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BLAINE BERGER
NPI 1871172890
Pathology - Anatomic Pathology in Temple, TX

Active since April 06, 2021PECOS EnrolledAccepts Medicare Assignment
2401 S 31ST ST # MS -01266, TEMPLE, TX 76508(254) 724-7354 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 1, 2025, Sep 16, 2025, Apr 6, 2021 (3 updates tracked since 2021).

About Blaine Berger NPPES

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

BLAINE BERGER (NPI 1871172890) is an individual anatomic pathology provider in Temple, Texas, licensed in Texas (V5976) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Southwestern Medical School At Dallas (2021).

NPPES Registry Identity

NPI1871172890
Entity TypeIndividualMale
Primary Taxonomy207ZP0101X
Provider Legal NameBLAINE BERGER
Location Address2401 S 31ST ST # MS -01266Temple, TX 76508-0001
Mailing AddressPo Box 844658Dallas, TX 75284-4658 · (800) 994-0371 · Fax (254) 215-9722
Phone(254) 724-7354
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2021
Enumeration DateApril 6, 2021
Last NPPES UpdateDecember 1, 20253 updates tracked since enumeration
NPPES CertifiedDecember 1, 2025
✔ NPI 1871172890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0101X
License✔ Licensed in TX · V5976
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.
2401 S 31ST ST # MS -01266, Temple, TX 76508
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Blaine Berger 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 ID6103339965
PECOS Enrollment IDI20250703001230
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.

Medicare Billing Reassignment

Medicare enrollment records show Blaine Berger reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Scott & White Clinic
Same address
Internal Medicine
2401 S 31ST ST
Temple, TX 76508
  • Reassigned Medicare billing, Texas enrollment
  • 2,795 clinicians in this Medicare group
NPI 1093779704 (254) 724-2111

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76508 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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 Blaine Berger's NPI number?

The NPI number for Blaine Berger is 1871172890. It was assigned to this individual provider in the NPPES registry on April 6, 2021.

Where is Blaine Berger located?

Blaine Berger practices at 2401 S 31st St # Ms -01266, Temple, TX 76508. The listed phone number is (254) 724-7354.

What is Blaine Berger's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology, with taxonomy code 207ZP0101X.

Is Blaine Berger enrolled in Medicare?

Yes. Blaine 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.

Which organization bills Medicare for Blaine Berger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Blaine Berger reassigns Medicare benefits to Scott & White Clinic (Temple, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Blaine Berger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Blaine Berger accept?

Health plans from Blue Cross and Blue Shield of Texas list Blaine 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.

When was this NPI record last updated?

The NPPES record for Blaine Berger was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.