JEFFREY PAUL BERGER (M.D.) – Addiction Medicine (Internal Medicine) Physician, NPI 1962409292

JEFFREY PAUL BERGER (M.D.) is a healthcare provider. based in Livonia, Michigan. specializing in INTERNAL MEDICINE, ADDICTION MEDICINE. They hold the professional credentials M.D.. They hold a License No. 4301041195 (MI). The NPI Number for JEFFREY PAUL BERGER (M.D.) is 1962409292

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY PAUL BERGER (M.D.)
NPI
1962409292
Phone
(734) 338-0600
Address
17940 FARMINGTON RD
Enumeration Date
1 July 2005
Last Update Date
12 January 2010

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8102252506
Graduation Year
1977 (49 years ago)
PAC ID
1759284110
Group Practice PAC ID
2668466996
Professional Enrollment ID
I20040202000128
Address ID
MI481168506BR12851RDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

7,218 INTERNAL MEDICINE in MI

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Provider Addresses for JEFFREY PAUL BERGER (M.D.)

  • 17940, Farmington Road, Livonia, Wayne County, Michigan, 48152, United States

    SUITE 140

    LIVONIA, MI 481523157

    Phone: (734) 338-0600

    Fax: (734) 338-0601

    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 2 Open Payments records for all available years, with a total value of $57.

Total Amount is formed as General ($57) + Research ($0) + Ownership ($0) = $57.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Alkermes, Inc. ($57).

Total Amount

$57

General + Research + Ownership

Payments

2

Total payment records

General Amount

$57

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alkermes, Inc.$57
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: 2004-02-02

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
I20040202000128IInternal MedicineMITBD

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 48152)

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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: 2668466996View full group profile
NameSpecialtyState
-MI
Clinical Social WorkerMI
-MI
Family PracticeMI
Mental Health CounselorMI
-MI
Family Practice, Addiction MedicineMI
-MI
Clinical Social WorkerMI
-MI

Reviews

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Frequently asked questions

How do payers reference JEFFREY PAUL BERGER (M.D.)?
For JEFFREY PAUL BERGER (M.D.), use NPI 1962409292 as the unique 10-digit identifier.
Is there an active status for JEFFREY PAUL BERGER (M.D.)?
For scheduling context, JEFFREY PAUL BERGER (M.D.) is shown as active in the registry.
What kind of doctor is JEFFREY PAUL BERGER (M.D.)?
JEFFREY PAUL BERGER (M.D.) is associated with Addiction Medicine (Internal Medicine) Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Michigan is JEFFREY PAUL BERGER (M.D.) registered?
Use Livonia, Michigan as the headline location for JEFFREY PAUL BERGER (M.D.) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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