Active NPI 1972574408 Individual Practitioner Male Practitioner

Dr. Adam Scott Berger , MD

Ophthalmology • Winter Haven, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Adam Berger, MD is a certified Ophthalmology practicing in Winter Haven, FL. With approximately 38 years of clinical experience since graduating from State University Of New York Downstate Medical Center in 1988, Dr. Berger delivers high-quality medical care to the local community at 250 AVENUE K SW.

Dr. Berger is affiliated with Vitreous And Retina Consultants Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, faricimab-svoa, 0.1 mg, injection, pegcetacoplan, intravitreal, 1 mg, injection, avacincaptad pegol, 0.1 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

250 Avenue K Sw
Suite 200

Winter Haven, FL 338803919

Telephone 8632975400

Fax 8602939780

Associated Practice Facility / Clinic

🏢 Vitreous & Retina Consultants, Pa Facility NPI 1730159575

Medicare Profile & Education

Medical School

State University Of New York Downstate Medical Center

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Winter Haven, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +7.8 yrs vs City Avg

City Avg: 30.2 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

19 Specialists

Practicing in Winter Haven, FL (1686 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

23.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Berger (38 Years) 38 Yrs

Winter Haven Specialty Average (30.2 Years) 30.2 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
J2777 Injection, faricimab-svoa, 0.1 mg	33,480	125	$35.08	$34.52
J2781 Injection, pegcetacoplan, intravitreal, 1 mg	4,305	71	$150.12	$147.72
J2782 Injection, avacincaptad pegol, 0.1 mg	3,261	43	$109.88	$108.12
92134 Imaging of retina	1,972	670	$39.00	$38.26
67028 Injection of drug into eye	1,590	382	$126.85	$124.79
99213 Established patient office or other outpatient visit, typically 15 minutes	1,314	511	$89.54	$88.12
Q5128 Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg	1,128	66	$233.60	$229.86
J0178 Injection, aflibercept, 1 mg	1,033	156	$961.54	$831.22
J0177 Injection, aflibercept hd, 1 mg	616	29	$337.07	$331.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	543	264	$126.31	$124.22
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	217	19	$205.60	$202.31
92250 Photography of the retina	181	123	$35.93	$35.10
J7999 Compounded drug, not otherwise classified	118	71	$81.23	$78.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	83	83	$112.33	$107.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$165.56	$163.34
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	60	12	$1.02	$1.00
92235 Exam of retinal blood vessels using a special camera after injection of a dye	59	59	$153.46	$151.14
J3490 Unclassified drugs	56	24	$2306.91	$2042.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	41	$55.37	$54.63
J3590 Unclassified biologics	14	12	$3300.00	$1687.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2777 Injection, faricimab-svoa, 0.1 mg	7,140	35	$37.05	$36.45
J0178 Injection, aflibercept, 1 mg	2,146	222	$961.54	$867.61
92134 Imaging of retina	2,059	681	$39.45	$38.71
J2781 Injection, pegcetacoplan, intravitreal, 1 mg	1,680	51	$153.52	$151.06
67028 Injection of drug into eye	1,613	386	$127.54	$125.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,078	379	$127.10	$124.82
99213 Established patient office or other outpatient visit, typically 15 minutes	946	441	$89.64	$88.33
J0179 Injection, brolucizumab-dbll, 1 mg	642	19	$316.37	$311.30
J7999 Compounded drug, not otherwise classified	502	149	$80.64	$79.35
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	245	16	$208.60	$190.64
92250 Photography of the retina	160	100	$36.56	$35.79
J3490 Unclassified drugs	115	50	$2005.33	$1840.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	85	85	$166.34	$163.98
92235 Exam of retinal blood vessels using a special camera after injection of a dye	79	72	$131.95	$129.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	76	76	$112.79	$110.57
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	72	12	$1.10	$1.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	46	$55.89	$55.15
67041 Removal of membrane from the retina	11	11	$1120.59	$1102.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0178 Injection, aflibercept, 1 mg	2,054	218	$952.58	$898.11
92134 Imaging of retina	1,771	664	$40.06	$39.37
67028 Injection of drug into eye	1,386	357	$127.96	$126.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,146	353	$128.25	$126.39
J7999 Compounded drug, not otherwise classified	609	166	$81.10	$79.34
99213 Established patient office or other outpatient visit, typically 15 minutes	574	327	$91.22	$89.60
J0179 Injection, brolucizumab-dbll, 1 mg	390	17	$312.83	$308.78
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	196	15	$200.06	$198.12
92250 Photography of the retina	117	80	$36.77	$35.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	79	79	$113.92	$112.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	73	63	$57.01	$55.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$168.83	$167.18
92235 Exam of retinal blood vessels using a special camera after injection of a dye	63	60	$121.83	$120.70
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$73.05	$72.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0178 Injection, aflibercept, 1 mg	2,380	217	$920.86	$916.22
92134 Imaging of retina	1,716	601	$40.33	$40.40
67028 Injection of drug into eye	1,359	317	$130.48	$131.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	996	317	$129.69	$130.78
99213 Established patient office or other outpatient visit, typically 15 minutes	619	336	$91.76	$91.38
J7999 Compounded drug, not otherwise classified	502	130	$80.64	$80.64
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	189	13	$199.96	$199.96
92250 Photography of the retina	121	83	$38.84	$38.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	91	78	$55.80	$56.22
92014 Established patient complete exam of visual system	73	73	$123.33	$123.64
92235 Exam of retinal blood vessels using a special camera after injection of a dye	67	65	$114.02	$114.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$169.06	$170.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$112.81	$113.77
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	14	14	$1137.78	$1147.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0178 Injection, aflibercept, 1 mg	2,592	231	$949.50	$922.29
92134 Imaging of retina	1,520	479	$40.70	$40.01
67028 Injection of drug into eye	1,485	342	$120.15	$115.74
99213 Established patient office or other outpatient visit, typically 15 minutes	1,336	325	$75.20	$74.51
92250 Photography of the retina	548	410	$46.20	$43.08
J7999 Compounded drug, not otherwise classified	531	142	$79.83	$55.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	527	421	$109.98	$108.38
J0179 Injection, brolucizumab-dbll, 1 mg	276	20	$317.46	$313.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	165	165	$167.48	$164.38
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	133	11	$200.08	$199.17
92235 Exam of retinal blood vessels using a special camera after injection of a dye	91	84	$104.47	$99.75
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	20	20	$1162.24	$1159.59
92014 Established patient complete exam of visual system	15	15	$124.78	$124.98
67036 Removal of eye fluid (vitreous) between the lens and retina	14	12	$908.03	$862.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0178 Injection, aflibercept, 1 mg	2,888	255	$970.80	$934.87
92134 Imaging of retina	1,810	649	$41.40	$40.39
67028 Injection of drug into eye	1,688	403	$118.59	$114.90
99213 Established patient office or other outpatient visit, typically 15 minutes	1,473	389	$74.13	$73.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	758	581	$108.95	$108.00
92250 Photography of the retina	696	528	$53.18	$48.42
J7999 Compounded drug, not otherwise classified	603	175	$50.66	$49.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	280	280	$166.70	$164.48
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	168	11	$200.59	$196.82
92235 Exam of retinal blood vessels using a special camera after injection of a dye	119	118	$88.70	$87.20
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	76	19	$1.81	$1.60
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	34	33	$1174.92	$1150.03
67515 Injection of medication or substance into membrane covering eyeball	17	17	$88.07	$71.83
67036 Removal of eye fluid (vitreous) between the lens and retina	12	11	$913.32	$888.59
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	11	11	$346.21	$345.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0178 Injection, aflibercept, 1 mg	2,942	266	$982.73	$945.69
92134 Imaging of retina	2,138	781	$41.41	$40.31
67028 Injection of drug into eye	1,872	439	$133.53	$112.35
99213 Established patient office or other outpatient visit, typically 15 minutes	1,628	411	$73.28	$72.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	861	646	$108.26	$105.84
J7999 Compounded drug, not otherwise classified	757	208	$50.55	$48.97
92250 Photography of the retina	650	502	$59.80	$53.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	323	323	$166.79	$161.82
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	203	14	$200.95	$196.97
92235 Exam of retinal blood vessels using a special camera after injection of a dye	152	146	$83.28	$79.81
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	88	19	$2.00	$1.71
76512 Ultrasound of eye disease, growth, or structure	25	15	$82.17	$66.08
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	19	19	$1191.59	$1150.55
67210 Laser destruction of retinal growth, 1 or more sessions	19	16	$522.34	$514.19
67515 Injection of medication or substance into membrane covering eyeball	18	18	$101.90	$86.67
67036 Removal of eye fluid (vitreous) between the lens and retina	17	14	$911.31	$857.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0178 Injection, aflibercept, 1 mg	2,282	200	$981.24	$961.15
92134 Imaging of retina	2,250	854	$40.90	$40.02
67028 Injection of drug into eye	1,713	415	$155.38	$112.79
99213 Established patient office or other outpatient visit, typically 15 minutes	1,557	402	$73.22	$72.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	891	661	$108.12	$105.14
J7999 Compounded drug, not otherwise classified	868	211	$50.00	$49.20
92250 Photography of the retina	569	432	$64.99	$63.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	288	288	$165.66	$162.31
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	182	13	$200.93	$197.39
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	136	29	$2.00	$1.79
92235 Exam of retinal blood vessels using a special camera after injection of a dye	134	130	$81.05	$75.12
76512 Ultrasound of eye disease, growth, or structure	20	16	$106.36	$77.46
67210 Laser destruction of retinal growth, 1 or more sessions	19	18	$520.00	$511.94
67515 Injection of medication or substance into membrane covering eyeball	18	17	$97.93	$73.61
67036 Removal of eye fluid (vitreous) between the lens and retina	15	15	$907.32	$874.98
67041 Removal of membrane from the retina	15	14	$1162.68	$1136.81
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	14	13	$342.40	$337.14
67108 Repair of detached retina and drainage of eye fluid between lens and retina	14	13	$1212.59	$1167.83
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	13	11	$1163.50	$1092.04

Medical Specialties & State Licenses

CMS Verified: 2025-06-04

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License FL ME76336

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Ophthalmology - Retina Specialist

NUCC Taxonomy Code: 207WX0107X

State License FL ME0076336

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

256885300 (FL)

Hospital & Practice Group Affiliations

Vitreous And Retina Consultants Pa

250 Ave K Sw, Winter Haven, FL 338803919

Phone: 8632975400

Practice Associates & Co-Workers

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

6 Associated Practitioners

Dr. Sonya Braudway , OD

Optometrist

NPI 1043282387

Doctor of Optometry

Dr. Mehak Khan , OD

Optometrist

NPI 1104563857

Doctor of Optometry

Alice Enault , OT

Occupational Therapist

NPI 1275520249

Occupational Therapist

Dr. Logan Christensen , MD

Ophthalmology - Retina Specialist

NPI 1467891812

Doctor of Medicine (M.D.)

Dr. Suk Moon , MD

Ophthalmology

NPI 1477524130

Doctor of Medicine (M.D.)

Dr. Hershel Patel , MD

Ophthalmology - Retina Specialist

NPI 1801216072

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2025

Ophthalmology (License #ME0076336 in FL)

✅

NPI Profile Active April 19, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location April 19, 2017

Registered at 250 AVENUE K SW, SUITE 200, WINTER HAVEN, FL 338803919 (Tel: 8632975400)

📍

Updated Business Mailing Address April 19, 2017

Registered at 250 AVENUE K SW, SUITE 200, WINTER HAVEN, FL 338803919 (Tel: 8632975400)

👤

Provider Name / Credentials Updated April 19, 2017

Recorded as ADAM BERGER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2017

Ophthalmology (License #ME0076336 in FL)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2017

Ophthalmology (License #ME76336 in FL)

✅

NPI Profile Active June 17, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location June 17, 2010

Registered at 250 AVENUE K SW, SUITE 200, WINTER HAVEN, FL 338803919 (Tel: 8632975400)

📍

Updated Business Mailing Address June 17, 2010

Registered at 250 AVENUE K SW, SUITE 200, WINTER HAVEN, FL 338803919 (Tel: 8632975400)

👤

Provider Name / Credentials Updated June 17, 2010

Recorded as ADAM BERGER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2010

Ophthalmology (License #ME76336 in FL)

🟢

Initial NPI Registration & Enumeration February 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1972574408

Entity Type:

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

Enumeration Date: February 01, 2006

Last Update: June 04, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

250 Avenue K Sw, Suite 200

Winter Haven, FL 338803919

Phone: 8632975400

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.