DR. GARY LEE BERGER MD
NPI 1205818804
Urology in Port Charlotte, FL
NPI Status: Active since November 18, 2005
Contact Information
2400 HARBOR BLVD
SUITE 21
PORT CHARLOTTE, FL
ZIP 33952
Phone: (941) 625-6992
Fax: (941) 625-7238
- Individual
- Male
- Urology
- Medicare Quality Reporting
About GARY BERGER
This page provides the complete NPI Profile along with additional information for Gary Berger, a provider established in Port Charlotte, Florida with a medical specialization in Urology. The healthcare provider is registered in the NPI registry with number 1205818804 assigned on November 2005. The practitioner's primary taxonomy code is 208800000X with license number ME0030516 (FL). The provider is registered as an individual and his NPI record was last updated 9 years ago.
- NPI
- 1205818804
- Provider Name
- DR. GARY LEE BERGER MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2400 HARBOR BLVD SUITE 21 PORT CHARLOTTE, FL 33952
- Location Phone
- (941) 625-6992
- Location Fax
- (941) 625-7238
- Mailing Address
- 2234 COLONIAL BLVD MANAGED CARE DEPARTMENT FORT MYERS, FL 33907
- Mailing Phone
- (239) 931-7342
- Mailing Fax
- (941) 625-7238
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-18-2005
- Last Update Date
- 04-25-2016
- 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
Urology
- Taxonomy Code
- 208800000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME0030516
- License State
- FL
- Taxonomy Description
- A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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.
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.
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 |
|---|---|---|---|
| 217124 | OTHER (01) | FL | AVMED |
| 8707000 | OTHER (01) | FL | CIGNA PROVIDER # |
| D53420 | MEDICARE UPIN (02) | FL | |
| 1192904 | OTHER (01) | FL | WELLCARE |
| 002736800 | MEDICAID (05) | FL | |
| 25028Z | MEDICARE PIN (08) | FL | |
| 47450 | OTHER (01) | FL | BCBS OF FL |
| 8707000 | OTHER (01) | FL | CIGNA |
| 25028 | OTHER (01) | FL | BCBS PROVIDER # |
Quality 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 |
|---|---|---|
| Annual registration in the Prescription Drug Monitoring Program | Yes | N/A |
| Annual registration by eligible clinician or group in the prescription drug monitoring program of the state where they practice. Activities that simply involve registration are not sufficient. MIPS eligible clinicians and groups must participate for a minimum of 6 months. | ||
| Consultation of the Prescription Drug Monitoring Program | Yes | N/A |
| Clinicians would attest to reviewing the patients’ history of controlled substance prescription using state prescription drug monitoring program (PDMP) data prior to the issuance of a Controlled Substance Schedule II (CSII) opioid prescription lasting longer than 3 days. For the transition year, clinicians would attest to 60 percent review of applicable patient’s history. For the Quality Payment Program Year 2 and future years, clinicians would attest to 75 percent review of applicable patient’s history performance. | ||
| Implementation of formal quality improvement methods, practice changes, or other practice improvement processes | Yes | N/A |
| Adopt a formal model for quality improvement and create a culture in which all staff actively participates in improvement activities that could include one or more of the following such as: • Multi-Source Feedback; • Train all staff in quality improvement methods; • Integrate practice change/quality improvement into staff duties; • Engage all staff in identifying and testing practices changes; • Designate regular team meetings to review data and plan improvement cycles; • Promote transparency and accelerate improvement by sharing practice level and panel level quality of care, patient experience and utilization data with staff; and/or • Promote transparency and engage patients and families by sharing practice level quality of care, patient experience and utilization data with patients and families, including activities in which clinicians act upon patient experience data. | ||
| Use of Patient Safety Tools | Yes | N/A |
| Use of tools that assist specialty practices in tracking specific measures that are meaningful to their practice, such as use of a surgical risk calculator, evidence based protocols such as Enhanced Recovery After Surgery (ERAS) protocols, the CDC Guide for Infection Prevention for Outpatient Settings, (https://www.cdc.gov/hai/settings/outpatient/outpatient-care-guidelines.html), predictive algorithms, or other such tools. | ||
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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 | 2 | 0 | 5 | 8 | 1 | 8 | 8 | 0 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 0 | 5 | 16 | 1 | 16 | 8 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 0 + 5 + 1 + 6 + 1 + 1 + 6 + 8 + 0 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1205818804 is valid because the calculated check digit 4 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 |
|---|---|---|---|
| 1063406445 | JANET M TOBIN MD PA Organization | Family Medicine | 2400 HARBOR BLVD STE 13 PORT CHARLOTTE, FL 33952 (941) 629-3435 |
| 1538153465 | DR. WILLIAM R SALAZAR MD CH Individual | Internal Medicine | 2400 HARBOR BLVD STE 1 PORT CHARLOTTE, FL 33952 (941) 764-8550 |
| 1164417671 | MICHAEL A COFFEY MD Individual | Obstetrics & Gynecology | 2400 HARBOR BLVD SUITE 14 PORT CHARLOTTE, FL 33952 (941) 766-4777 |
| 1184605404 | ODAIYAPPA SAMBANDAM M.D., FACC FCCP Individual | Internal Medicine | 2400 HARBOR BLVD SUITE 8 PORT CHARLOTTE, FL 33952 (941) 627-0323 |
| 1649253733 | DR. ADELINA CORTES FLORES M.D. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 2400 HARBOR BLVD SUITE 12 PORT CHARLOTTE, FL 33952 (941) 629-4422 |
| 1508833211 | DR. BALLAPURAM G ADHINARAYANAN MD Individual | Internal Medicine (Gastroenterology) | 2400 HARBOR BLVD SUITE 16 PORT CHARLOTTE, FL 33952 (941) 613-1223 |
| 1588611370 | SAKINA KHALIDI M.D. Individual | Obstetrics & Gynecology (Gynecology) | 2400 HARBOR BLVD SUITE 17 PORT CHARLOTTE, FL 33952 (941) 629-3113 |
| 1205944758 | MOIDEEN M MOOPEN MD Individual | Internal Medicine (Gastroenterology) | 2400 HARBOR BLVD SUITE #19 PORT CHARLOTTE, FL 33952 (941) 625-1391 |
| 1497892384 | MOIDEEN M MOOPEN MD PA Organization | Internal Medicine (Gastroenterology) | 2400 HARBOR BLVD SUITE #19 PORT CHARLOTTE, FL 33952 (941) 625-1391 |
| 1568632453 | NASIR KHALIDI & SAKINA KHALIDI, MD PA Organization | Obstetrics & Gynecology (Gynecology) | 2400 HARBOR BLVD SUITE 17 PORT CHARLOTTE, FL 33952 (941) 629-3113 |
| 1144455734 | WILLIAM R SALAZAR MD CHARTERED Organization | Internal Medicine | 2400 HARBOR BLVD STE 1 PORT CHARLOTTE, FL 33952 (941) 764-8550 |
| 1215260534 | MICHAEL A, COFFEY MD PA Organization | Obstetrics & Gynecology | 2400 HARBOR BLVD SUITE 14 PORT CHARLOTTE, FL 33952 (941) 766-4777 |
| 1245562677 | MUHAMMED Y MEMON MD PA Organization | Neurological Surgery | 2400 HARBOR BLVD STE 10 PORT CHARLOTTE, FL 33952 (941) 625-0414 |
| 1598076143 | ADELINA C. FLORES, M.D. P.A. Organization | Specialist | 2400 HARBOR BLVD SUITE 12 PORT CHARLOTTE, FL 33952 (941) 629-4422 |
| 1790091692 | O SAMBANDAM MD PA Organization | Internal Medicine (Cardiovascular Disease) | 2400 HARBOR BLVD SUITE 8 PORT CHARLOTTE, FL 33952 (941) 627-0323 |
| 1023328135 | B ADHINARAYANAN MD PA Organization | Internal Medicine (Gastroenterology) | 2400 HARBOR BLVD SUITE 16 PORT CHARLOTTE, FL 33952 (941) 613-1223 |
| 1962701672 | MATERNAL FETAL MEDICINE OF S.W. FL Organization | Obstetrics & Gynecology (Maternal & Fetal Medicine) | 2400 HARBOR BLVD UNIT 7 PORT CHARLOTTE, FL 33952 (941) 391-8010 |
| 1932193307 | DR. JANET M TOBIN MD PA Individual | Family Medicine | 2400 HARBOR BLVD STE 13 PORT CHARLOTTE, FL 33952 (941) 629-3435 |
| 1306879119 | BALA K NANDIGAM MD Individual | Internal Medicine (Cardiovascular Disease) | 2400 HARBOR BLVD SUITE 12 PORT CHARLOTTE, FL 33952 (941) 625-6187 |
| 1356361729 | USHA K NANDIGAM M.D. Individual | Internal Medicine | 2400 HARBOR BLVD SUITE16 PORT CHARLOTTE, FL 33952 (941) 625-6187 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205818804, enumerated in the NPI registry as an "individual" on November 18, 2005
The provider is located at 2400 Harbor Blvd Suite 21 Port Charlotte, Fl 33952 and the phone number is (941) 625-6992
The provider's speciality is Urology with taxonomy code 208800000X
The provider might be accepting Accepts: Medicare, Medicaid, Cigna, Wellcare and Blue Cross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on November 18, 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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