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SUSAN MARIE BERG PA-C
NPI 1548746308
Physician Assistant in Elbow Lake, MN

Active since July 16, 2018PECOS EnrolledAccepts Medicare Assignment
85.21/100
CMS Quality Rating
1411 MN-79, ELBOW LAKE, MN 56531(218) 685-7300 Get Directions Write a Review

NPPES record last updated: September 13, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 13, 2018, Jul 16, 2018 (2 updates tracked since 2018).

About Susan Marie Berg Pa-c NPPES

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

SUSAN MARIE BERG PA-C (NPI 1548746308) is an individual physician assistant in Elbow Lake, Minnesota, licensed in Minnesota (12716) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, is affiliated with Lake Region Healthcare Corporation, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1548746308
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSUSAN MARIE BERGCredential: PA-C
Location Address1411 MN-79Elbow Lake, MN 56531
Mailing Address1411 Highway 79 EElbow Lake, MN 56531-4645 · (218) 685-7300
Phone(218) 685-7300
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 16, 2018
Last NPPES UpdateSeptember 13, 20182 updates tracked since enumeration
✔ NPI 1548746308 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 MN · 12716
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.
1411 MN-79, Elbow Lake, MN 56531
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.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

Susan Marie Berg Pa-c 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 ID6709138712
PECOS Enrollment IDI20181002002310
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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
299 services161 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
105 services85 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
44 services30 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
23 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Lake Region Healthcare Corporation

Acute Care Hospitals · Fergus Falls, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240052
Location712 South Cascade StreetFergus Falls, MN 56537 · Otter Tail County
Emergency services

Prairie Ridge Hospital And Health Services

Critical Access Hospitals · Elbow Lake, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241379
Location1411 Highway 79 EElbow Lake, MN 56531 · Grant County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56531 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

85.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.39
Promoting Interoperability96
Improvement Activities40
Cost67.66

Referred Medical Equipment & Supplies CMS DME claims 3

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 suppliers13 claims30 services$6.54 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier14 claims14 services$50.47 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers26 claims26 services$106.22 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Susan Berg's NPI number?

The NPI number for Susan Berg is 1548746308. It was assigned to this individual provider in the NPPES registry on July 16, 2018.

Where is Susan Berg located?

Susan Berg practices at 1411 Mn-79, Elbow Lake, MN 56531. The listed phone number is (218) 685-7300.

What is Susan Berg's specialty?

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

Is Susan Berg enrolled in Medicare?

Yes. Susan Berg 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 Susan Berg accept?

Health plans from Medica and Sanford Health Plan list Susan Berg 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 Susan Berg affiliated with any hospitals?

According to CMS data, Susan Berg is affiliated with Lake Region Healthcare Corporation and Prairie Ridge Hospital And Health Services.

When was this NPI record last updated?

The NPPES record for Susan Berg was last updated on September 13, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.