NPI registry status
Active
2026 NPPES data Otolaryngology Physician NPI 1437251410 M.D.
Verify on CMS → Joseph Berger, M.D.
Otolaryngology Physician in Thomasville, Georgia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 10,893 in Otolaryngology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
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 · Above neutral
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
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
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
Where Joseph Berger, M.D. sits
This provider among otolaryngology physician peers
Across the 3,669 otolaryngology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Joseph Berger, M.D. writes more Part D claims than 57% of them and scores higher on MIPS quality than 19% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one otolaryngology physician peer from a representative sample of 60; the gold marker is Joseph Berger, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 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 averagePrimary specialty
Otolaryngology Physician
Medicare Part D claims
539 6% vs specialty avg
MIPS final score
75/100 8.1 pts vs avg
Specialty distribution in Georgia
How Otolaryngology Physician compares to other specialties among Georgia providers
Medicare quality performance, MIPS
Joseph Berger, M.D.'s 2023 MIPS final score plotted against the Otolaryngology Physician 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
How MIPS and board certification work
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. appears in the CMS NPPES registry as an 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.
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%. 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 10,893 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
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%
Otolaryngology Physician average
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.
What Joseph Berger, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Ipratropium Bromide
Ipratropium Bromide
57 claims
- Dupixent Pen
Dupixent Pen
39 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
36 claims
- Prednisone
Prednisone
33 claims
- Fluticasone Propio…
Fluticasone Propionate
32 claims
- Mometasone Furoate
Mometasone Furoate
29 claims
- Cefuroxime
Cefuroxime
27 claims
- Methylprednisolone
Methylprednisolone
26 claims
| 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.
10,893
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.
Dr. Geoffrey Aaron
M.D.
Holly Springs, GA
Dr. Kenneth Aden
MD
Atlanta, GA
Dr. Raymond Aldridge
M.D.
Moultrie, GA
Dr. Mazyad Alenezi
MBBS
Augusta, GA
Fareed Alghamdi
Augusta, GA
Compare Otolaryngology Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Georgia medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Otolaryngology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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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 10,893 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.