DR. WYATT BERG (DC) – Chiropractor, NPI 1750169082

DR. WYATT BERG (DC) is a healthcare provider. based in Fairbanks, Alaska. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. 214767 (AK). The NPI Number for DR. WYATT BERG (DC) is 1750169082

Main info

Male
3 Years Of Experience
Name
DR. WYATT BERG (DC)
NPI
1750169082
Phone
(907) 456-4234
Address
515 7TH AVE STE 230
Enumeration Date
18 September 2023
Last Update Date
18 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9074564234
Graduation Year
2023 (3 years ago)
PAC ID
5799227203
Group Practice PAC ID
1658263413
Professional Enrollment ID
I20240611003300
Address ID
AK997014949FA515XXAVEX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

176 CHIROPRACTIC in AK

Provider Addresses for DR. WYATT BERG (DC)

  • 515 7TH AVE STE 230

    FAIRBANKS, AK 997014949

    Phone: (907) 456-4234

    Fax: (907) 451-9168

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240611003300IChiropracticAKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99701)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658263413View full group profile
NameSpecialtyState
C H I R O P R A C T I CAK
C H I R O P R A C T I CAK
C H I R O P R A C T I CAK

Reviews

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Frequently asked questions

Can I cross-check DR. WYATT BERG (DC) using NPI 1750169082?
NPI 1750169082 belongs to DR. WYATT BERG (DC); compare other details if you need extra assurance.
Would DR. WYATT BERG (DC) appear as active to a payer?
You can treat DR. WYATT BERG (DC) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe DR. WYATT BERG (DC)'s focus?
For DR. WYATT BERG (DC), the primary taxonomy reads as Chiropractor. Clinical services aligned with this taxonomy classification.
Is DR. WYATT BERG (DC) located near Fairbanks?
DR. WYATT BERG (DC) currently maps to Fairbanks, Alaska in this extract.
Does DR. WYATT BERG (DC) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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