DR. ERIK VICTOR BERG M.D.
NPI 1235395500
Otolaryngology in Cambridge, MA
NPI Status: Active since August 05, 2008
Contact Information
1493 CAMBRIDGE ST
CAMBRIDGE, MA
ZIP 02139
Phone: (617) 665-2555
Fax: (617) 665-2825
- Individual
- Male
- Years of Experience 19
- Otolaryngology
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About ERIK BERG
This page provides the complete NPI Profile along with additional information for Erik Berg, a provider established in Cambridge, Massachusetts with a medical specialization in Otolaryngology and more than 19 years of experience. He graduated from Tufts University School Of Medicine in 2007. The healthcare provider is registered in the NPI registry with number 1235395500 assigned on August 2008. The practitioner's primary taxonomy code is 207Y00000X with license number 25075 (MA). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1235395500
- Provider Name
- DR. ERIK VICTOR BERG M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1493 CAMBRIDGE ST CAMBRIDGE, MA 02139
- Location Phone
- (617) 665-2555
- Location Fax
- (617) 665-2825
- Mailing Address
- 1493 CAMBRIDGE ST CAMBRIDGE, MA 02139
- Mailing Phone
- (617) 665-2555
- Mailing Fax
- (617) 665-2825
- Medical School Name
- TUFTS UNIVERSITY SCHOOL OF MEDICINE
- Graduation Year
- 2007
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-05-2008
- Last Update Date
- 03-03-2021
- Code Navigator
Location Map
Secondary Locations
- 35 Pearl St Ste 200
Brockton, MA 02301
(508) 588-8034
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
Otolaryngology
- Taxonomy Code
- 207Y00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 25075
- License State
- MA
- Taxonomy Description
- An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Erik 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.
Erik 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: 446416077
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: I20120725000536
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.
Complex control of nose bleed
Comprehensive hearing and speech recognition test
Diagnostic exam of nasal passages using an endoscope
Diagnostic exam of voice box using a flexible endoscope
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Melanoma (skin cancer) excision
New patient office or other outpatient visit, 30-44 minutes
New patient office or other outpatient visit, 45-59 minutes
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing
Removal of impacted ear wax
Test to assess middle ear function
Complex control of a nose bleed involves specialized medical interventions. Doctors may cauterize (seal) the bleeding vessel or insert a nasal packing. This procedure helps stop the bleeding and promotes healing. It's performed under local or general anesthesia.
This service was performed 13 times for 12 patientsA comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
This service was performed 25 times for 25 patientsA diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
This service was performed 54 times for 51 patientsThis procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
This service was performed 110 times for 88 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 365 times for 270 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 93 times for 71 patientsMelanoma excision is a procedure where a surgeon removes melanoma, a type of skin cancer, and some surrounding healthy tissue. Local anesthesia is applied to numb the area. The goal is to completely remove the cancer and prevent its spread. Healing time varies.
This service was performed for 1-10 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 260 times for 260 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 32 times for 32 patientsThis procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.
This service was performed 34 times for 34 patientsImpacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
This service was performed 189 times for 117 patientsA test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
This service was performed 32 times for 32 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $36.02 for a new patient copayment and $19.71 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 02139 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $144.11
- Minimum New Patient Price $63.72
- Maximum New Patient Price $189.86
- Average New Patient Copayment $36.02
- Minimum New Patient Copayment $15.93
- Maximum New Patient Copayment $47.46
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $78.84
- Minimum Established Patient Price $21.07
- Maximum Established Patient Price $155.29
- Average Established Patient Copayment $19.71
- Minimum Established Patient Copayment $5.26
- Maximum Established Patient Copayment $38.82
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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. Erik Berg is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| SIGNATURE HEALTHCARE BROCKTON HOSPITAL | 680 CENTER STREET BROCKTON, MA 02302 | (508) 941-7000 | Acute Care Hospitals | |
| MORTON HOSPITAL | 88 WASHINGTON STREET TAUNTON, MA 02780 | (508) 828-7000 | Acute Care Hospitals | |
| GOOD SAMARITAN MEDICAL CENTER | 235 NORTH PEARL STREET BROCKTON, MA 02301 | (508) 427-3000 | 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 | 2 | 3 | 5 | 3 | 9 | 5 | 5 | 0 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 6 | 5 | 6 | 9 | 10 | 5 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 6 + 5 + 6 + 9 + 1 + 0 + 5 + 0 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1235395500 is valid because the calculated check digit 0 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 |
|---|---|---|---|
| 1083616767 | DR. LOUISE GLASSNER COHEN PHARM.D., BCPP Individual | Pharmacist (Psychiatric) | 1493 CAMBRIDGE ST CAMBRIDGE HEALTH ALLIANCE-MYSTIC CENTER CAMBRIDGE, MA 02139 (781) 306-8639 |
| 1265427074 | JANET BAER MD Individual | Radiology (Diagnostic Radiology) | 1493 CAMBRIDGE ST RADIOLOGY DEPARTMENT CAMBRIDGE, MA 02139 (617) 665-1240 |
| 1104815190 | CHARLES D TAYLOR MD Individual | Internal Medicine (Hematology & Oncology) | 1493 CAMBRIDGE ST CAMBRIDGE, MA 02139 (617) 665-1552 |
| 1902896715 | DR. SHOBHANA A DALAL MD Individual | Anesthesiology | 1493 CAMBRIDGE ST CHA - ANESTHESIOLOGY CAMBRIDGE, MA 02139 (617) 665-1630 |
| 1669462818 | DR. LENA EBBA DOHLMAN MD Individual | Anesthesiology | 1493 CAMBRIDGE ST CHA - ANESTHESIOLOGY CAMBRIDGE, MA 02139 (617) 499-6634 |
| 1518957687 | DR. DEBORAH ELLEN GLOTZER MD Individual | Pediatrics | 1493 CAMBRIDGE ST CAMBRIDGE HEALTH ALLIANCE CAMBRIDGE, MA 02139 (617) 665-1264 |
| 1134110414 | DR. STEPHEN LEWIS CAMPO MD Individual | Anesthesiology | 1493 CAMBRIDGE ST ANESTHESIOLOGY CAMBRIDGE, MA 02139 (617) 665-1630 |
| 1669453023 | DR. ELIZABETH ZULINSKA MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1493 CAMBRIDGE ST CHA -PATHOLOGY CAMBRIDGE, MA 02139 (617) 665-1220 |
| 1760463178 | DR. KATHARINE KOSINSKI MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1493 CAMBRIDGE ST CAMBRIDGE, MA 02139 (617) 665-1220 |
| 1326021510 | MAGALY A NOEL M.D. Individual | Physical Medicine & Rehabilitation | 1493 CAMBRIDGE ST CAMBRIDGE, MA 02139 (617) 665-1566 |
| 1558345470 | DR. JEANETTE A CALLAHAN MD Individual | Pediatrics | 1493 CAMBRIDGE ST CAMBRIDGE, MA 02139 (617) 665-1264 |
| 1073597910 | MR. DAVID FRANK PINCUS M.D., PH.D. Individual | Anesthesiology | 1493 CAMBRIDGE ST CAMBRIDGE HOSPITAL CAMBRIDGE, MA 02139 (617) 665-1630 |
| 1609856517 | DR. EVA D PATALAS M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1493 CAMBRIDGE ST CAMBRIDGE, MA 02139 (617) 665-1220 |
| 1609847631 | DR. JOSEPH ALEXANDER JACKSON IV D.O. Individual | Psychiatry & Neurology (Psychiatry) | 1493 CAMBRIDGE ST STATION LANDING/CCAD CAMBRIDGE, MA 02139 (781) 306-8655 |
| 1750353090 | DR. THOMAS HARTER GLICK MD Individual | Psychiatry & Neurology (Neurology) | 1493 CAMBRIDGE ST CAMBRIDGE HOSPITAL CAMBRIDGE, MA 02139 (617) 665-1017 |
| 1518939503 | MIRIAM T ASCHKENASY M.D. Individual | Emergency Medicine | 1493 CAMBRIDGE ST CAMBRIDGE, MA 02139 (617) 665-1616 |
| 1316910094 | DR. SANJAY GULATI MD Individual | Psychiatry & Neurology (Psychiatry) | 1493 CAMBRIDGE ST CAMBRIDGE, MA 02139 (617) 498-1000 |
| 1851367395 | DR. MICHAEL BRUCE LESLIE M.D. Individual | Psychiatry & Neurology (Psychiatry) | 1493 CAMBRIDGE ST DEPT OF PSYCHIATRY, CAMBRIDGE HEALTH ALLIANCE CAMBRIDGE, MA 02139 (617) 575-5253 |
| 1194794768 | DR. ROBERT BRUCE GILMAN M.D. Individual | Psychiatry & Neurology (Psychiatry) | 1493 CAMBRIDGE ST CAHILL 4/CAMBRIDGE HOSPITAL CAMBRIDGE, MA 02139 (617) 665-1410 |
| 1376503318 | DR. DAVID WILLIAM BARON MD Individual | Internal Medicine | 1493 CAMBRIDGE ST CAMBRIDGE, MA 02139 (617) 665-1068 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235395500, enumerated in the NPI registry as an "individual" on August 05, 2008
The provider is located at 1493 Cambridge St Cambridge, Ma 02139 and the phone number is (617) 665-2555
The provider's speciality is Otolaryngology with taxonomy code 207Y00000X
The provider has more than 19 years of experience. He graduated from Tufts University School Of Medicine in 2007.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. 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.
Medicare beneficiaries should expect a typical cost of $144.11 with an average copayment of $36.02 for new patient appointments. Established patients should expect a typical charge of $78.84 and an average copayment of 19.71. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Complex control of nose bleed, Comprehensive hearing and speech recognition test, Diagnostic exam of nasal passages using an endoscope, Diagnostic exam of voice box using a flexible endoscope, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Melanoma (skin cancer) excision, New patient office or other outpatient visit, 30-44 minutes, New patient office or other outpatient visit, 45-59 minutes, Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing, Removal of impacted ear wax and Test to assess middle ear function.
The practitioner is affiliated to the following hospital(s): SIGNATURE HEALTHCARE BROCKTON HOSPITAL, MORTON HOSPITAL and GOOD SAMARITAN MEDICAL 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 August 05, 2008. 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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