LAURA KATHERINE BERG PA
NPI 1679076285
Physician Assistant - Surgical in Orlando, FL

Q: What is Laura Berg's NPI number?

The NPI number for Laura Berg is 1679076285. It was assigned to this individual provider in the NPPES registry on March 10, 2018. The provider is also known as Laura Katherine Wagner Pa-C.

Q: What is Laura Berg's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Laura Berg was last updated on September 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 10, 2018PECOS EnrolledAccepts Medicare Assignment

1222 S ORANGE AVE, ORLANDO, FL 32806(407) 423-7777(407) 423-1380 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 13, 2024, Apr 23, 2018, Mar 10, 2018 (3 updates tracked since 2018).

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About Laura Katherine Berg Pa NPPES

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

LAURA KATHERINE BERG PA (NPI 1679076285) is an individual surgical provider in Orlando, Florida, licensed in Florida (PA9111160) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Orlando Health, and maintains a secondary practice location in Orlando.

NPPES Registry Identity

NPI1679076285

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameLAURA KATHERINE BERGCredential: PA

Location Address1222 S ORANGE AVEOrlando, FL 32806-1215

Mailing Address60 Columbia StOrlando, FL 32806-1115 · (407) 423-7777 · Fax (407) 423-1380

Phone(407) 423-7777

Fax(407) 423-1380

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMarch 10, 2018

Last NPPES UpdateSeptember 13, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 13, 2024

✔ NPI 1679076285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in FL · PA9111160

Also ListedPhysician AssistantTaxonomy 363A00000X · License 9111160 (FL)

1222 S ORANGE AVE, Orlando, FL 32806

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Other Names 1

Former Name (1)Laura Katherine Wagner Pa-c

Secondary Practice Location 1

Location 11222 S Orange AveOrlando, FL 32806-1215 · Phone (407) 649-6878

Other Identifiers 1

Medicaid024256600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, AvMed, Molina Healthcare.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

Laura Katherine Berg Pa 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 ID6103189725

PECOS Enrollment IDI20180413000068

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 9

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

316 services37 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.

79 services72 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

47 services45 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

47 services47 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.

41 services40 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

31 services28 patients

Hospital Affiliations CMS Care Compare

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

Orlando Health

Acute Care Hospitals · Orlando, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100006

Location52 W Underwood StOrlando, FL 32806 · Orange County

Emergency services Birthing friendly

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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.

BRYAN DAVID BROWN MD

Orthopaedic Surgery (Hand Surgery)

1222 S ORANGE AVE, 5TH FLOOR
ORLANDO, FL 32806

Orange County (321) 841-1764

KAREN LEONIA WALKER M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)