DR. KENNETH ALAN BERGER (MD) – Urology Physician, NPI 1366407942
Urology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
317 UROLOGY in WA
Provider Addresses for DR. KENNETH ALAN BERGER (MD)
1200 N 14th Ave
Suite 240
Pasco, WA 993014182
Phone: (509) 545-1897
Fax: (509) 547-9961
Type: Location
507 N 5th Ave
Pasco, WA 993015201
Phone: (509) 546-2300
Type: Location
1119 HIGHLAND AVE
CLARKSTON, WA 994032836
Phone: (509) 758-5511
Type: Location
PO BOX 189
CLARKSTON, WA 994030189
Phone:
Type: Mailing
520, 4th Avenue, Pasco, Franklin County, Washington, 99301, United States
PASCO, WA 993015257
Phone: (509) 416-8849
Fax: (509) 542-3059
Type: Mailing
507, North 5th Avenue, Pasco, Franklin County, Washington, 99301, United States
PASCO, WA 993015201
Phone: (509) 546-2300
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 78 Open Payments records for all available years, with a total value of $1,915.
Total Amount is formed as General ($1,915) + Research ($0) + Ownership ($0) = $1,915.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($475).
Total Amount
$1,915
General + Research + Ownership
Payments
78
Total payment records
General Amount
$1,915
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sumitomo Pharma America, Inc. | $475 |
| Astellas Pharma US Inc | $355 |
| Boston Scientific Corporation | $186 |
| Cook Medical LLC | $102 |
| PROCEPT BioRobotics Corporation | $96 |
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: 2007-07-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070706000497 | I | Urology | WA | TBD |
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.
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 99301)
Loading plans...
Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| General Surgery | ID | |
| Physician Assistant | ID | |
| Certified Registered Nurse Anesthetist (Crna) | WA | |
| Orthopedic Surgery | ID | |
| A N E S T H E S I O L O G Y | OR | |
| - | ID | |
| - | WA | |
| Certified Registered Nurse Anesthetist (Crna) | OR | |
| Interventional Pain Management, Anesthesiology | ID |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.