2026 NPPES data Retina Specialist (Ophthalmology) Physician NPI 1972574408 MD
Verify on CMS →

ADAM BERGER, MD

Retina Specialist (Ophthalmology) Physician in WINTER HAVEN, Florida. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
808
Medicare Part D claims · 267 beneficiaries · Retina Specialist (Ophthalmology) Physician avg: 558
Generic prescribing
44%
generic claims · 56% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.3797/100
▲ 11 pts above national avg 83.1 · [object Object]
Industry payments
$8.9K
34 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: ADAM BERGER, MD is a Retina Specialist (Ophthalmology) Physician ([object Object]) practicing in WINTER HAVEN, Florida with a Medicare Part D prescribing footprint of 808 claims across 267 beneficiaries — 56% brand-name prescribing . Their CMS MIPS Final Score of 94.3797/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $8.9K across 34 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: ADAM BERGER, MD reported a CMS MIPS final score of 94.3797 out of 100, above the 83.1 national average, and filed 808 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

ADAM BERGER, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

ADAM BERGER, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 02/01/2006

NPI 1972574408

Primary specialty

Retina Specialist (Ophthalmology) Physician

Niche

913 US NPIs in this specialty

Medicare Part D claims

808 45% vs specialty avg

2023 prescription claims

Specialty avg: 558

MIPS final score

94.3797/100 11.279700000000005% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Florida

How Retina Specialist (Ophthalmology) Physician compares to other specialties among Florida providers

Florida providers

Retina Specialist (Ophthalmology) Physician share within Florida

1. Retina Specialist (Ophthalmology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Retina Specialist (Ophthalmology) Physician share within Florida

Medicare quality performance — MIPS

ADAM BERGER, MD's 2023 MIPS final score plotted against the Retina Specialist (Ophthalmology) Physician national average

High performer (top quartile)
MIPS Final Score
94.3797/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Retina Specialist (Ophthalmology) Physician) — 94.3797/100 vs national avg 83.1

0%100%National avg83%94.4%
MIPS final score (Retina Specialist (Ophthalmology) Physician) — 94.3797/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

ADAM BERGER, MD is a Retina Specialist (Ophthalmology) Physician provider practicing in WINTER HAVEN, Florida, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1972574408. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

ADAM BERGER, MD appears in the CMS NPPES registry as a Retina Specialist (Ophthalmology) Physician provider holding MD credentials at 250 AVENUE K SW, WINTER HAVEN, FL, 33880, with a listed phone of (863) 297-5400. NPI 1972574408 was issued on 02/01/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BERGER most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 808 prescription claims written by this provider, covering 267 Medicare beneficiaries and totaling roughly $366K in drug spend, split 56% brand-name and 44% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 94.3797/100 for the 2023 performance year (Quality 83.4983), compared with the national average of 83.1.

Retina Specialist (Ophthalmology) Physician is a narrow specialty nationwide, with 913 enrolled providers across 48 states and an average of 558 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

250 AVENUE K SW
WINTER HAVEN, FL 33880

Provider Details

NPI 1972574408
Specialty Retina Specialist (Ophthalmology) Physician
Credentials MD
Gender Male
NPI Issued 02/01/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

94.3797
Final Score
Avg: 83.1
83.4983
Quality

Reporting: Group practice

Hospital and facility affiliations

Facilities where ADAM BERGER, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

VITREOUS AND RETINA CONSULTANTS PA
WINTER HAVEN, FL

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for ADAM BERGER, MD. Source: openpaymentsdata.cms.gov.

Total received

$8.9K

Largest payer

OnMark, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Florida FLDOH 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~75K Florida medical licensees in 2023 — they are NOT specific to ADAM BERGER, MD. To verify ADAM BERGER, MD's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

ADAM BERGER, MD — brand share 56.0%
Specialty average (est.)

56% brand-name claims vs 44% generic, on 808 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

808
Total Claims
$366K
Total Drug Cost
267
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,068
Total Day Supply
28,202
Brand vs Generic
56% brand / 44% generic
Brand Drug Cost
$357K
Generic Drug Cost
$9K
Antibiotic Claims
11

Patient Demographics

Average Patient Age
73.6 years
Avg HCC Risk Score
2.03
Gender Split
49% female / 51% male
Age Distribution
<65: 34, 65-74: 105, 75-84: 95, 85+: 33

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Prednisolone Acetate
284
Gentamicin Sulfate
106
Eylea
Aflibercept
103
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
90
Latanoprost
40
Brimonidine Tartrate
27
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
19
Beovu
Brolucizumab-Dbll
15
Ketorolac Tromethamine
13
Lumigan
Bimatoprost
12

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Retina Specialist (Ophthalmology) Physician Overview

How ADAM BERGER, MD fits within the Retina Specialist (Ophthalmology) Physician landscape nationally.

913
Retina Specialist (Ophthalmology) Physician Providers in US
48
States with Retina Specialist (Ophthalmology) Physician
558
Avg Claims per Provider

ADAM BERGER, MD's 808 claims are above the specialty average of 558.

Nearby Retina Specialist (Ophthalmology) Physician Providers in Florida

Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as BERGER.

Compare Retina Specialist (Ophthalmology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ADAM BERGER, MD's specialty?
ADAM BERGER, MD specializes in Retina Specialist (Ophthalmology) Physician and practices in WINTER HAVEN, Florida. Credentials: MD.
How much does ADAM BERGER, MD prescribe under Medicare Part D?
In 2023, ADAM BERGER, MD wrote 808 Medicare Part D claims totaling $366K in drug costs for 267 beneficiaries.
What is ADAM BERGER, MD's Medicare quality score?
ADAM BERGER, MD has a CMS MIPS Final Score of 94.3797/100 (Quality: 83.4983). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ADAM BERGER, MD located?
ADAM BERGER, MD is located at 250 AVENUE K SW, WINTER HAVEN, FL, 33880. Phone: (863) 297-5400.
What is ADAM BERGER, MD's NPI number?
ADAM BERGER, MD's National Provider Identifier (NPI) is 1972574408, issued on 02/01/2006.
Does ADAM BERGER, MD prescribe more brand-name or generic drugs?
ADAM BERGER, MD's prescribing is 56% brand-name and 44% generic drugs by claim count, with $357K in brand drug costs.
How many Retina Specialist (Ophthalmology) Physician providers are there in the US?
There are 913 Retina Specialist (Ophthalmology) Physician providers across 48 states in the US. The average Retina Specialist (Ophthalmology) Physician provider writes 558 Medicare Part D claims per year.
What drugs does ADAM BERGER, MD prescribe most often?
Based on 2023 Medicare Part D data, ADAM BERGER, MD's most frequently prescribed drugs include Prednisolone Acetate, Gentamicin Sulfate, Eylea. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ADAM BERGER, MD accept Medicare?
ADAM BERGER, MD appears in CMS Medicare data with 808 Part D claims and 267 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ADAM BERGER, MD's credentials?
ADAM BERGER, MD's NPI is 1972574408 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology