GEOFFREY HERBST BERG (MD) – Internal Medicine Physician, NPI 1902804313

GEOFFREY HERBST BERG (MD) is a healthcare provider. based in Providence, Rhode Island. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 05035 (RI). The NPI Number for GEOFFREY HERBST BERG (MD) is 1902804313

Main info

Male
51 Years Of Experience
Accepts Medicare Assignment
Name
GEOFFREY HERBST BERG (MD)
NPI
1902804313
Phone
(401) 521-1221
Address
160 WAYLAND AVE
Enumeration Date
9 July 2005
Last Update Date
6 June 2012

Doctor Profile

Medical School Name
WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Secondary Phone
4015211221
Graduation Year
1975 (51 years ago)
PAC ID
0345220703
Group Practice PAC ID
9638159676
Professional Enrollment ID
I20040726000083
Address ID
RI029064304PR160XXAVEX300
Telehealth
Yes
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

1,158 INTERNAL MEDICINE in RI

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Provider Addresses for GEOFFREY HERBST BERG (MD)

  • Wayland Avenue, Wayland, Providence, Providence County, Rhode Island, 02906, United States

    PROVIDENCE, RI 029064304

    Phone: (401) 521-1221

    Fax: (401) 454-4189

    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 4 Open Payments records for all available years, with a total value of $255.

Total Amount is formed as General ($255) + Research ($0) + Ownership ($0) = $255.

Last reported payment date: 2024-02-14 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($220).

Total Amount

$255

General + Research + Ownership

Payments

4

Total payment records

General Amount

$255

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-14

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: 2004-07-26

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
I20040726000083IInternal MedicineRITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes11987$0
99213Established patient office or other outpatient visit, 20-29 minutes11389$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit108108$0
G0444Annual depression screening, 5 to 15 minutes3030$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report1515$0
View full utilization report →

Insurance plans in this area (ZIP 02906)

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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: 9638159676View full group profile
NameSpecialtyState
Nurse PractitionerRI
Internal Medicine, Geriatric MedicineRI

Reviews

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Frequently asked questions

How is GEOFFREY HERBST BERG (MD) identified in CMS data?
CMS-hosted NPPES data lists GEOFFREY HERBST BERG (MD) with NPI 1902804313.
Can I rely on GEOFFREY HERBST BERG (MD) being an active provider?
As of the registry snapshot, GEOFFREY HERBST BERG (MD) is marked active.
What is GEOFFREY HERBST BERG (MD)'s specialty?
The listing groups GEOFFREY HERBST BERG (MD) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for GEOFFREY HERBST BERG (MD)?
GEOFFREY HERBST BERG (MD)'s geographic hint is Providence, Rhode Island in our summary view.
Why does GEOFFREY HERBST BERG (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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