MICHAEL JOSEPH BERGER MD
NPI 1780737742
Pathology - Anatomic Pathology & Clinical Pathology in Cincinnati, OH

Active since January 20, 2007PECOS EnrolledAccepts Medicare Assignment
80.13/100
CMS Quality Rating
4777 E GALBRAITH RD, CINCINNATI, OH 45236(513) 686-3000 Get Directions Write a Review

NPPES record last updated: December 2, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Joseph Berger Md NPPES

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

MICHAEL JOSEPH BERGER MD (NPI 1780737742) is an individual anatomic pathology & clinical pathology provider in Cincinnati, Ohio, licensed in Minnesota (17879) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Union Hospital Inc, and is a graduate of University Of Cincinnati College Of Medicine (1992).

NPPES Registry Identity

NPI1780737742
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameMICHAEL JOSEPH BERGERCredential: MD
Location Address4777 E GALBRAITH RDCincinnati, OH 45236-2725
Mailing Address1829 Pascal StFalcon Heights, MN 55113-6150
Sole ProprietorYes
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1992
Enumeration DateJanuary 20, 2007
Last NPPES UpdateDecember 2, 2019
NPI 1780737742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in MN · 17879
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
4777 E GALBRAITH RD, Cincinnati, OH 45236

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

Michael Joseph Berger Md 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 ID9133293822
PECOS Enrollment IDI20110221000505, I20140306001823
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 13

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.

Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
1,620 services283 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
1,280 services208 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
666 services310 patients
Flow cytometry technique for dna or cell analysis, 16 or more markers 88189
Flow cytometry is a method used to measure and analyze cells. It uses a beam of light to detect up to 16 or more markers on cells, helping to identify their type, function, or abnormalities. This technique aids in diagnosing various health conditions.
537 services457 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
425 services238 patients
Bone marrow, smear interpretation 85097
Bone marrow smear interpretation is a procedure where a small sample of your bone marrow is taken and examined under a microscope. This helps doctors identify any abnormal cells or signs of diseases such as anemia, leukemia, or infections. It's a crucial step in diagnosing various blood disorders.
308 services276 patients

Hospital Affiliations CMS Care Compare 5

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

Union Hospital Inc

Acute Care Hospitals · Terre Haute, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150023
Location1606 N Seventh StTerre Haute, IN 47804 · Vigo County
Emergency services Birthing friendly

The Jewish Hospital-Mercy Health

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360016
Location4777 East Galbraith RoadCincinnati, OH 45236 · Hamilton County
Emergency services

Genesis Hospital

Acute Care Hospitals · Zanesville, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360039
Location2951 Maple AvenueZanesville, OH 43701 · Muskingum County
Emergency services Birthing friendly

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Mercy Health - Clermont Hospital

Acute Care Hospitals · Batavia, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360236
Location3000 Hospital DriveBatavia, OH 45103 · Clermont County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45236 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

80.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.63
Improvement Activities40

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.

Pharmacy (Community/Retail Pharmacy)
4777 E GALBRAITH RD
CINCINNATI, OH 45236
Hospitalist
4777 E GALBRAITH RD
CINCINNATI, OH 45236
Anesthesiology
4777 E GALBRAITH RD
CINCINNATI, OH 45236
General Practice
4777 E GALBRAITH RD
CINCINNATI, OH 45236
Pharmacist
4777 E GALBRAITH RD
CINCINNATI, OH 45236
Internal Medicine
4777 E GALBRAITH RD
CINCINNATI, OH 45236
Student in an Organized Health Care Education/Training Program
4777 E GALBRAITH RD
CINCINNATI, OH 45236
Anesthesiology
4777 E GALBRAITH RD
CINCINNATI, OH 45236

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 Michael Berger's NPI number?

The NPI number for Michael Berger is 1780737742. It was assigned to this individual provider in the NPPES registry on January 20, 2007.

Where is Michael Berger located?

Michael Berger practices at 4777 E Galbraith Rd, Cincinnati, OH 45236. The listed phone number is (513) 686-3000.

What is Michael Berger's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Michael Berger enrolled in Medicare?

Yes. Michael 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 Michael Berger accept?

Health plans from CareSource and Medica list Michael 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 Michael Berger affiliated with any hospitals?

According to CMS data, Michael Berger is affiliated with Union Hospital Inc, The Jewish Hospital-Mercy Health, Genesis Hospital, Christ Hospital and Mercy Health - Clermont Hospital.

When was this NPI record last updated?

The NPPES record for Michael Berger was last updated on December 2, 2019. 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.