MR. ANDREW BERG (PA-C) – Physician Assistant, NPI 1548383789

MR. ANDREW BERG (PA-C) is a healthcare provider. based in Kansas city, Missouri. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 116761 (MO). The NPI Number for MR. ANDREW BERG (PA-C) is 1548383789

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
MR. ANDREW BERG (PA-C)
NPI
1548383789
Phone
(816) 942-1150
Address
1010 CARONDELET DR
Enumeration Date
10 April 2007
Last Update Date
12 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8169441944
Graduation Year
1998 (28 years ago)
PAC ID
0749333896
Group Practice PAC ID
6901384163
Professional Enrollment ID
I20200129002526
Address ID
MO640868477LE1324XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

1,853 PHYSICIAN ASSISTANT in MO

Provider Addresses for MR. ANDREW BERG (PA-C)

  • 1010 CARONDELET DR

    SUITE 125

    KANSAS CITY, MO 641144859

    Phone: (816) 942-1150

    Fax: (816) 942-0322

    Type: Mailing

  • 1324 NE WINDSOR DR

    LEES SUMMIT, MO 640868477

    Phone: (816) 944-1944

    Fax: (816) 944-1030

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 597 Open Payments records for all available years, with a total value of $93,207.

Total Amount is formed as General ($93,207) + Research ($0) + Ownership ($0) = $93,207.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Janssen Biotech, Inc. ($32,611).

Total Amount

$93,207

General + Research + Ownership

Payments

597

Total payment records

General Amount

$93,207

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2020-01-29

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
I20200129002526IPhysician AssistantMOTBD

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 64114)

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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: 6901384163View full group profile
NameSpecialtyState
D E R M A T O L O G YMN

Reviews

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Frequently asked questions

How do payers reference MR. ANDREW BERG (PA-C)?
For MR. ANDREW BERG (PA-C), use NPI 1548383789 as the unique 10-digit identifier.
Is there an active status for MR. ANDREW BERG (PA-C)?
For scheduling context, MR. ANDREW BERG (PA-C) is shown as active in the registry.
What kind of doctor is MR. ANDREW BERG (PA-C)?
MR. ANDREW BERG (PA-C) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Is MR. ANDREW BERG (PA-C) located near Kansas City?
MR. ANDREW BERG (PA-C) currently maps to Kansas City, Missouri in this extract.
When was this NPI issued?
Enumeration for MR. ANDREW BERG (PA-C) is noted as April 10, 2007 where the registry provides it.

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