2026 NPPES data Otolaryngology Physician NPI 1205940160 M.D.
Verify on CMS →

Lawrence Berg, M.D.

Otolaryngology Physician in Elgin, Illinois.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 11,060 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
152
Medicare Part D claims · 74 beneficiaries · Otolaryngology Physician avg: 536
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$377.28
8 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Lawrence Berg, M.D. filed 152 Medicare Part D claims in 2024 as an Otolaryngology Physician in Elgin, Illinois, prescribing 91% generic.

152
Part D claims, 2024
91%
generic prescribing
Likely
board-certified (heuristic)
≥34th
pct by Part D claim volume (lower-bound band)

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.

Federal trust snapshot

What official records show about Lawrence Berg, M.D.

Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1205940160), first enumerated 08/18/2006.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 152 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $377.28 in reported industry payments (8 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • State context

    State board disciplinary context

    Illinois statewide board action statistics are published annually — these figures describe aggregate state activity, not Lawrence Berg, M.D.'s individual license status. Verify directly with the state medical board.

    Source: IDFPR annual report 2023

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1205940160 · Otolaryngology Physician

NPI-10 · ENUM-LEGACY · TAX-MID · RX-LIGHT · BOOK-THIN · PHOTO-ENUM

  • NPI-10 1205940160
  • ENUM-LEGACY 2006
  • TAX-MID 11K Otolaryngology Physician
  • RX-LIGHT 152
  • BOOK-THIN 455 in Illinois
  • PHOTO-ENUM Nabeel Romman · 2006

Lawrence Berg, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2024, across all CMS prescribers nationally

152 ≥ 34th percentile 34% of 1,416,883 prescribers are in lower value bands

0–200: 679,947 prescribers (48%). This entry sits in this band. 200–400: 188,835 prescribers (13%). Above this entry. 400–600: 95,866 prescribers (7%). Above this entry. 600–800: 60,107 prescribers (4%). Above this entry. 800–1,000: 43,043 prescribers (3%). Above this entry. 1,000–1,200: 33,612 prescribers (2%). Above this entry. 1,200–1,400: 27,889 prescribers (2%). Above this entry. 1,400–1,600: 23,183 prescribers (2%). Above this entry. 1,600–1,800: 19,917 prescribers (1%). Above this entry. 1,800–2,000: 17,585 prescribers (1%). Above this entry. 2K+: 226,899 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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.

The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.

Source CMS Medicare Part D Prescriber Public Use File · 2024

Board certification likely (heuristic, not verified)

Lawrence Berg, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 Lawrence Berg, M.D.?

Quality data not reported

NPI registry status

Active

Issued 08/18/2006

NPI 1205940160

Primary specialty

Otolaryngology Physician

Mid-sized

11,060 US NPIs in this specialty

Medicare Part D claims

152 72% vs specialty avg

2024 prescription claims

Specialty avg: 536

Specialty distribution in Illinois

How Otolaryngology Physician compares to other specialties among Illinois providers

Illinois providers
Clinical Social Worker5.2%Physical Therapist4.9%Mental Health Counselor4.5%Speech-Language Pathologist4.2%Student in an Organized Heal…4.1%Pharmacist4.1%Otolaryngology Physician0.2%
Largest specialties in Illinois (% of in-state providers)

Board certification

Not published by CMS

CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Otolaryngology Physician. Verify directly:

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).

Practice Address

2350 ROYAL BLVD
Elgin, IL 60123

Provider Details

NPI 1205940160
Specialty Otolaryngology Physician
Credentials M.D.
Gender Male
NPI Issued 08/18/2006

Hospital and facility affiliations

Facilities where Lawrence Berg, 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.

Specialty Care Institute PLLC
Elgin, IL

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 Lawrence Berg, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$377

Largest payer

Neurent Medical Limited

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 - Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 - they are NOT specific to Lawrence Berg, M.D.. To verify Lawrence Berg, M.D.'s current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR 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 Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

Lawrence Berg, M.D. - brand share 9.0%
Otolaryngology Physician average

9% brand-name claims vs 91% generic, on 152 2024 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 2024.

152
Total Claims
$3K
Total Drug Cost
74
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
172.467
Total Day Supply
3,199
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$485
Generic Drug Cost
$2K
Antibiotic Claims
41

Patient Demographics

Average Patient Age
73.7 years
Avg HCC Risk Score
1.03
Gender Split
53% female / 47% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Lawrence Berg, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Ipratropium Bromide
24
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
15
Doxycycline Hyclate
15
Fluocinolone Acetonide Oil
11

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

Otolaryngology Physician Overview

How Lawrence Berg, M.D. fits within the Otolaryngology Physician landscape nationally.

11,060
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
536
Avg Claims per Provider

Lawrence Berg, M.D.'s 152 claims are below the specialty average of 536.

Nationwide Otolaryngology Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Berg, both outside Illinois so the neighborhoods are not geographic containment.

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Otolaryngology Physician Providers in Illinois

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

One of 455 Otolaryngology Physician providers enrolled in Illinois, 5 are shown here.

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

Frequently Asked Questions

What is Lawrence Berg, M.D.'s specialty?
Lawrence Berg, M.D. specializes in Otolaryngology Physician and practices in Elgin, Illinois. Credentials: M.D..
How much does Lawrence Berg, M.D. prescribe under Medicare Part D?
In 2024, Lawrence Berg, M.D. wrote 152 Medicare Part D claims totaling $3K in drug costs for 74 beneficiaries.
Where is Lawrence Berg, M.D. located?
Lawrence Berg, M.D. is located at 2350 ROYAL BLVD, Elgin, IL, 60123. Phone: (847) 697-3800.
What is Lawrence Berg, M.D.'s NPI number?
Lawrence Berg, M.D.'s National Provider Identifier (NPI) is 1205940160, issued on 08/18/2006.
Does Lawrence Berg, M.D. prescribe more brand-name or generic drugs?
Lawrence Berg, M.D.'s prescribing is 9% brand-name and 91% generic drugs by claim count, with $485 in brand drug costs.
How many Otolaryngology Physician providers are there in the US?
There are 11,060 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 536 Medicare Part D claims per year.
What drugs does Lawrence Berg, M.D. prescribe most often?
Based on 2024 Medicare Part D data, Lawrence Berg, M.D.'s most frequently prescribed drugs include Ipratropium Bromide, Amoxicillin-Clavulanate Potass, Doxycycline Hyclate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Lawrence Berg, M.D. accept Medicare?
Lawrence Berg, M.D. appears in CMS Medicare data with 152 Part D claims and 74 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Lawrence Berg, M.D.'s credentials?
Lawrence Berg, M.D.'s NPI is 1205940160 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 (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
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 August 2026 (NPPES) / 2024 (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

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 August 2026.