DR. MICAH AVNER BERMAN (M.D.) – Otolaryngology Physician, NPI 1972747871

DR. MICAH AVNER BERMAN (M.D.) is a healthcare provider. based in Minneapolis, Minnesota. specializing in OTOLARYNGOLOGY. They hold the professional credentials M.D.. They hold a License No. 59658 (MN). The NPI Number for DR. MICAH AVNER BERMAN (M.D.) is 1972747871

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICAH AVNER BERMAN (M.D.)
NPI
1972747871
Phone
(612) 871-1144
Address
2211 Park Ave
Enumeration Date
23 April 2009
Last Update Date
22 October 2018

Doctor Profile

Medical School Name
PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Secondary Phone
6512912848
Graduation Year
2009 (17 years ago)
PAC ID
5799096012
Group Practice PAC ID
0547169211
Professional Enrollment ID
I20150612000958
Address ID
MN551012507SA200XXEXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

273 OTOLARYNGOLOGY in MN

Provider Addresses for DR. MICAH AVNER BERMAN (M.D.)

  • 2211 Park Ave

    Minneapolis, MN 554043711

    Phone: (612) 871-1144

    Type: Location

  • Gillette Children's Hospital and Clinics, 200, University Avenue East, Downtown, Saint Paul, Ramsey County, Minnesota, 55101, United States

    SAINT PAUL, MN 551012507

    Phone: (651) 291-2848

    Fax: (651) 602-6885

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $618.

Total Amount is formed as General ($618) + Research ($0) + Ownership ($0) = $618.

Last reported payment date: 2024-06-07 • Largest payer in this snapshot: Smith+Nephew, Inc. ($567).

Total Amount

$618

General + Research + Ownership

Payments

9

Total payment records

General Amount

$618

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-07

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: 2015-06-12

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
I20150612000958IOtolaryngologyMNTBD

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 55404)

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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: 0547169211View full group profile
NameSpecialtyState
-MN
Physician AssistantMN
Orthopedic SurgeryMN
Nurse PractitionerMN
Nurse PractitionerMN
Certified Registered Nurse Anesthetist (Crna)MN
N E U R O L O G YMN
Nurse PractitionerMN
-MN
Physical Medicine And RehabilitationMN

Reviews

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Frequently asked questions

How do I look up DR. MICAH AVNER BERMAN (M.D.) by NPI?
Use NPI 1972747871 when you need to reference DR. MICAH AVNER BERMAN (M.D.) in forms, claims, or directories.
Is DR. MICAH AVNER BERMAN (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. MICAH AVNER BERMAN (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. MICAH AVNER BERMAN (M.D.) with Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. MICAH AVNER BERMAN (M.D.)?
The page summarizes Minneapolis, Minnesota for DR. MICAH AVNER BERMAN (M.D.); expand the address list for detail.
How can I contact DR. MICAH AVNER BERMAN (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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