2026 NPPES data Periodontics NPI 1255484184 D.D.S.
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PAUL BERGER, D.D.S.

Periodontics in KEY LARGO, 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
295
Medicare Part D claims · 124 beneficiaries · Periodontics avg: 264
Industry payments
$70.3
2 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: PAUL BERGER, D.D.S. is a Periodontics ([object Object]) practicing in KEY LARGO, Florida with a Medicare Part D prescribing footprint of 295 claims across 124 beneficiaries . Industry payments of $70.3 across 2 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: PAUL BERGER, D.D.S. filed 295 Medicare Part D claims in 2023 across KEY LARGO, Florida. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

PAUL BERGER, D.D.S. at a glance

Quality data not reported

NPI registry status

Active

Issued 01/22/2007

NPI 1255484184

Primary specialty

Periodontics

Mid-sized

6,061 US NPIs in this specialty

Medicare Part D claims

295 12% vs specialty avg

2023 prescription claims

Specialty avg: 264

Specialty distribution in Florida

How Periodontics compares to other specialties among Florida providers

Florida providers

Periodontics share within Florida

1. Periodontics42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Periodontics share within Florida

Specialty board-certification context

Estimated specialty board-certified rate — Periodontics (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Periodontics ABMS/AOA estimate

Est. board-certified rate (Periodontics) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Periodontics) — ABMS / AOA estimate

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).

PAUL BERGER, D.D.S. is a Periodontics provider practicing in KEY LARGO, Florida, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: D.D.S.. NPI: 1255484184. 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.

PAUL BERGER, D.D.S. appears in the CMS NPPES registry as a Periodontics provider holding D.D.S. credentials at 103400 OVERSEAS HWY STE 229, KEY LARGO, FL, 33037, with a listed phone of (305) 453-1811. NPI 1255484184 was issued on 01/22/2007. 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 295 prescription claims written by this provider, covering 124 Medicare beneficiaries and totaling roughly $2K in drug spend, with an opioid prescribing rate of 10.5%. 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.

Periodontics is a mid-sized specialty nationwide, with 6,061 enrolled providers across 53 states and an average of 264 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

103400 OVERSEAS HWY STE 229
KEY LARGO, FL 33037

Provider Details

NPI 1255484184
Specialty Periodontics
Credentials D.D.S.
Gender Male
NPI Issued 01/22/2007

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 PAUL BERGER, D.D.S.. Source: openpaymentsdata.cms.gov.

Total received

$70

Largest payer

Straumann USA LLC

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 PAUL BERGER, D.D.S.. To verify PAUL BERGER, D.D.S.'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.

Medicare Part D Prescribing Data

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

295
Total Claims
$2K
Total Drug Cost
124
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
303
Total Day Supply
2,029
Generic Drug Cost
$2K
Opioid Claims
31 (10.5% rate)
Antibiotic Claims
163

Patient Demographics

Average Patient Age
74.4 years
Avg HCC Risk Score
0.77
Gender Split
52% female / 48% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Amoxicillin
129
Etodolac
95
Acetaminophen-Codeine
Acetaminophen With Codeine
15
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
13

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

Periodontics Overview

How PAUL BERGER, D.D.S. fits within the Periodontics landscape nationally.

6,061
Periodontics Providers in US
53
States with Periodontics
264
Avg Claims per Provider

PAUL BERGER, D.D.S.'s 295 claims are above the specialty average of 264.

Nearby Periodontics Providers in Florida

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

Compare Periodontics nationally: see state-by-state distribution →

Frequently Asked Questions

What is PAUL BERGER, D.D.S.'s specialty?
PAUL BERGER, D.D.S. specializes in Periodontics and practices in KEY LARGO, Florida. Credentials: D.D.S..
How much does PAUL BERGER, D.D.S. prescribe under Medicare Part D?
In 2023, PAUL BERGER, D.D.S. wrote 295 Medicare Part D claims totaling $2K in drug costs for 124 beneficiaries.
Where is PAUL BERGER, D.D.S. located?
PAUL BERGER, D.D.S. is located at 103400 OVERSEAS HWY STE 229, KEY LARGO, FL, 33037. Phone: (305) 453-1811.
What is PAUL BERGER, D.D.S.'s NPI number?
PAUL BERGER, D.D.S.'s National Provider Identifier (NPI) is 1255484184, issued on 01/22/2007.
Does PAUL BERGER, D.D.S. prescribe opioids?
Yes, PAUL BERGER, D.D.S. had 31 opioid claims in 2023 with an opioid prescribing rate of 10.5%.
How many Periodontics providers are there in the US?
There are 6,061 Periodontics providers across 53 states in the US. The average Periodontics provider writes 264 Medicare Part D claims per year.
What drugs does PAUL BERGER, D.D.S. prescribe most often?
Based on 2023 Medicare Part D data, PAUL BERGER, D.D.S.'s most frequently prescribed drugs include Amoxicillin, Etodolac, Acetaminophen-Codeine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PAUL BERGER, D.D.S. accept Medicare?
PAUL BERGER, D.D.S. appears in CMS Medicare data with 295 Part D claims and 124 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PAUL BERGER, D.D.S.'s credentials?
PAUL BERGER, D.D.S.'s NPI is 1255484184 with credentials D.D.S.. 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.
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