Active NPI 1952308538 Individual Practitioner Male Practitioner

Dr. Paul S Berger , MD

Internal Medicine • Commack, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Paul Berger, MD is a certified Internal Medicine practicing in Commack, NY. With approximately 47 years of clinical experience since graduating from State University Of New York Downstate Medical Center in 1979, Dr. Berger delivers high-quality medical care to the local community at 283 COMMACK ROAD.

Dr. Berger accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual depression screening, 5 to, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

283 Commack Road

Commack, NY 11725

Telephone 6314992226

Fax 6314991419

Associated Practice Facility / Clinic

🏢 Ace Clinical Laboratory, Inc Facility NPI 1235208992

Medicare Profile & Education

Medical School

State University Of New York Downstate Medical Center

Graduation Year

1979

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Commack, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

47 Yrs +16.0 yrs vs City Avg

City Avg: 31.0 Yrs

State Avg: 29.4 Yrs

Regional Practice Density

21 Specialists

Practicing in Commack, NY (12979 Statewide)

Telehealth Adoption Rate

52.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

44.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Berger (47 Years) 47 Yrs

Commack Specialty Average (31.0 Years) 31.0 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	990	396	$190.00	$106.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	586	293	$250.00	$148.97
G0444 Annual depression screening, 5 to 15 minutes	299	299	$29.95	$22.40
36415 Insertion of needle into vein for collection of blood sample	195	68	$10.00	$8.65
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	188	172	$350.00	$210.32
G0008 Administration of influenza virus vaccine	178	174	$45.00	$37.09
93000 Routine ekg using at least 12 leads including interpretation and report	173	153	$100.00	$17.08
90662 Influenza vaccine split virus, preservative free	169	165	$150.00	$81.59
94010 Test to measure expiratory airflow and volume	96	94	$150.00	$32.83
82270 Stool analysis for blood to screen for colon tumors	92	92	$10.00	$4.29
81002 Urinalysis, manual test	80	56	$35.00	$3.41
99441 Telephone medical discussion with physician, 5-10 minutes	80	55	$90.00	$55.91
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	71	28	$360.00	$212.85
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	56	23	$325.00	$145.71
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	53	36	$125.00	$49.59
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	53	11	$45.00	$16.81
99442 Telephone medical discussion with physician, 11-20 minutes	22	19	$150.00	$97.30
99496 Transitional care management services for problem of high complexity	14	14	$440.00	$328.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	591	279	$190.00	$106.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	513	247	$250.00	$149.94
G0444 Annual depression screening, 5 to 15 minutes	216	216	$30.00	$22.08
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	168	139	$350.00	$211.18
G0008 Administration of influenza virus vaccine	137	137	$45.00	$35.98
93000 Routine ekg using at least 12 leads including interpretation and report	133	120	$100.00	$17.54
90662 Influenza vaccine split virus, preservative free	132	132	$150.00	$71.93
36415 Insertion of needle into vein for collection of blood sample	130	54	$10.00	$8.40
99441 Telephone medical discussion with physician, 5-10 minutes	106	72	$90.00	$65.36
94010 Test to measure expiratory airflow and volume	75	74	$150.00	$32.77
82270 Stool analysis for blood to screen for colon tumors	63	63	$10.00	$4.29
81002 Urinalysis, manual test	55	44	$35.00	$3.41
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	27	24	$125.00	$49.73
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	27	12	$300.00	$87.63
99442 Telephone medical discussion with physician, 11-20 minutes	23	20	$150.00	$105.83
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	21	11	$325.00	$148.60
96127 Assessment of emotional or behavioral problems	14	14	$15.00	$6.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	719	302	$189.53	$109.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	425	225	$250.00	$153.28
36415 Insertion of needle into vein for collection of blood sample	178	65	$10.00	$2.96
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	168	152	$350.00	$217.93
G0008 Administration of influenza virus vaccine	160	159	$45.00	$35.29
90662 Influenza vaccine split virus, preservative free	151	150	$150.00	$68.52
99441 Telephone medical discussion with physician, 5-10 minutes	148	98	$90.00	$67.68
93000 Routine ekg using at least 12 leads including interpretation and report	146	131	$100.00	$17.80
G0444 Annual depression screening, 5 to 15 minutes	96	96	$30.00	$22.26
94010 Test to measure expiratory airflow and volume	82	82	$150.00	$33.48
82270 Stool analysis for blood to screen for colon tumors	71	71	$10.00	$4.31
81002 Urinalysis, manual test	55	44	$35.00	$3.44
99442 Telephone medical discussion with physician, 11-20 minutes	55	39	$150.00	$109.26
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	47	17	$352.34	$210.27
96127 Assessment of emotional or behavioral problems	47	47	$22.02	$6.46
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	28	22	$125.00	$50.26
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	11	11	$100.00	$20.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	750	337	$189.79	$111.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	459	255	$274.40	$157.57
36415 Insertion of needle into vein for collection of blood sample	193	63	$14.82	$3.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	187	164	$350.00	$220.21
99441 Telephone medical discussion with physician, 5-10 minutes	177	109	$90.00	$68.06
93000 Routine ekg using at least 12 leads including interpretation and report	161	147	$100.00	$18.57
G0008 Administration of influenza virus vaccine	150	150	$45.00	$20.38
90662 Influenza vaccine split virus, preservative free	140	140	$150.00	$65.23
94010 Test to measure expiratory airflow and volume	105	104	$150.00	$37.16
81002 Urinalysis, manual test	85	64	$10.29	$3.48
G0444 Annual depression screening, 5 to 15 minutes	76	76	$49.21	$22.82
99442 Telephone medical discussion with physician, 11-20 minutes	72	48	$140.00	$112.08
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	71	17	$350.00	$212.18
82270 Stool analysis for blood to screen for colon tumors	58	58	$10.00	$4.38
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	38	27	$125.00	$50.66
99354 Prolonged office or other outpatient service first hour	32	15	$300.00	$153.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	15	$150.00	$68.57
99443 Telephone medical discussion with physician, 21-30 minutes	22	15	$160.00	$158.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	810	401	$149.83	$89.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	546	307	$209.23	$130.25
G0008 Administration of influenza virus vaccine	287	286	$45.00	$19.74
90662 Influenza vaccine split virus, preservative free	275	269	$149.09	$60.91
36415 Insertion of needle into vein for collection of blood sample	236	98	$12.48	$2.99
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	197	168	$298.48	$174.25
93000 Routine ekg using at least 12 leads including interpretation and report	181	168	$100.00	$21.07
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	166	103	$30.00	$15.68
99354 Prolonged office or other outpatient service first hour	137	69	$286.13	$153.85
99441 Telephone medical discussion with physician, 5-10 minutes	137	99	$87.01	$54.71
G0444 Annual depression screening, 5 to 15 minutes	122	122	$36.23	$21.86
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	104	25	$321.15	$212.71
99442 Telephone medical discussion with physician, 11-20 minutes	100	66	$132.85	$89.61
94010 Test to measure expiratory airflow and volume	96	96	$141.93	$44.08
81002 Urinalysis, manual test	93	69	$10.00	$3.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	93	87	$126.29	$55.64
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	60	11	$35.50	$1.97
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	60	12	$42.83	$17.06
82270 Stool analysis for blood to screen for colon tumors	34	34	$10.00	$4.35
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	31	23	$126.77	$49.38
99355 Prolonged outpatient service, each additional 30 minutes	26	14	$250.00	$116.75
99443 Telephone medical discussion with physician, 21-30 minutes	26	20	$152.88	$128.39
82272 Stool analysis for blood	22	22	$10.00	$4.23
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	22	18	$136.82	$64.19
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	18	18	$97.50	$19.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$288.46	$199.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	927	366	$150.00	$83.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	279	181	$190.00	$121.18
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	191	35	$225.00	$111.39
36415 Insertion of needle into vein for collection of blood sample	167	64	$10.00	$2.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	155	145	$300.00	$162.55
93000 Routine ekg using at least 12 leads including interpretation and report	155	149	$100.00	$19.60
G0008 Administration of influenza virus vaccine	131	131	$45.00	$19.35
90662 Influenza vaccine split virus, preservative free	122	122	$67.01	$54.81
94010 Test to measure expiratory airflow and volume	101	101	$125.00	$41.09
81002 Urinalysis, manual test	80	68	$10.00	$3.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	72	51	$135.00	$51.14
82270 Stool analysis for blood to screen for colon tumors	64	64	$10.00	$4.29
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	56	14	$42.14	$18.82
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	51	11	$40.00	$1.81
99354 Prolonged office or other outpatient service first hour	47	27	$275.00	$143.90
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	43	33	$29.42	$15.09
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	43	14	$300.00	$198.63
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	35	28	$145.00	$60.25
99239 Hospital discharge day management, more than 30 minutes	24	20	$250.00	$118.13
G0444 Annual depression screening, 5 to 15 minutes	24	24	$30.00	$20.15
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	13	12	$130.00	$46.43
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	12	12	$55.00	$17.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,103	415	$137.65	$82.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	258	185	$185.35	$120.85
G0008 Administration of influenza virus vaccine	173	173	$44.83	$24.01
36415 Insertion of needle into vein for collection of blood sample	172	70	$10.00	$2.94
90662 Influenza vaccine split virus, preservative free	163	163	$66.37	$52.17
93000 Routine ekg using at least 12 leads including interpretation and report	159	150	$100.00	$19.62
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	155	41	$250.19	$114.98
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	134	130	$272.31	$163.01
94010 Test to measure expiratory airflow and volume	84	83	$125.00	$42.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	68	60	$126.47	$49.99
82270 Stool analysis for blood to screen for colon tumors	66	66	$10.00	$4.29
81002 Urinalysis, manual test	54	46	$10.00	$3.41
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	29	15	$35.00	$23.38
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	29	24	$142.93	$60.80
99239 Hospital discharge day management, more than 30 minutes	24	22	$243.96	$119.47
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	12	12	$53.33	$17.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,165	418	$109.92	$82.11
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	322	55	$250.00	$115.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	280	199	$169.79	$119.25
36415 Insertion of needle into vein for collection of blood sample	246	98	$10.00	$2.93
93000 Routine ekg using at least 12 leads including interpretation and report	166	149	$100.00	$19.59
G0008 Administration of influenza virus vaccine	146	144	$35.00	$29.93
90662 Influenza vaccine split virus, preservative free	140	138	$50.00	$47.92
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	116	108	$225.00	$162.28
94010 Test to measure expiratory airflow and volume	83	83	$125.00	$41.49
81002 Urinalysis, manual test	71	55	$10.00	$3.43
82270 Stool analysis for blood to screen for colon tumors	70	70	$10.00	$4.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	63	50	$85.00	$49.51
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	38	15	$35.00	$29.18
99239 Hospital discharge day management, more than 30 minutes	38	33	$225.00	$119.09
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	35	12	$40.00	$2.97
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	34	11	$175.00	$142.78
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	27	24	$125.00	$60.92

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NY 142964

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00847181 (NY)

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Alina Ciobanu , MD

Internal Medicine

NPI 1356349633

Doctor of Medicine (M.D.)

Irene Yarusso , ANP-C

Nurse Practitioner

NPI 1821095993

Adult Nurse Practitioner (Certified)

Patricia Moran , NP

Nurse Practitioner - Adult Health

NPI 1962543827

Nurse Practitioner

Dr. Jacques Schmid , MD

Internal Medicine - Gastroenterology

NPI 1972500858

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 18, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location January 18, 2011

Registered at 283 COMMACK ROAD, COMMACK, NY 11725 (Tel: 6314992226)

📍

Updated Business Mailing Address January 18, 2011

Registered at 283 COMMACK ROAD, COMMACK, NY 11725 (Tel: 6314992226)

👤

Provider Name / Credentials Updated January 18, 2011

Recorded as PAUL BERGER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2011

Internal Medicine (License #142964 in NY)

🟢

Initial NPI Registration & Enumeration June 28, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1952308538

Entity Type:

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

Enumeration Date: June 28, 2005

Last Update: January 18, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

283 Commack Road

Commack, NY 11725

Phone: 6314992226

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.