Active NPI 1417926874 Individual Practitioner Male Practitioner

Dr. Robert A Berger , MD

Surgery • Flagstaff, AZ

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Robert Berger, MD is a certified Surgery practicing in Flagstaff, AZ. With approximately 30 years of clinical experience since graduating from University Of Arizona College Of Medicine in 1996, Dr. Berger delivers high-quality medical care to the local community at 77 W FOREST AVE STE 201.

Dr. Berger maintains professional affiliations with Tuba City Regional Health Care Corporation, Flagstaff Surgical Associates Pa, Winslow Memorial Hospital Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, repair of groin hernia using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

77 W Forest Ave Ste 201

Flagstaff, AZ 860011483

Telephone 9287732222

Fax 9287732598

Associated Practice Facility / Clinic

🏢 Flagstaff Surgical Associates Pa Facility NPI 1114995271

Medicare Profile & Education

Medical School

University Of Arizona College Of Medicine

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Flagstaff, AZ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +12.2 yrs vs City Avg

City Avg: 17.8 Yrs

State Avg: 23.6 Yrs

Regional Practice Density

15 Specialists

Practicing in Flagstaff, AZ (801 Statewide)

Telehealth Adoption Rate

33.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

69.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Berger (30 Years) 30 Yrs

Flagstaff Specialty Average (17.8 Years) 17.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	51	41	$205.00	$87.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$294.00	$104.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	38	$449.00	$158.40
49650 Repair of groin hernia using an endoscope	19	19	$1821.05	$470.53
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	12	$199.43	$75.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	11	$124.00	$54.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	62	51	$199.15	$76.68
99231 Follow-up hospital inpatient care per day, typically 15 minutes	52	31	$109.00	$48.08
99213 Established patient office or other outpatient visit, typically 15 minutes	44	37	$205.00	$87.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$294.00	$108.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$449.00	$161.30
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	35	$379.00	$126.04
49650 Repair of groin hernia using an endoscope	21	21	$1714.29	$489.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	14	$124.00	$54.74
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	18	18	$2006.00	$676.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$297.00	$123.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$555.67	$168.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	76	53	$199.28	$69.14
99231 Follow-up hospital inpatient care per day, typically 15 minutes	59	36	$109.00	$37.62
99213 Established patient office or other outpatient visit, typically 15 minutes	48	42	$205.00	$88.58
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	37	37	$556.14	$192.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$449.00	$163.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$294.00	$109.62
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$382.46	$131.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	18	$124.00	$55.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$297.00	$119.19
49650 Repair of groin hernia using an endoscope	16	16	$1387.50	$387.93
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	15	15	$2017.27	$662.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$449.00	$162.68
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	44	34	$199.00	$70.41
99231 Follow-up hospital inpatient care per day, typically 15 minutes	37	24	$109.00	$37.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$294.00	$110.42
99213 Established patient office or other outpatient visit, typically 15 minutes	33	27	$205.00	$89.83
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$545.91	$196.15
49650 Repair of groin hernia using an endoscope	18	18	$2027.78	$482.62
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$379.00	$133.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	13	$124.00	$55.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$297.00	$127.59
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$568.00	$215.08
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	11	11	$260.00	$18.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	50	43	$181.85	$71.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	41	41	$485.02	$201.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$270.88	$104.69
99213 Established patient office or other outpatient visit, typically 15 minutes	35	30	$185.57	$73.35
99231 Follow-up hospital inpatient care per day, typically 15 minutes	32	21	$100.56	$39.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$410.38	$161.30
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	23	23	$2826.87	$721.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	19	$113.09	$43.81
49650 Repair of groin hernia using an endoscope	14	14	$1987.50	$512.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$275.33	$107.09
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$355.45	$137.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	84	47	$109.89	$39.15
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	67	50	$196.10	$72.35
99213 Established patient office or other outpatient visit, typically 15 minutes	53	49	$198.28	$73.47
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	41	38	$381.44	$136.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$292.38	$107.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	30	$119.39	$44.55
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	35	35	$544.54	$201.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$460.74	$162.74
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	28	28	$2593.21	$682.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$293.38	$104.88
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	11	11	$265.36	$18.70
49650 Repair of groin hernia using an endoscope	11	11	$3149.86	$509.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	77	77	$341.82	$134.78
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	75	57	$182.00	$71.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	74	52	$109.00	$43.00
99231 Follow-up hospital inpatient care per day, typically 15 minutes	66	49	$99.00	$38.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$275.40	$106.01
99213 Established patient office or other outpatient visit, typically 15 minutes	47	39	$188.28	$70.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$420.37	$161.69
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	27	27	$2177.00	$672.89
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$509.00	$199.87
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	18	18	$211.00	$29.08
99238 Hospital discharge day management, 30 minutes or less	18	17	$183.00	$68.67
99239 Hospital discharge day management, more than 30 minutes	14	14	$270.00	$106.28
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$3581.00	$338.03
49505 Repair of groin hernia (5 years or older)	11	11	$1586.00	$476.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	82	44	$101.78	$38.75
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	72	46	$199.72	$71.31
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	61	61	$390.93	$135.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	35	$126.79	$42.92
99213 Established patient office or other outpatient visit, typically 15 minutes	44	41	$199.50	$71.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$274.00	$106.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$452.68	$161.60
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	21	21	$2211.57	$664.75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$550.25	$200.10
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$542.23	$203.46
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	13	12	$211.00	$18.85
49650 Repair of groin hernia using an endoscope	12	12	$1847.33	$418.13

Medical Specialties & State Licenses

CMS Verified: 2020-10-12

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License AZ 25665

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

853491 (AZ)

Commercial Insurance / Payer ID Humana

1417926874 (AZ)

Commercial Insurance / Payer ID Azfmc

1417926874 (AZ)

Commercial Insurance / Payer ID Cigna

1417926874 (AZ)

Commercial Insurance / Payer ID Uhc

1417926874 (AZ)

Commercial Insurance / Payer ID Medicare

Z81338 (AZ)

Commercial Insurance / Payer ID Aetna

1417926874 (AZ)

Commercial Insurance / Payer ID Blue Cross Blue Shield Az

AZ0755200 (AZ)

Hospital & Practice Group Affiliations

Flagstaff Surgical Associates Pa

77 W Forest Ave, Flagstaff, AZ 860011483

Phone: 9287732222

Tuba City Regional Health Care Corporation

P O Box, Tuba City, AZ 860450600

Tuba City Regional Health Care Corporation

167 N Main St, Tuba City, AZ 860450600

Phone: 9282832094

Winslow Memorial Hospital Inc

1501 N Williamson Ave, Winslow, AZ 860472735

Phone: 9282894691

Tuba City Regional Health Care Corporation

167 Main St, Tuba City, AZ 860450600

Phone: 9282832501

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners

Dr. William Badger , MD

Urology

NPI 1003935479

Doctor of Medicine (M.D.)

Dr. Daniel Wesche , MD

Surgery

NPI 1013985191

Doctor of Medicine (M.D.)

Dr. Kerry Beasley , AuD

Audiologist

NPI 1053853945

Doctor of Audiology

Dr. Kate Preston , MD

Surgery

NPI 1265692982

Doctor of Medicine (M.D.)

Dr. Sarah Sohail , MD

Surgery

NPI 1326537507

Doctor of Medicine (M.D.)

Dr. John Stupinski , MD

Surgery

NPI 1376070953

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location October 12, 2020

Registered at 77 W FOREST AVE STE 201, FLAGSTAFF, AZ 860011483 (Tel: 9287732222)

📍

Updated Business Mailing Address October 12, 2020

Registered at PO BOX 31210, FLAGSTAFF, AZ 860031210 (Tel: 9287732222)

✅

NPI Profile Active January 25, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location January 25, 2008

Registered at 77 W FOREST AVE, SUITE 201, FLAGSTAFF, AZ 860011479 (Tel: 9287732222)

📍

Updated Business Mailing Address January 25, 2008

Registered at PO BOX 10577, SCOTTSDALE, AZ 852710577 (Tel: 9287732222)

👤

Provider Name / Credentials Updated January 25, 2008

Recorded as ROBERT BERGER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2008

Surgery (License #25665 in AZ)

🟢

Initial NPI Registration & Enumeration March 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417926874

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 16, 2006

Last Update: October 12, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 31210

Flagstaff, AZ 860031210

Phone: 9287732222

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.