TROY LYMAN BERG M.D.
NPI 1740216845
Orthopaedic Surgery in Altoona, WI

Active since June 23, 2006PECOS EnrolledAccepts Medicare Assignment
15.05/100
CMS Quality Rating
1200 OAKLEAF WAY STE A, ALTOONA, WI 54720(715) 832-1400(715) 832-4187 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 3, 2026, Jul 1, 2025, Dec 17, 2021 (3 updates tracked since 2021).

About Troy Lyman Berg M.d. NPPES

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

TROY LYMAN BERG M.D. (NPI 1740216845) is an individual orthopaedic surgery provider in Altoona, Wisconsin, licensed in Wisconsin (39869) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center - Rice Lake, and is a graduate of University Of Minnesota Medical School (1993).

NPPES Registry Identity

NPI1740216845
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameTROY LYMAN BERGCredential: M.D.
Location Address1200 OAKLEAF WAY STE AAltoona, WI 54720-2217
Mailing Address1200 Oakleaf Way Ste AAltoona, WI 54720-2217 · (715) 832-1400 · Fax (715) 832-4187
Fax(715) 832-4187
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1993
Enumeration DateJune 23, 2006
Last NPPES UpdateJune 3, 20263 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
NPI 1740216845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in WI · 39869
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 39869 (WI)
1200 OAKLEAF WAY STE A, Altoona, WI 54720

Other Identifiers 9

Medicaid32440300WI
Other54456WI · Security Health Plan
Other1852957WI · United Healthcare
Other378L5BEWI · Bcbs Mn
OtherP00171099WI · Railroad
Other09 07598WI · Medica/selectcare Ec
Other09-07599WI · Medica/selectcare Cf
Other137616600WI · Owcp
Other5725706WI · Aetna

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

Troy Lyman Berg M.d. 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 ID345154167
PECOS Enrollment IDI20040805000261
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 22

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.
1,608 services244 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.
408 services275 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.
317 services241 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
226 services177 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.
151 services151 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
141 services116 patients

Hospital Affiliations CMS Care Compare 5

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

Marshfield Medical Center - Rice Lake

Acute Care Hospitals · Rice Lake, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520011
Location1700 West Stout StreetRice Lake, WI 54868 · Barron County
Emergency services Birthing friendly

Mayo Clinic Health System Eau Claire Hospital

Acute Care Hospitals · Eau Claire, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520070
Location1221 Whipple StEau Claire, WI 54703 · Eau Claire County
Emergency services Birthing friendly

Oakleaf Surgical Hospital

Acute Care Hospitals · Altoona, WI
OwnershipPhysician
CMS Certification Number520196
Location1000 Oakleaf WayAltoona, WI 54720 · Eau Claire County

Marshfield Medical Center - Eau Claire

Acute Care Hospitals · Eau Claire, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520210
Location2310 Craig RdEau Claire, WI 54701 · Eau Claire County
Emergency services Birthing friendly

Cumberland Memorial Hospital

Critical Access Hospitals · Cumberland, WI
OwnershipVoluntary non-profit - Other
CMS Certification Number521353
Location1705 16th AveCumberland, WI 54829 · Barron County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54720 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

15.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Promoting Interoperability0
Improvement Activities0
Cost50.18

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.

Orthopaedic Surgery
1200 OAKLEAF WAY STE A
ALTOONA, WI 54720
Physician Assistant
1200 OAKLEAF WAY STE A
ALTOONA, WI 54720
Neurological Surgery
1200 OAKLEAF WAY STE A
ALTOONA, WI 54720
Nurse Practitioner (Adult Health)
1200 OAKLEAF WAY STE A
ALTOONA, WI 54720
Orthopaedic Surgery
1200 OAKLEAF WAY STE A
ALTOONA, WI 54720
Physician Assistant
1200 OAKLEAF WAY STE A
ALTOONA, WI 54720
Nurse Practitioner
1200 OAKLEAF WAY STE A
ALTOONA, WI 54720
Podiatrist
1200 OAKLEAF WAY STE A
ALTOONA, WI 54720

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 Troy Berg's NPI number?

The NPI number for Troy Berg is 1740216845. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is Troy Berg located?

Troy Berg practices at 1200 Oakleaf Way Ste A, Altoona, WI 54720. The listed phone number is (715) 832-1400.

What is Troy Berg's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Troy Berg enrolled in Medicare?

Yes. Troy Berg 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 Troy Berg accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica, Quartz and Security Health Plan list Troy Berg 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 Troy Berg affiliated with any hospitals?

According to CMS data, Troy Berg is affiliated with Marshfield Medical Center - Rice Lake, Mayo Clinic Health System Eau Claire Hospital, Oakleaf Surgical Hospital, Marshfield Medical Center - Eau Claire and Cumberland Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Troy Berg was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.