Active NPI 1366407942 Individual Practitioner Male Practitioner

Dr. Kenneth Alan Berger , MD

Urology • Clarkston, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Berger, MD is a certified Urology practicing in Clarkston, WA. With approximately 27 years of clinical experience since graduating from State University Of New York Downstate Medical Center in 1999, Dr. Berger delivers high-quality medical care to the local community at 1119 HIGHLAND AVE.

Dr. Berger is affiliated with Tri-State Memorial Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include crushing of stone of ureter with insertion of stent using an endoscope, established patient outpatient office visit, injection procedure for x-ray imaging of kidney and urinary duct (ureter) using imaging guidance including radiological supervision and interpretation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1119 Highland Ave

Clarkston, WA 994032836

Telephone 5097585511

Associated Practice Facility / Clinic

🏢 Yellow Rock Clinic Pllc Facility NPI 1851369227

Medicare Profile & Education

Medical School

State University Of New York Downstate Medical Center

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Clarkston, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs Matches City Avg

City Avg: 27.0 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

1 Specialists

Practicing in Clarkston, WA (351 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Berger (27 Years) 27 Yrs

Clarkston Specialty Average (27.0 Years) 27.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
52356 Crushing of stone of ureter with insertion of stent using an endoscope	26	22	$995.00	$422.90
99213 Established patient office or other outpatient visit, typically 15 minutes	17	11	$175.00	$32.67
50430 Injection procedure for x-ray imaging of kidney and urinary duct (ureter) using imaging guidance including radiological supervision and interpretation	17	14	$675.26	$86.98
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	12	12	$1520.00	$755.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	26	23	$17.30	$2.28
81002 Urinalysis, manual test	24	22	$17.30	$3.27
99213 Established patient office or other outpatient visit, typically 15 minutes	21	19	$170.00	$73.98
99213 Established patient office or other outpatient visit, typically 15 minutes	20	17	$130.95	$44.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$214.92	$101.11
52000 Diagnostic exam of bladder and urethra using an endoscope	11	11	$350.00	$169.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	409	243	$17.27	$3.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	302	187	$193.58	$105.70
99213 Established patient office or other outpatient visit, typically 15 minutes	296	190	$140.77	$72.05
51798 Ultrasound measurement of bladder capacity after voiding	277	189	$168.00	$19.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	147	147	$305.00	$158.66
52000 Diagnostic exam of bladder and urethra using an endoscope	91	85	$350.00	$164.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$187.73	$105.80
51702 Simple insertion of temporary bladder tube	56	15	$159.64	$63.23
51741 Electronic assessment of bladder emptying	32	20	$19.78	$3.92
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	31	19	$381.61	$155.46
51797 Insertion of device into abdomen with pressure and urine flow rate study	31	19	$138.87	$55.50
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	31	19	$231.45	$16.68
51700 Simple bladder irrigation and/or instillation	23	21	$105.00	$73.14
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	21	21	$711.25	$60.41
76872 Ultrasound scan of pelvic region through rectum	21	21	$350.00	$92.32
55700 Biopsy of prostate gland	20	20	$328.00	$248.27
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	15	$275.00	$138.91
50430 Injection procedure for x-ray imaging of kidney and urinary duct (ureter) using imaging guidance including radiological supervision and interpretation	16	14	$710.94	$97.10
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	13	12	$359.00	$243.68
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	11	11	$2025.00	$847.61

Medical Specialties & State Licenses

CMS Verified: 2021-08-18

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License WA MD00047873

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.

Hospital & Practice Group Affiliations

Tri-State Memorial Hospital

1119 Highland Ave, Clarkston, WA 994032836

Phone: 5097585511

Secondary Practice Locations

1200 N 14th Ave, Suite 240

Pasco, WA 993014182

Phone: 5095451897

507 N 5th Ave

Pasco, WA 993015201

Phone: 5095462300

Practice Associates & Co-Workers

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

24 Associated Practitioners

Dr. Arion Lochner , MD

Emergency Medicine

NPI 1023578200

Doctor of Medicine (M.D.)

Dr. Michael Minick , MD

Internal Medicine

NPI 1164536728

Doctor of Medicine (M.D.)

Emily Hunt , HEALTH COACH

Health Educator

NPI 1164939500

HEALTHCOACH

Dr. Donald Chin , MD

Emergency Medicine

NPI 1194885194

Doctor of Medicine (M.D.)

Dannette Frasier

Dietitian, Registered

NPI 1194916775

Mark Roubidoux , CRNA

Nurse Anesthetist, Certified Registered

NPI 1285814186

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location August 18, 2021

Registered at 1119 HIGHLAND AVE, CLARKSTON, WA 994032836 (Tel: 5097585511)

📍

Updated Business Mailing Address August 18, 2021

Registered at PO BOX 189, CLARKSTON, WA 994030189

📍

Updated Practice Location July 30, 2020

Registered at 507 N 5TH AVE, PASCO, WA 993015201 (Tel: 5095462300)

✅

NPI Profile Active February 11, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location February 11, 2016

Registered at 1200 N 14TH AVE, SUITE 240, PASCO, WA 993014182 (Tel: 5095451897)

📍

Updated Business Mailing Address February 11, 2016

Registered at 520 N 4TH AVE, PASCO, WA 993015257 (Tel: 5094168849)

👤

Provider Name / Credentials Updated February 11, 2016

Recorded as KENNETH BERGER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2016

Urology (License #MD00047873 in WA)

🟢

Initial NPI Registration & Enumeration April 18, 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: 1366407942

Entity Type:

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

Enumeration Date: April 18, 2006

Last Update: August 18, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 189

Clarkston, WA 994030189

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.