Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: 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.

Q: What is Paul Berger's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Paul Berger was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days 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.

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: August 16, 2026.

On this page

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 is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (2008).

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

Phone(586) 263-2959

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

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Accepted Insurance

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

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

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.

42 services39 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

42 services32 patients

Irrigation and suction of lung airways to obtain cells using an endoscope 31624

This is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.

37 services37 patients

Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 3 or more lymph nodes 31653

This procedure involves using a special scope and ultrasound to examine your lung airways and sample tissue from 3 or more lymph nodes. It aids in diagnosing lung conditions and checking lymph node health.

36 services36 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

33 services33 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.

32 services26 patients

Computer-assisted image-guided navigation of lung airways using an endoscope 31627

This procedure involves the use of a special camera, called an endoscope, and computer technology to create real-time images of your lung airways. This helps doctors navigate through your lungs accurately, aiding in diagnosis or treatment.

26 services26 patients

Biopsy of lobe of lung using an endoscope, 1 lobe 31628

A lung biopsy is a procedure where a small piece of lung tissue is taken for testing. An endoscope, a flexible tube with a light and camera, is used. It's inserted through the mouth or nose, down the windpipe, and into one lobe of the lung.

26 services26 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

23 services23 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

23 services22 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

14 services14 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

Quality

80.13

Promoting Interoperability

Improvement Activities

Cost

47.35

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.

MS. LEEANN WICKENS P.A.

Physician Assistant

15855 19 MILE RD
CLINTON TWP, MI 48038

Macomb County (586) 203-1940

CYNTHIA GEE D.O.

Emergency Medicine

15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038

Macomb County (701) 340-2053

SARAH E NELSON

Nurse Practitioner (Adult Health)

15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038

Macomb County (313) 623-7602

MS. KARA NICOLE SZCZOMAK PA-C

Physician Assistant

15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038

Macomb County (586) 263-2601

EMILY SOPEL

Occupational Therapist

15855 19 MILE RD
CLINTON TWP, MI 48038

Macomb County (586) 263-2300

ANTONIO MACERI MD

Student in an Organized Health Care Education/Training Program

15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038

Macomb County (586) 263-2300

HENRY FORD MACOMB HOSPITAL CORPORATION

General Acute Care Hospital

15855 19 MILE RD
CLINTON TWP, MI 48038

Macomb County (568) 263-2705

JEFFREY A BERG CRNA

Nurse Anesthetist, Certified Registered

15855 19 MILE RD
CLINTON TWP, MI 48038

Macomb County (586) 263-2370

JENNIFER DAVIES RN

Clinical Nurse Specialist (Adult Health)

15855 19 MILE RD
CLINTON TWP, MI 48038

Macomb County (586) 263-2644

DR. ROBERT KEITH DUGAN JR. DO

Student in an Organized Health Care Education/Training Program

15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038

Macomb County (586) 263-2300

DEDA LUCAJ MD

Student in an Organized Health Care Education/Training Program

15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038

Macomb County (586) 263-2300

TENA BOLANCA-TRAJKOVIC AGACNP-BC

Nurse Practitioner (Acute Care)

15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038

Macomb County (586) 263-2300

RANDY HAITHAM KARANA DO

Student in an Organized Health Care Education/Training Program

15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038

Macomb County (586) 229-3493

KEVIN M KOLB CRNA

Nurse Anesthetist, Certified Registered

15855 19 MILE RD
CLINTON TWP, MI 48038

Macomb County (586) 263-2370

ANGELINE ELLENA

Physical Therapist

15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038

Macomb County (586) 263-2481

DHAIRYA KIRI DO

Family Medicine

15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038

Macomb County (586) 263-2300

HAYLEY MICHELLE WALLACE

Emergency Medicine

15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038

Macomb County (586) 263-2300

ELENA HUNSANGER

Student in an Organized Health Care Education/Training Program

15855 19 MILE RD
CLINTON TWP, MI 48038

Macomb County (586) 263-2300

TYLER WUNDRACH PA-C

Physician Assistant

15855 19 MILE RD
CLINTON TWP, MI 48038

Macomb County (586) 263-2320

TESNEEM ZIAD AL-MWAJEH

Student in an Organized Health Care Education/Training Program

15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038

Macomb County (962) 789-5218

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days 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.