2026 NPPES data Nuclear Cardiology Physician NPI 1689679490 M.D.
Verify on CMS →

LANCE BERGER, M.D.

Nuclear Cardiology Physician in TOMS RIVER, New Jersey. 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
5K
Medicare Part D claims · 721 beneficiaries · Nuclear Cardiology Physician avg: 4K
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
93.7128/100
▲ 11 pts above national avg 83.1 · [object Object]
Industry payments
$5.9K
36 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

LANCE BERGER, M.D. reported a CMS MIPS final score of 93.7128/100 — above the 83.1 national average — and filed 5,344 Medicare Part D claims in 2023.

93.7128/100
MIPS score · +11 vs avg
5K
Part D claims, 2023
83%
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.

LANCE 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

94 Top 29% higher than 71% 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%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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)

LANCE 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 LANCE BERGER, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 06/17/2005

NPI 1689679490

Primary specialty

Nuclear Cardiology Physician

Rare

374 US NPIs in this specialty

Medicare Part D claims

5,344 33% vs specialty avg

2023 prescription claims

Specialty avg: 4,019

MIPS final score

93.7128/100 10.612800000000007% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New Jersey

How Nuclear Cardiology Physician compares to other specialties among New Jersey providers

New Jersey providers

Nuclear Cardiology Physician share within New Jersey

1. Nuclear Cardiology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Nuclear Cardiology Physician share within New Jersey

Medicare quality performance — MIPS

LANCE BERGER, M.D.'s 2023 MIPS final score plotted against the Nuclear Cardiology Physician national average

High performer (top quartile)
MIPS Final Score
93.7128/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nuclear Cardiology Physician) — 93.7128/100 vs national avg 83.1

0%100%National avg83%93.7%
MIPS final score (Nuclear Cardiology Physician) — 93.7128/100 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).

LANCE BERGER, M.D. appears in the CMS NPPES registry as a Nuclear Cardiology Physician provider holding M.D. credentials at 780 ROUTE 37 W STE 310, TOMS RIVER, NJ, 08755, with a listed phone of (732) 473-0158. NPI 1689679490 was issued on 06/17/2005. 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 5,344 prescription claims written by this provider, covering 721 Medicare beneficiaries and totaling roughly $1.3 million in drug spend, split 17% brand-name and 83% 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 93.7128/100 for the 2023 performance year (Quality 77.7931), compared with the national average of 83.1.

Nuclear Cardiology Physician is a narrow specialty nationwide, with 374 enrolled providers across 37 states and an average of 4,019 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

780 ROUTE 37 W STE 310
TOMS RIVER, NJ 08755

Provider Details

NPI 1689679490
Specialty Nuclear Cardiology Physician
Credentials M.D.
Gender Male
NPI Issued 06/17/2005

CMS Quality Score (MIPS)

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

93.7128
Final Score
Avg: 83.1
77.7931
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where LANCE 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.

BARNABAS HEALTH MEDICAL GROUP PC
TOMS RIVER, NJ

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 LANCE BERGER, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$5.9K

Largest payer

PFIZER 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.

Brand vs generic prescribing mix · Typical

LANCE BERGER, M.D. — brand share 17.0%
Specialty average (est.)

17% brand-name claims vs 83% generic, on 5,344 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.

5,344
Total Claims
$1.3M
Total Drug Cost
721
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
14,080
Total Day Supply
421,397
Brand vs Generic
17% brand / 83% generic
Brand Drug Cost
$1.2M
Generic Drug Cost
$133K
Antibiotic Claims
12

Patient Demographics

Average Patient Age
75.9 years
Avg HCC Risk Score
1.40
Gender Split
41% female / 59% male
Age Distribution
<65: 20, 65-74: 295, 75-84: 318, 85+: 88

Top Prescribed Drugs (Medicare Part D)

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

What LANCE BERGER, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Rosuvastatin Calcium
527
Atorvastatin Calcium
438
Metoprolol Succinate
436
Eliquis
Apixaban
384
Ezetimibe
330
Amlodipine Besylate
300
Losartan Potassium
200
Carvedilol
189
Spironolactone
184
Lisinopril
166

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

Nuclear Cardiology Physician Overview

How LANCE BERGER, M.D. fits within the Nuclear Cardiology Physician landscape nationally.

374
Nuclear Cardiology Physician Providers in US
37
States with Nuclear Cardiology Physician
4,019
Avg Claims per Provider

LANCE BERGER, M.D.'s 5,344 claims are above the specialty average of 4,019.

Nearby Nuclear Cardiology Physician Providers in New Jersey

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

Compare Nuclear Cardiology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is LANCE BERGER, M.D.'s specialty?
LANCE BERGER, M.D. specializes in Nuclear Cardiology Physician and practices in TOMS RIVER, New Jersey. Credentials: M.D..
How much does LANCE BERGER, M.D. prescribe under Medicare Part D?
In 2023, LANCE BERGER, M.D. wrote 5,344 Medicare Part D claims totaling $1.3M in drug costs for 721 beneficiaries.
What is LANCE BERGER, M.D.'s Medicare quality score?
LANCE BERGER, M.D. has a CMS MIPS Final Score of 93.7128/100 (Quality: 77.7931). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is LANCE BERGER, M.D. located?
LANCE BERGER, M.D. is located at 780 ROUTE 37 W STE 310, TOMS RIVER, NJ, 08755. Phone: (732) 473-0158.
What is LANCE BERGER, M.D.'s NPI number?
LANCE BERGER, M.D.'s National Provider Identifier (NPI) is 1689679490, issued on 06/17/2005.
Does LANCE BERGER, M.D. prescribe more brand-name or generic drugs?
LANCE BERGER, M.D.'s prescribing is 17% brand-name and 83% generic drugs by claim count, with $1.2M in brand drug costs.
How many Nuclear Cardiology Physician providers are there in the US?
There are 374 Nuclear Cardiology Physician providers across 37 states in the US. The average Nuclear Cardiology Physician provider writes 4,019 Medicare Part D claims per year.
What drugs does LANCE BERGER, M.D. prescribe most often?
Based on 2023 Medicare Part D data, LANCE BERGER, M.D.'s most frequently prescribed drugs include Rosuvastatin Calcium, Atorvastatin Calcium, Metoprolol Succinate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does LANCE BERGER, M.D. accept Medicare?
LANCE BERGER, M.D. appears in CMS Medicare data with 5,344 Part D claims and 721 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify LANCE BERGER, M.D.'s credentials?
LANCE BERGER, M.D.'s NPI is 1689679490 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