MOLLIE J BERG (PA-C) – Medical Physician Assistant, NPI 1124352604
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,678 PHYSICIAN ASSISTANT in WI
Provider Addresses for MOLLIE J BERG (PA-C)
512 S 28TH AVE
WAUSAU, WI 544014147
Phone: (715) 847-2021
Type: Mailing
Aspirus Family Health Specialists, 2720, Plaza Drive, Stewart Avenue District, Wausau, Marathon County, Wisconsin, 54401, United States
SUITE 1100
WAUSAU, WI 544014158
Phone: (715) 847-2472
Fax: (715) 847-2473
Type: Location
North 3rd Street, East Riverfront District, Wausau, Marathon County, Wisconsin, 54403, United States
WAUSAU, WI 544035412
Phone: (715) 212-3652
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $367.
Total Amount is formed as General ($367) + Research ($0) + Ownership ($0) = $367.
Last reported payment date: 2024-10-17 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($150).
Total Amount
$367
General + Research + Ownership
Payments
8
Total payment records
General Amount
$367
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-17
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2009-10-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20091029000123 | I | Physician Assistant | WI | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 95004 | Test for allergy using allergenic extract | 1,110 | 28 | $0 |
| 95024 | Test for allergy using allergenic extract injected into skin | 287 | 25 | $0 |
| 95044 | Test for allergy using skin patch | 168 | 14 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 30 | 30 | $0 |
| 95012 | Test to measure the level of nitric oxide gas | 29 | 22 | $0 |
Insurance plans in this area (ZIP 54401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MN | |
| Allergy/Immunology, Internal Medicine | WI | |
| O T O L A R Y N G O L O G Y | MS | |
| O T O L A R Y N G O L O G Y | WI | |
| O T O L A R Y N G O L O G Y | WI | |
| O T O L A R Y N G O L O G Y | WI | |
| Physician Assistant | WI | |
| Qualified Audiologist | WI | |
| O T O L A R Y N G O L O G Y | WI | |
| O T O L A R Y N G O L O G Y | WI |
Reviews
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