DR. PAUL ALASON BERGER III D.O.
NPI 1699921163
Internal Medicine - Pulmonary Disease in Clinton Township, MI

Active since August 15, 2008PECOS EnrolledAccepts Medicare Assignment
77.99/100
CMS Quality Rating
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038(586) 263-2959 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Paul Alason Berger Iii D.o. NPPES

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

DR. PAUL ALASON BERGER III D.O. (NPI 1699921163) is an individual pulmonary disease provider in Clinton Township, Michigan, licensed in South Dakota (9499) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Sanford Worthington Medical Center, and maintains a secondary practice location in Sioux Falls.

NPPES Registry Identity

NPI1699921163
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. PAUL ALASON BERGER IIICredential: D.O.
Location Address15855 19 MILE RDClinton Township, MI 48038-3504
Mailing Address18405 Manorwood SClinton Township, MI 48038-4813 · (712) 898-1304
Sole ProprietorYes
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2008
Enumeration DateAugust 15, 2008
Last NPPES UpdateJune 22, 2026
NPPES CertifiedJune 22, 2026
NPI 1699921163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in SD · 9499
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 9499 (SD)
15855 19 MILE RD, Clinton Township, MI 48038

Secondary Practice Location 1

Location 11420 W 22nd St Ste 407Sioux Falls, SD 57105-1507 · Phone (605) 328-8900 · Fax (605) 328-8901

Accepted 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

Dr. Paul Alason Berger Iii D.o. 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 ID7810295409
PECOS Enrollment IDI20160929002005
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 17

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
144 services68 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
71 services44 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
63 services63 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
54 services50 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
47 services47 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
45 services45 patients

Hospital Affiliations CMS Care Compare 5

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

Sanford Worthington Medical Center

Acute Care Hospitals · Worthington, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number240022
Location1018 Sixth Avenue PO Box 997Worthington, MN 56187 · Nobles County
Emergency services Birthing friendly

Sanford Luverne Medical Center

Critical Access Hospitals · Luverne, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241371
Location1600 N Kniss AvenueLuverne, MN 56156 · Rock County
Emergency services

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430027
Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Sanford Medical Center Aberdeen

Acute Care Hospitals · Aberdeen, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430097
Location2905 3rd Ave SEAberdeen, SD 57402 · Brown County
Emergency services Birthing friendly

Sanford Vermillion Hospital

Critical Access Hospitals · Vermillion, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431336
Location20 South Plum StreetVermillion, SD 57069 · Clay County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48038 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

77.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.13
Promoting Interoperability99
Improvement Activities40
Cost47.35

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers12 claims12 services$41.72 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers20 claims20 services$20.92 avg. paid by Medicare
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470
DME-Other DME · category DE001N
1 supplier15 claims15 services$97.31 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
3 suppliers27 claims27 services$15.40 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers13 claims13 services$41.09 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 suppliers20 claims20 services$103.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Nurse Practitioner (Family)
15855 19 MILE RD
CLINTON TWP, MI 48038
Emergency Medicine
15855 19 MILE RD
CLINTON TWP, MI 48038
Nurse Practitioner
15855 19 MILE RD, EMERGENCY MEDICINE DEPARTMENT
CLINTON TWP, MI 48038
Nurse Anesthetist, Certified Registered
15855 19 MILE RD
CLINTON TWP, MI 48038
Nurse Anesthetist, Certified Registered
15855 19 MILE RD
CLINTON TWP, MI 48038
Pharmacist
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Pathology (Anatomic Pathology & Clinical Pathology)
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038

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 Paul Berger's NPI number?

The NPI number for Paul Berger is 1699921163. It was assigned to this individual provider in the NPPES registry on August 15, 2008.

Where is Paul Berger located?

Paul Berger practices at 15855 19 Mile Rd, Clinton Township, MI 48038. The listed phone number is (586) 263-2959.

What is Paul Berger's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Paul Berger enrolled in Medicare?

Yes. Paul 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 Paul Berger accept?

Health plans from Medica, Sanford Health Plan and Security Health Plan list Paul 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 Paul Berger affiliated with any hospitals?

According to CMS data, Paul Berger is affiliated with Sanford Worthington Medical Center, Sanford Luverne Medical Center, Sanford Usd Medical Center, Sanford Medical Center Aberdeen and Sanford Vermillion Hospital.

When was this NPI record last updated?

The NPPES record for Paul Berger was last updated on June 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.