DR. KEVIN BERG (MD) – Surgery Physician, NPI 1396749792

DR. KEVIN BERG (MD) is a healthcare provider. based in Longmont, Colorado. specializing in Surgery Physician. They hold the professional credentials MD. They hold a License No. 26055 (CO). The NPI Number for DR. KEVIN BERG (MD) is 1396749792

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEVIN BERG (MD)
NPI
1396749792
Phone
(303) 776-1234
Address
1925 W MOUNTAIN VIEW AVE
Enumeration Date
13 June 2005
Last Update Date
5 December 2014

Doctor Profile

Medical School Name
MAYO MEDICAL SCHOOL
Secondary Phone
7208480000
Graduation Year
1979 (47 years ago)
PAC ID
9133243124
Group Practice PAC ID
9638208549
Professional Enrollment ID
I20100827000205
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. KEVIN BERG (MD)

  • Mountain View Avenue, Longmont, Boulder County, Colorado, 80501-2038, United States

    LONGMONT, CO 805013128

    Phone: (303) 776-1234

    Fax: (720) 494-3107

    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)

CMS reports 6 Open Payments records for all available years, with a total value of $923.

Total Amount is formed as General ($923) + Research ($0) + Ownership ($0) = $923.

Last reported payment date: 2023-10-18 • Largest payer in this snapshot: Endogastric Solutions, Inc ($731).

Total Amount

$923

General + Research + Ownership

Payments

6

Total payment records

General Amount

$923

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-08-27

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
I20100827000205IGeneral SurgeryCOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99204New patient office or other outpatient visit, 45-59 minutes1616$0
99213Established patient office or other outpatient visit, 20-29 minutes1614$0
View full utilization report →

Insurance plans in this area (ZIP 80501)

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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: 9638208549View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to DR. KEVIN BERG (MD)?
NPI 1396749792 is assigned to DR. KEVIN BERG (MD) under the national enumeration system.
Is DR. KEVIN BERG (MD)'s NPI currently valid?
The extract we use shows DR. KEVIN BERG (MD) as active.
What kind of provider is DR. KEVIN BERG (MD)?
The page reflects Surgery Physician for DR. KEVIN BERG (MD). Clinical services aligned with this taxonomy classification.
Does DR. KEVIN BERG (MD) practice in Colorado?
You will see Longmont, Colorado on file for DR. KEVIN BERG (MD) alongside any extra practice locations.
Is DR. KEVIN BERG (MD) a real provider?
This page reflects official NPPES data for NPI 1396749792. Always confirm identity and privileges with the practice and licensing boards.

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