JEFFREY HOWARD BERG M.D.
NPI 1114926292
Orthopaedic Surgery - Sports Medicine in Reston, VA
NPI Status: Active since July 20, 2005
Contact Information
1860 TOWN CENTER DR
SUITE 300
RESTON, VA
ZIP 20190
Phone: (703) 435-6604
Fax: (703) 787-6575
- Individual
- Male
- Years of Experience 34
- Orthopaedic Surgery
- Sports Medicine
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About JEFFREY BERG
This page provides the complete NPI Profile along with additional information for Jeffrey Berg, a provider established in Reston, Virginia with a medical specialization in Orthopaedic Surgery, focusing in sports medicine and more than 34 years of experience. He graduated from Boston University School Of Medicine in 1992. The healthcare provider is registered in the NPI registry with number 1114926292 assigned on July 2005. The practitioner's primary taxonomy code is 207XX0005X with license number 0101057466 (VA). The provider is registered as an individual and his NPI record was last updated 17 years ago.
- NPI
- 1114926292
- Provider Name
- JEFFREY HOWARD BERG M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1860 TOWN CENTER DR SUITE 300 RESTON, VA 20190
- Location Phone
- (703) 435-6604
- Location Fax
- (703) 787-6575
- Mailing Address
- 1860 TOWN CENTER DR SUITE 300 RESTON, VA 20190
- Mailing Phone
- (703) 435-6604
- Mailing Fax
- (703) 787-6575
- Medical School Name
- BOSTON UNIVERSITY SCHOOL OF MEDICINE
- Graduation Year
- 1992
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-20-2005
- Last Update Date
- 07-31-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery Sports Medicine
- Taxonomy Code
- 207XX0005X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 0101057466
- License State
- VA
- Taxonomy Description
- An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 0101057466 (VA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| G67940 | MEDICARE UPIN (02) | VA | |
| 000820T99 | MEDICARE PIN (08) | DC |
Medicare Participation & PECOS Enrollment Status
Jeffrey Berg is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Jeffrey Berg is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 547249575
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20101004000557, I20171221001696
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Aspiration and/or injection of fluid from large joint
Established patient office or other outpatient visit, 10-19 minutes
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Injection, methylprednisolone acetate, 40 mg
Lower limb (leg) arthroscopy (minimally invasive joint repair)
New patient office or other outpatient visit, 45-59 minutes
Upper limb (arm) arthroscopy (minimally invasive joint repair)
X-ray of knee, 4 or more views
X-ray of shoulder blade
X-ray of shoulder, minimum of 2 views
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.
This service was performed 38 times for 26 patientsThis is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
This service was performed 15 times for 14 patientsThis 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.
This service was performed 60 times for 49 patientsThis 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.
This service was performed 128 times for 95 patientsMethylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.
This service was performed 38 times for 26 patientsLower limb arthroscopy is a minimally invasive procedure that allows doctors to examine and repair issues in your leg joints. It involves making small incisions through which a tiny camera and instruments are inserted. This technique can help diagnose and treat various joint problems with less pain and quicker recovery time.
This service was performed for 1-10 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 61 times for 61 patientsUpper limb arthroscopy is a minimally invasive procedure used to examine and treat issues within your arm's joints. A small camera, called an arthroscope, is inserted through a tiny incision, providing a clear view of the joint. This method often results in less pain and faster recovery compared to open surgery.
This service was performed for 1-10 patientsAn 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.
This service was performed 70 times for 59 patientsAn X-ray of the shoulder blade is a quick, painless test that produces images of the bones in your shoulder area. It helps identify fractures, infections, or other abnormalities. You'll need to stay still while a machine sends a small amount of radiation through your shoulder to capture the image.
This service was performed 56 times for 51 patientsAn 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.
This service was performed 78 times for 70 patientsQuality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Clinical Information Reconciliation | 100% | 602 |
| For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation. The MIPS eligible clinician must implement clinical information reconciliation for the following three clinical information sets: (1) Medication. Review of the patient's medication, including the name, dosage, frequency, and route of each medication. (2) Medication allergy. Review of the patient's known medication allergies. (3) Current Problem list. Review of the patient's current and active diagnoses. | ||
| Collection and use of patient experience and satisfaction data on access | Yes | N/A |
| Collection of patient experience and satisfaction data on access to care and development of an improvement plan, such as outlining steps for improving communications with patients to help understanding of urgent access needs. | ||
| e-Prescribing | 77% | 832 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop | Yes | N/A |
| Performance of regular practices that include providing specialist reports back to the referring individual MIPS eligible clinician or group to close the referral loop or where the referring individual MIPS eligible clinician or group initiates regular inquiries to specialist for specialist reports which could be documented or noted in the EHR technology. | ||
| Patient-Specific Education | 79% | 1593 |
| The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record | Yes | N/A |
| • Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management. | ||
| Provide Patient Access | 100% | 1595 |
| For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician ensures the patient's health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the Application Programing Interface (API) in the MIPS eligible clinician's certified EHR technology. | ||
| Request/Accept Summary of Care | 2% | 1595 |
| For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician receives or retrieves and incorporates into the patient's record an electronic summary of care document. | ||
| Secure Messaging | 1% | 1595 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative). | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Send a Summary of Care | 100% | 29 |
| For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider-(1) creates a summary of care record using certified EHR technology; and (2) electronically exchanges the summary of care record. | ||
| Tobacco use | Yes | N/A |
| Tobacco use: Regular engagement of MIPS eligible clinicians or groups in integrated prevention and treatment interventions, including tobacco use screening and cessation interventions (refer to NQF #0028) for patients with co-occurring conditions of behavioral or mental health and at risk factors for tobacco dependence. | ||
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jeffrey Berg is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| RESTON HOSPITAL CENTER | 1850 TOWN CENTER PARKWAY RESTON, VA 20190 | (703) 689-9000 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 1 | 4 | 9 | 2 | 6 | 2 | 9 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 18 | 2 | 12 | 2 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 1 + 8 + 2 + 1 + 2 + 2 + 1 + 8 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1114926292 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1700885035 | DR. THOMAS B FLEETER M.D. Individual | Orthopaedic Surgery | 1860 TOWN CENTER DR SUITE 300 RESTON, VA 20190 (703) 435-6604 |
| 1366437493 | GEORGE KARTALIAN, JR. M.D. Individual | Orthopaedic Surgery | 1860 TOWN CENTER DR SUITE 300 RESTON, VA 20190 (703) 435-6604 |
| 1669467684 | DAVID R MILLER M.D. Individual | Orthopaedic Surgery (Hand Surgery) | 1860 TOWN CENTER DR SUITE 300 RESTON, VA 20190 (703) 435-6604 |
| 1184611964 | SAMUEL MARK SHOR M.D. Individual | Internal Medicine | 1860 TOWN CENTER DR SUITE 230 RESTON, VA 20190 (703) 709-1119 |
| 1134102833 | FOX MILL FOOT AND ANKLE CENTER PLC Organization | Podiatrist (Foot Surgery) | 1860 TOWN CENTER DR SUITE 220 RESTON, VA 20190 (703) 391-0211 |
| 1720052178 | MICHAEL GEORGE MELLIS MD Individual | Otolaryngology | 1860 TOWN CENTER DR SUITE 225 RESTON, VA 20190 (703) 483-3610 |
| 1326008384 | ISHTIAQ AHMAD MD Individual | Psychiatry & Neurology (Neurology) | 1860 TOWN CENTER DR SUITE 320 RESTON, VA 20190 (703) 348-7207 |
| 1124065487 | MAARIJ INC Organization | Psychiatry & Neurology (Neurology) | 1860 TOWN CENTER DR SUITE 320 RESTON, VA 20190 (703) 348-7207 |
| 1215963517 | SOHEILA ROSTAMI MD Individual | Specialist | 1860 TOWN CENTER DR SUITE 250 RESTON, VA 20190 (571) 203-1300 |
| 1508961087 | RESTON EAR NOSE AND THROAT PC Organization | Otolaryngology | 1860 TOWN CENTER DR SUITE 335 RESTON, VA 20190 (703) 787-3322 |
| 1366540072 | DHRUV B PATEDER MD Individual | Orthopaedic Surgery (Orthopaedic Surgery of the Spine) | 1860 TOWN CENTER DR SUITE 300 RESTON, VA 20190 (703) 435-6604 |
| 1689773731 | DR. SUPRIYA VARMA M.D., F.A.C.O.G. Individual | Specialist | 1860 TOWN CENTER DR SUITE 240 RESTON, VA 20190 (703) 352-3344 |
| 1457448995 | M KARIM ALI MD Individual | Otolaryngology (Otolaryngology/Facial Plastic Surgery) | 1860 TOWN CENTER DR SUITE 420 RESTON, VA 20190 (703) 481-1145 |
| 1508955964 | DR. RODOLFO HECTOR GONZALEZ M.D. Individual | Specialist | 1860 TOWN CENTER DR STE 350 RESTON, VA 20190 (703) 435-8256 |
| 1578630869 | DR. ALEXIA R GOSPODINOFF M.D. Individual | Internal Medicine (Rheumatology) | 1860 TOWN CENTER DR SUITE #130 RESTON, VA 20190 (703) 709-9174 |
| 1598823718 | SUZANNE KIM DOUD GALLI M.D., PH.D. Individual | Otolaryngology (Facial Plastic Surgery) | 1860 TOWN CENTER DR SUITE 260 RESTON, VA 20190 (703) 787-0199 |
| 1982754040 | CLAUDE ABUJRAB-SABA M.D. Individual | Internal Medicine (Rheumatology) | 1860 TOWN CENTER DR 130 RESTON, VA 20190 (703) 709-9174 |
| 1003953928 | RODOLFO H GONZALEZ MD. PC Organization | Specialist | 1860 TOWN CENTER DR SUITE 350 RESTON, VA 20190 (703) 435-8256 |
| 1962614933 | JAMES D REEVES M.D. Individual | Orthopaedic Surgery | 1860 TOWN CENTER DR SUITE 300 RESTON, VA 20190 (703) 435-6604 |
| 1821202565 | WOMENS CARE GROUP Organization | Specialist | 1860 TOWN CENTER DR #240 RESTON, VA 20190 (703) 352-3344 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114926292, enumerated in the NPI registry as an "individual" on July 20, 2005
The provider is located at 1860 Town Center Dr Suite 300 Reston, Va 20190 and the phone number is (703) 435-6604
The provider's speciality is Orthopaedic Surgery with taxonomy code 207XX0005X with a focus in Sports Medicine
The provider has more than 34 years of experience. He graduated from Boston University School Of Medicine in 1992.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The most common procedures or services performed by this practitioner are: Aspiration and/or injection of fluid from large joint, Established patient office or other outpatient visit, 10-19 minutes, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Injection, methylprednisolone acetate, 40 mg, Lower limb (leg) arthroscopy (minimally invasive joint repair), New patient office or other outpatient visit, 45-59 minutes, Upper limb (arm) arthroscopy (minimally invasive joint repair), X-ray of knee, 4 or more views, X-ray of shoulder blade and X-ray of shoulder, minimum of 2 views.
The practitioner is affiliated to the following hospital(s): RESTON HOSPITAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on July 20, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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