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MICHAEL JONATHAN BERGER MD
NPI 1609361294
Obstetrics & Gynecology in Leominster, MA

Active since June 26, 2018PECOS EnrolledAccepts Medicare Assignment
93.25/100
CMS Quality Rating
100 HOSPITAL RD, LEOMINSTER, MA 01453(978) 466-4550 Get Directions Write a Review

NPPES record last updated: August 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 25, 2022, Aug 19, 2019, Jun 26, 2018 (3 updates tracked since 2018).

About Michael Jonathan Berger Md NPPES

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

MICHAEL JONATHAN BERGER MD (NPI 1609361294) is an individual obstetrics & gynecology provider in Leominster, Massachusetts, licensed in Massachusetts (293829) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Tacoma General Allenmore Hospital, and is a graduate of University Of Colorado School Of Medicine, Denver (2018).

NPPES Registry Identity

NPI1609361294
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameMICHAEL JONATHAN BERGERCredential: MD
Location Address100 HOSPITAL RDLeominster, MA 01453-2253
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977
Phone(978) 466-4550
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 2018
Enumeration DateJune 26, 2018
Last NPPES UpdateAugust 25, 20223 updates tracked since enumeration
NPPES CertifiedAugust 25, 2022
✔ NPI 1609361294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MA · 293829
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
100 HOSPITAL RD, Leominster, MA 01453
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence 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

Michael Jonathan 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 ID5193055705
PECOS Enrollment IDI20231106001929
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.

Hospital Affiliations CMS Care Compare

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

Tacoma General Allenmore Hospital

Acute Care Hospitals · Tacoma, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500129
Location315 S Mlk Jr WayTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01453 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

93.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.5
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

PAUL J BLOCK MD
Internal Medicine (Cardiovascular Disease)
100 HOSPITAL RD, STE 3A
LEOMINSTER, MA 01453
Worcester County (978) 537-9305
POLIANA LARISSA LIN APRN
Nurse Practitioner
100 HOSPITAL RD
LEOMINSTER, MA 01453
Worcester County (978) 466-4212
PAUL JAMES MCCABE MD
Internal Medicine (Cardiovascular Disease)
100 HOSPITAL RD
LEOMINSTER, MA 01453
Worcester County (978) 466-2052
LYNNE MONFREDA N.P.
Nurse Practitioner (Pediatrics)
100 HOSPITAL RD, SUITE 4
LEOMINSTER, MA 01453
Worcester County (978) 514-6300
KYLE PATRICK LAVERY M.D.
Orthopaedic Surgery
100 HOSPITAL RD
LEOMINSTER, MA 01453
Worcester County (978) 466-4220
DR. JONATHAN HARRIS ROBBINS M.D.
Internal Medicine (Cardiovascular Disease)
100 HOSPITAL RD, SUITE 3B
LEOMINSTER, MA 01453
Worcester County (978) 534-3179
COORDINATED PRIMARY CARE, INC
Internal Medicine (Infectious Disease)
100 HOSPITAL RD, SUITE 1C
LEOMINSTER, MA 01453
Worcester County (978) 466-4212
R. LESLIE SHELTON, M.D., P.C.
Surgery
100 HOSPITAL RD, SUITE 2B
LEOMINSTER, MA 01453
Worcester County (978) 840-6481

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 Michael Berger's NPI number?

The NPI number for Michael Berger is 1609361294. It was assigned to this individual provider in the NPPES registry on June 26, 2018.

Where is Michael Berger located?

Michael Berger practices at 100 Hospital Rd, Leominster, MA 01453. The listed phone number is (978) 466-4550.

What is Michael Berger's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Michael Berger enrolled in Medicare?

Yes. Michael 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 Michael Berger accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Michael 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 Michael Berger affiliated with any hospitals?

According to CMS data, Michael Berger is affiliated with Tacoma General Allenmore Hospital.

When was this NPI record last updated?

The NPPES record for Michael Berger was last updated on August 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.