CARL RONALD BERG (PA-C) – Physician Assistant, NPI 1659396398

CARL RONALD BERG (PA-C) is a healthcare provider. based in Georgetown, Texas. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. PA00578 (TX). The NPI Number for CARL RONALD BERG (PA-C) is 1659396398

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
CARL RONALD BERG (PA-C)
NPI
1659396398
Phone
(512) 686-0207
Address
205 E UNIVERSITY AVE
Enumeration Date
13 July 2006
Last Update Date
24 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5128639208
Graduation Year
1978 (48 years ago)
PAC ID
3173520806
Group Practice PAC ID
5193709392
Professional Enrollment ID
I20061023000172

Contacts

Secure Messaging
carlronald.berg.p1@direct.lscctx.nextgenshare.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness95
Years active:19State licenses:1Other names

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Provider Addresses for CARL RONALD BERG (PA-C)

  • The Georgetonian Office Building, 205, East University Avenue, Historic Georgetown, Georgetown, Williamson County, Texas, 78626, United States

    SUITE 200

    GEORGETOWN, TX 786266814

    Phone: (512) 686-0207

    Fax: (512) 869-2940

    Type: Mailing

  • 605, Old Austin Highway, Riverside Grove, Bastrop, Bastrop County, Texas, 78602, United States

    BASTROP, TX 78602

    Phone: (877) 800-5722

    Fax: (512) 332-2180

    Type: Location

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 $186.

Total Amount is formed as General ($186) + Research ($0) + Ownership ($0) = $186.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($120).

Total Amount

$186

General + Research + Ownership

Payments

4

Total payment records

General Amount

$186

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

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: 2009-11-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20061023000172IPhysician AssistantTXTBD
I20091112000490IPhysician AssistantOKTBD

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
83036Hemoglobin a1c level2616$0
View full utilization report →

Insurance plans in this area (ZIP 78626)

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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: 5193709392View full group profile
NameSpecialtyState
Family PracticeTX
Internal Medicine, Pediatric MedicineTX
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX
P S Y C H I A T R YTX
Family PracticeTX
-TX
-TX
Internal MedicineTX
-TX

Reviews

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Frequently asked questions

How do I look up CARL RONALD BERG (PA-C) by NPI?
Use NPI 1659396398 when you need to reference CARL RONALD BERG (PA-C) in forms, claims, or directories.
Is CARL RONALD BERG (PA-C) currently active in the NPI registry?
CMS-published data lists CARL RONALD BERG (PA-C) as an active registrant.
Does CARL RONALD BERG (PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for CARL RONALD BERG (PA-C). Clinical services aligned with this taxonomy classification.
What location shows for CARL RONALD BERG (PA-C)?
We surface Georgetown, Texas for CARL RONALD BERG (PA-C) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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