateJune 14, 2006
Last NPPES UpdateJune 9, 2010
NPI 1548203995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License Licensed in NY · 135052
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
16215 HIGHLAND AVE, Jamaica, NY 11432

Other Identifiers 3

Medicare ID-Type Unspecified2X3401NY
Medicare UPINE35927
Medicaid00834693NY

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

Barbara J Berger Md 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 ID42271157
PECOS Enrollment IDI20041026001103
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
131 services71 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
43 services32 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
39 services39 patients
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.
26 services26 patients

Hospital Affiliations CMS Care Compare

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

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11432 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

Ambulance
16215 HIGHLAND AVE
JAMAICA, NY 11432
Internal Medicine
16215 HIGHLAND AVE
JAMAICA, NY 11432
Clinic/Center (Podiatric)
16215 HIGHLAND AVE, SUITE 1D
JAMAICA, NY 11432
Registered Nurse
16215 HIGHLAND AVE, APT 3N
JAMAICA, NY 11432
Internal Medicine
16215 HIGHLAND AVE, 1F
JAMAICA, NY 11432
Internal Medicine (Cardiovascular Disease)
16215 HIGHLAND AVE
JAMAICA, NY 11432
Internal Medicine (Cardiovascular Disease)
16215 HIGHLAND AVE, SUITE 1A
JAMAICA, NY 11432
Pediatrics
16215 HIGHLAND AVE, APT 2S
JAMAICA, NY 11432

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 Barbara Berger's NPI number?

The NPI number for Barbara Berger is 1548203995. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Barbara Berger located?

Barbara Berger practices at 16215 Highland Ave Suite 1F, Jamaica, NY 11432. The listed phone number is (718) 661-9722.

What is Barbara Berger's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Barbara Berger enrolled in Medicare?

Yes. Barbara 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.

Is Barbara Berger affiliated with any hospitals?

According to CMS data, Barbara Berger is affiliated with Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for Barbara Berger was last updated on June 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.