2026 NPPES data Otolaryngology Physician NPI 1437251410 M.D.
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JOSEPH BERGER, M.D.

Otolaryngology Physician in THOMASVILLE, Georgia. 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
539
Medicare Part D claims · 188 beneficiaries · Otolaryngology Physician avg: 509
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]

What the federal data shows

JOSEPH BERGER, M.D. reported a CMS MIPS final score of 75/100 — below the 83.1 national average — and filed 539 Medicare Part D claims in 2023.

75/100
MIPS score · -8 vs avg
539
Part D claims, 2023
86%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

JOSEPH BERGER, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

75 15th percentile higher than 15% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

JOSEPH BERGER, M.D. 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).

What does the federal data show about JOSEPH BERGER, M.D.?

Below national average

NPI registry status

Active

Issued 09/01/2006

NPI 1437251410

Primary specialty

Otolaryngology Physician

Mid-sized

10,895 US NPIs in this specialty

Medicare Part D claims

539 6% vs specialty avg

2023 prescription claims

Specialty avg: 509

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Georgia

How Otolaryngology Physician compares to other specialties among Georgia providers

Georgia providers

Otolaryngology Physician share within Georgia

1. Otolaryngology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Otolaryngology Physician share within Georgia

Medicare quality performance — MIPS

JOSEPH BERGER, M.D.'s 2023 MIPS final score plotted against the Otolaryngology Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Otolaryngology Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Otolaryngology Physician) — 75/100 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).

JOSEPH BERGER, M.D. is a Otolaryngology Physician provider practicing in THOMASVILLE, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1437251410. 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.

JOSEPH BERGER, M.D. appears in the CMS NPPES registry as a Otolaryngology Physician provider holding M.D. credentials at 305 W HANSELL ST, THOMASVILLE, GA, 31792, with a listed phone of (229) 228-6355. NPI 1437251410 was issued on 09/01/2006. 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 539 prescription claims written by this provider, covering 188 Medicare beneficiaries and totaling roughly $190K in drug spend, split 14% brand-name and 86% generic by claim count, with an opioid prescribing rate of 6.9%. 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 75/100 for the 2023 performance year, compared with the national average of 83.1.

Otolaryngology Physician is a mid-sized specialty nationwide, with 10,895 enrolled providers across 54 states and an average of 509 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

305 W HANSELL ST
THOMASVILLE, GA 31792

Provider Details

NPI 1437251410
Specialty Otolaryngology Physician
Credentials M.D.
Gender Male
NPI Issued 09/01/2006

CMS Quality Score (MIPS)

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

75
Final Score
Avg: 83.1

Reporting: Individual

Hospital and facility affiliations

Facilities where JOSEPH BERGER, M.D. 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.

JOSEPH H. BERGER, MD, LLC
THOMASVILLE, GA

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

Brand vs generic prescribing mix · Typical

JOSEPH BERGER, M.D. — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 539 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.

539
Total Claims
$190K
Total Drug Cost
188
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
708
Total Day Supply
14,749
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$181K
Generic Drug Cost
$10K
Opioid Claims
37 (6.9% rate)
Antibiotic Claims
84

Patient Demographics

Average Patient Age
73.8 years
Avg HCC Risk Score
1.36
Gender Split
51% female / 49% male
Age Distribution
<65: 22, 65-74: 82, 75-84: 53, 85+: 31

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Ipratropium Bromide
57
Dupixent Pen
Dupilumab
39
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
36
Prednisone
33
Fluticasone Propionate
32
Mometasone Furoate
29
Cefuroxime
Cefuroxime Axetil
27
Methylprednisolone
26
Levothyroxine Sodium
25
Omeprazole
25

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

Otolaryngology Physician Overview

How JOSEPH BERGER, M.D. fits within the Otolaryngology Physician landscape nationally.

10,895
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
509
Avg Claims per Provider

JOSEPH BERGER, M.D.'s 539 claims are above the specialty average of 509.

Nearby Otolaryngology Physician Providers in Georgia

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

Compare Otolaryngology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOSEPH BERGER, M.D.'s specialty?
JOSEPH BERGER, M.D. specializes in Otolaryngology Physician and practices in THOMASVILLE, Georgia. Credentials: M.D..
How much does JOSEPH BERGER, M.D. prescribe under Medicare Part D?
In 2023, JOSEPH BERGER, M.D. wrote 539 Medicare Part D claims totaling $190K in drug costs for 188 beneficiaries.
What is JOSEPH BERGER, M.D.'s Medicare quality score?
JOSEPH BERGER, M.D. has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOSEPH BERGER, M.D. located?
JOSEPH BERGER, M.D. is located at 305 W HANSELL ST, THOMASVILLE, GA, 31792. Phone: (229) 228-6355.
What is JOSEPH BERGER, M.D.'s NPI number?
JOSEPH BERGER, M.D.'s National Provider Identifier (NPI) is 1437251410, issued on 09/01/2006.
Does JOSEPH BERGER, M.D. prescribe more brand-name or generic drugs?
JOSEPH BERGER, M.D.'s prescribing is 14% brand-name and 86% generic drugs by claim count, with $181K in brand drug costs.
Does JOSEPH BERGER, M.D. prescribe opioids?
Yes, JOSEPH BERGER, M.D. had 37 opioid claims in 2023 with an opioid prescribing rate of 6.9%.
How many Otolaryngology Physician providers are there in the US?
There are 10,895 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 509 Medicare Part D claims per year.
What drugs does JOSEPH BERGER, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JOSEPH BERGER, M.D.'s most frequently prescribed drugs include Ipratropium Bromide, Dupixent Pen, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOSEPH BERGER, M.D. accept Medicare?
JOSEPH BERGER, M.D. appears in CMS Medicare data with 539 Part D claims and 188 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOSEPH BERGER, M.D.'s credentials?
JOSEPH BERGER, M.D.'s NPI is 1437251410 with credentials M.D.. 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