JACK L BERGER (M.D.) – Diagnostic Radiology Physician, NPI 1710984240

JACK L BERGER (M.D.) is a healthcare provider. based in Altamonte springs, Florida. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. ME41413 (FL). The NPI Number for JACK L BERGER (M.D.) is 1710984240

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
JACK L BERGER (M.D.)
NPI
1710984240
Phone
(407) 767-0433
Address
PO BOX 150505
Enumeration Date
30 June 2005
Last Update Date
21 January 2008

Doctor Profile

Medical School Name
WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9419579340
Graduation Year
1979 (47 years ago)
PAC ID
8729154869
Group Practice PAC ID
6608036108
Professional Enrollment ID
I20080913000180
Address ID
FL342408423LA6250XDRXX401
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

3,168 DIAGNOSTIC RADIOLOGY in FL

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Provider Addresses for JACK L BERGER (M.D.)

  • PO BOX 150505

    ALTAMONTE SPRINGS, FL 327150505

    Phone: (407) 767-0433

    Fax: (407) 767-0608

    Type: Mailing

  • Florida Hospital Orlando Emergency Room, 601, Rollins Street, Orlando, Orange County, Florida, 32803, United States

    ORLANDO, FL 328031248

    Phone: (407) 303-1944

    Fax: (407) 303-1746

    Type: Location

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: 2021-07-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20080913000180IDiagnostic RadiologyFLTBD
I20210714002170IDiagnostic RadiologyKYTBD

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
71045X-ray of chest, 1 view1,7891,731$0
75574Ct scan of blood vessels and grafts of heart with contrast269269$0
74177Ct scan of abdomen and pelvis with contrast223222$0
71275Ct scan of blood vessels of chest with contrast139139$0
76770Complete ultrasound scan behind abdominal cavity135135$0
View full utilization report →

Insurance plans in this area (ZIP 32715)

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Provider's Procedures

JACK L BERGER (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYFL71010X-ray of chest, 1 view, front12161085
DIAGNOSTIC RADIOLOGYFL71250CT scan chest1111
DIAGNOSTIC RADIOLOGYFL74177CT scan of abdomen and pelvis with contrast109106
DIAGNOSTIC RADIOLOGYFL76830Ultrasound pelvis through vagina6464
DIAGNOSTIC RADIOLOGYFL77012Radiological supervision and interpretation of CT guidance for needle insertion1312

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: 6608036108View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)NJ
Diagnostic RadiologyFL
Diagnostic RadiologyFL
Diagnostic RadiologyFL
-FL
Diagnostic RadiologyAZ
Interventional Cardiology, Cardiovascular Disease (Cardiology)FL
Diagnostic RadiologyFL
Diagnostic RadiologyNY
-NV

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Frequently asked questions

Can I verify JACK L BERGER (M.D.) with an NPI only?
You can start verification with NPI 1710984240 for JACK L BERGER (M.D.), then check state licensing separately.
Is JACK L BERGER (M.D.) listed as active for patients and plans?
The listing shows JACK L BERGER (M.D.) as active in the NPI system.
What taxonomy line describes JACK L BERGER (M.D.)?
For research purposes, treat JACK L BERGER (M.D.) as Diagnostic Radiology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does JACK L BERGER (M.D.) list a practice location?
Patients near Altamonte Springs, Florida may find JACK L BERGER (M.D.) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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