JEREMY DEAN BERGER (MD) – Surgery Physician, NPI 1154558682

JEREMY DEAN BERGER (MD) is a healthcare provider. based in Mankato, Minnesota. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 2009 (MO). The NPI Number for JEREMY DEAN BERGER (MD) is 1154558682

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
JEREMY DEAN BERGER (MD)
NPI
1154558682
Phone
(507) 625-1811
Address
1230 E MAIN ST
Enumeration Date
11 June 2009
Last Update Date
9 July 2020

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Secondary Phone
5079312200
Graduation Year
2009 (17 years ago)
PAC ID
5597909887
Group Practice PAC ID
5597677955
Professional Enrollment ID
I20140602001302
Address ID
MN560825376SA1900XDRXX300

Contacts

Secure Messaging
jeremyberger@mklt.allscriptsdirect.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness85
Years active:16State licenses:2Other namesUpdated within 12 months

730 GENERAL SURGERY in MN

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Provider Addresses for JEREMY DEAN BERGER (MD)

  • Mankato Clinic, 1230, East Main Street, High Ciara, Mankato, Blue Earth County, Minnesota, 56001, United States

    MANKATO, MN 560015066

    Phone: (507) 625-1811

    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: 2014-06-02

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
I20140602001302IGeneral SurgeryMNTBD

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
G0500Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito8585$0
45380Biopsy of large bowel using a flexible endoscope7171$0
99213Established patient office or other outpatient visit, 20-29 minutes5949$0
99203New patient office or other outpatient visit, 30-44 minutes3131$0
99204New patient office or other outpatient visit, 45-59 minutes3131$0
View full utilization report →

Insurance plans in this area (ZIP 56001)

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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: 5597677955View full group profile
NameSpecialtyState
Physician AssistantMN
Nurse PractitionerMN
-MN
Diagnostic RadiologyCO
Physician AssistantMN
P O D I A T R YMN
-MN
-MN
Diagnostic Radiology, Internal MedicineMN
N E U R O L O G YMN

Reviews

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Frequently asked questions

What federal number belongs to JEREMY DEAN BERGER (MD)?
The federal identifier for JEREMY DEAN BERGER (MD) is NPI 1154558682.
Is JEREMY DEAN BERGER (MD) active in the national directory?
JEREMY DEAN BERGER (MD)'s public NPI profile is in an active state.
Can you summarize JEREMY DEAN BERGER (MD)'s specialty in plain language?
Clinically, the directory lists JEREMY DEAN BERGER (MD) with Surgery Physician. Clinical services aligned with this taxonomy classification.
Where does public data place JEREMY DEAN BERGER (MD)?
The snapshot lists Mankato, Minnesota for JEREMY DEAN BERGER (MD); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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