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GREGORY WILLIAM BERGER FNP-BC
NPI 1609406453
Nurse Practitioner - Family in Camden, SC

Active since January 21, 2020PECOS EnrolledAccepts Medicare Assignment
96.9/100
CMS Quality Rating
1009 FAIRLAWN DR, CAMDEN, SC 29020(803) 432-2540 Get Directions Write a Review

NPPES record last updated: January 21, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Gregory William Berger Fnp-bc NPPES

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

GREGORY WILLIAM BERGER FNP-BC (NPI 1609406453) is an individual family provider in Camden, South Carolina, licensed in South Carolina (23576) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS, is affiliated with West Jefferson Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1609406453
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameGREGORY WILLIAM BERGERCredential: FNP-BC
Location Address1009 FAIRLAWN DRCamden, SC 29020-4525
Mailing Address1009 Fairlawn DrCamden, SC 29020-4525 · (803) 432-2540
Phone(803) 432-2540
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 21, 2020
✔ NPI 1609406453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in SC · 23576
1009 FAIRLAWN DR, Camden, SC 29020
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.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

Gregory William Berger Fnp-bc 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 ID8022448182
PECOS Enrollment IDI20210421002291
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Gregory Berger reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

New Orleans Physician Services Inc
633 mi
Internal Medicine
4945 LAPALCO BLVD STE 200
Marrero, LA 70072
  • Reassigned Medicare billing, Louisiana enrollment
  • 291 clinicians in this Medicare group
NPI 1396169678 (504) 301-2825
Signify Health, LLC
941 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Louisiana enrollment
  • 439 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007
Signify Health Medical Associates, PLLC
941 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, South Carolina enrollment
  • 311 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

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 3

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.

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.
93 services93 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.
68 services46 patients
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.
55 services48 patients

Hospital Affiliations CMS Care Compare

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

West Jefferson Medical Center

Acute Care Hospitals · Marrero, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190039
Location1101 Medical Center BlvdMarrero, LA 70072 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29020 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

96.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.77
Promoting Interoperability100
Improvement Activities40

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 Gregory Berger's NPI number?

The NPI number for Gregory Berger is 1609406453. It was assigned to this individual provider in the NPPES registry on January 21, 2020.

Where is Gregory Berger located?

Gregory Berger practices at 1009 Fairlawn Dr, Camden, SC 29020. The listed phone number is (803) 432-2540.

What is Gregory Berger's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Gregory Berger enrolled in Medicare?

Yes. Gregory 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 Gregory Berger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gregory Berger reassigns Medicare benefits to 3 organizations: New Orleans Physician Services Inc (Marrero, LA), Signify Health, LLC (Dallas, TX) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Gregory Berger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gregory Berger accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Gregory 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 Gregory Berger affiliated with any hospitals?

According to CMS data, Gregory Berger is affiliated with West Jefferson Medical Center.

When was this NPI record last updated?

The NPPES record for Gregory Berger was last updated on January 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.