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JUSTIN BERGER MD
NPI 1790272615
Internal Medicine in Des Moines, IA

Active since April 16, 2018PECOS Enrolled
83.98/100
CMS Quality Rating
1111 6TH AVE, DES MOINES, IA 50314(515) 643-2261(515) 643-5802 Get Directions Write a Review

NPPES record last updated: May 25, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 20, 2023, Oct 21, 2021, Jul 28, 2021 and 1 more (4 updates tracked since 2018).

About Justin Berger Md NPPES

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

JUSTIN BERGER MD (NPI 1790272615) is an individual internal medicine provider in Des Moines, Iowa, licensed in Iowa (MD-53103) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1790272615
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJUSTIN BERGERCredential: MD
Location Address1111 6TH AVEDes Moines, IA 50314-2613
Mailing Address1111 6th AveDes Moines, IA 50314-2613 · (515) 643-2261 · Fax (515) 643-5802
Phone(515) 643-2261
Fax(515) 643-5802
Sole ProprietorNo
Enumeration DateApril 16, 2018
Last NPPES UpdateMay 25, 20244 updates tracked since enumeration
NPPES CertifiedMay 25, 2024
✔ NPI 1790272615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in IA · MD-53103✔ Licensed in ND · PT17482✔ Licensed in MN · 73633
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 17482 (ND)
1111 6TH AVE, Des Moines, IA 50314
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1300 N 7th StBismarck, ND 58501-4439 · Phone (701) 323-6000
Location 2800 E 28th St Ste H2100Minneapolis, MN 55407-3723 · Phone (612) 863-3900 · Fax (612) 775-3199

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin Berger Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50314 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

83.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.28
Promoting Interoperability99
Improvement Activities40
Cost68.15

Referred Medical Equipment & Supplies CMS DME claims 2

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

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 suppliers16 claims16 services$108.41 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers16 claims16 services$35.49 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.

MERCY CLINICS, INC
Psychiatry & Neurology (Neurology)
1111 6TH AVE, EAST TOWER SUITE A100
DES MOINES, IA 50314
Polk County (515) 358-0011
TODD EBERLE DO
Family Medicine
1111 6TH AVE
DES MOINES, IA 50314
Polk County (515) 643-8678
JOSEPH JANSKY DO
Family Medicine
1111 6TH AVE
DES MOINES, IA 50314
Polk County (515) 612-9595
MYLES KAWAMURA DO
Emergency Medicine
1111 6TH AVE, EMERGENCY DEPARTMENT
DES MOINES, IA 50314
Polk County (515) 247-3211
DR. CODY BRUNCLIK DO
Internal Medicine
1111 6TH AVE
DES MOINES, IA 50314
Polk County (515) 643-2261
TYLER MUMM DO
Internal Medicine
1111 6TH AVE
DES MOINES, IA 50314
Polk County (515) 643-2261
DR. MITCHELL R. ERICKSON M.D.
Radiology (Neuroradiology)
1111 6TH AVE
DES MOINES, IA 50314
Polk County (515) 643-2667
DR. THERESA MARIE WAHLIG M.D.
Pediatrics (Neonatal-Perinatal Medicine)
1111 6TH AVE
DES MOINES, IA 50314
Polk County (515) 643-8409

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 Justin Berger's NPI number?

The NPI number for Justin Berger is 1790272615. It was assigned to this individual provider in the NPPES registry on April 16, 2018.

Where is Justin Berger located?

Justin Berger practices at 1111 6th Ave, Des Moines, IA 50314. The listed phone number is (515) 643-2261.

What is Justin Berger's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Justin Berger enrolled in Medicare?

Yes. Justin Berger is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Justin Berger was last updated on May 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.