2026 NPPES data Surgery Physician NPI 1285711036 MD
Verify on CMS →

RAMON BERGUER, MD

Surgery Physician in NOVATO, California. 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
31
Medicare Part D claims · 13 beneficiaries · Surgery Physician avg: 169
MIPS score
85.7317/100
▲ 3 pts above national avg 83.1 · [object Object]
Industry payments
$151.93
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

RAMON BERGUER, MD reported a CMS MIPS final score of 85.7317/100 — above the 83.1 national average — and filed 31 Medicare Part D claims in 2023.

85.7317/100
MIPS score · +3 vs avg
31
Part D claims, 2023
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.

RAMON BERGUER, MD's MIPS score vs every scored U.S. clinician

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

86 49th percentile higher than 49% 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%). This entry sits in this band. 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)

RAMON BERGUER, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 RAMON BERGUER, MD?

High performer (top quartile)

NPI registry status

Active

Issued 11/01/2006

NPI 1285711036

Primary specialty

Surgery Physician

Mid-sized

36,191 US NPIs in this specialty

Medicare Part D claims

31 82% vs specialty avg

2023 prescription claims

Specialty avg: 169

MIPS final score

85.7317/100 2.6317000000000093% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in California

How Surgery Physician compares to other specialties among California providers

California providers

Surgery Physician share within California

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

Medicare quality performance — MIPS

RAMON BERGUER, MD's 2023 MIPS final score plotted against the Surgery Physician national average

High performer (top quartile)
MIPS Final Score
85.7317/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Surgery Physician) — 85.7317/100 vs national avg 83.1

0%100%National avg83%85.7%
MIPS final score (Surgery Physician) — 85.7317/100 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).

RAMON BERGUER, MD appears in the CMS NPPES registry as a Surgery Physician provider holding MD credentials at 290 IGNACIO VALLEY CIR, NOVATO, CA, 94949, with a listed phone of (415) 845-3912. NPI 1285711036 was issued on 11/01/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BERGUER 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 31 prescription claims written by this provider, covering 13 Medicare beneficiaries and totaling roughly $373 in drug spend, with an opioid prescribing rate of 51.6%. 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 85.7317/100 for the 2023 performance year (Quality 82.6837, Cost 70.5887), compared with the national average of 83.1.

Surgery Physician is a mid-sized specialty nationwide, with 36,191 enrolled providers across 56 states and an average of 169 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

290 IGNACIO VALLEY CIR
NOVATO, CA 94949

Provider Details

NPI 1285711036
Specialty Surgery Physician
Credentials MD
Gender Male
NPI Issued 11/01/2006

CMS Quality Score (MIPS)

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

85.7317
Final Score
Avg: 83.1
82.6837
Quality
70.5887
Cost
99
Promoting Interoperability

Reporting: Group practice

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 RAMON BERGUER, MD. Source: openpaymentsdata.cms.gov.

Total received

$152

Largest payer

INTUITIVE SURGICAL, 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.

License & disciplinary context — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to RAMON BERGUER, MD. To verify RAMON BERGUER, MD's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California 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.

31
Total Claims
$373
Total Drug Cost
13
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
31
Total Day Supply
436
Brand Drug Cost
$0
Generic Drug Cost
$373
Opioid Claims
16 (51.6% rate)

Patient Demographics

Average Patient Age
65.2 years
Avg HCC Risk Score
0.99

Surgery Physician Overview

How RAMON BERGUER, MD fits within the Surgery Physician landscape nationally.

36,191
Surgery Physician Providers in US
56
States with Surgery Physician
169
Avg Claims per Provider

RAMON BERGUER, MD's 31 claims are below the specialty average of 169.

Nearby Surgery Physician Providers in California

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

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

Frequently Asked Questions

What is RAMON BERGUER, MD's specialty?
RAMON BERGUER, MD specializes in Surgery Physician and practices in NOVATO, California. Credentials: MD.
How much does RAMON BERGUER, MD prescribe under Medicare Part D?
In 2023, RAMON BERGUER, MD wrote 31 Medicare Part D claims totaling $373 in drug costs for 13 beneficiaries.
What is RAMON BERGUER, MD's Medicare quality score?
RAMON BERGUER, MD has a CMS MIPS Final Score of 85.7317/100 (Quality: 82.6837, Cost: 70.5887). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RAMON BERGUER, MD located?
RAMON BERGUER, MD is located at 290 IGNACIO VALLEY CIR, NOVATO, CA, 94949. Phone: (415) 845-3912.
What is RAMON BERGUER, MD's NPI number?
RAMON BERGUER, MD's National Provider Identifier (NPI) is 1285711036, issued on 11/01/2006.
Does RAMON BERGUER, MD prescribe opioids?
Yes, RAMON BERGUER, MD had 16 opioid claims in 2023 with an opioid prescribing rate of 51.6%.
How many Surgery Physician providers are there in the US?
There are 36,191 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 169 Medicare Part D claims per year.
Does RAMON BERGUER, MD accept Medicare?
RAMON BERGUER, MD appears in CMS Medicare data with 31 Part D claims and 13 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RAMON BERGUER, MD's credentials?
RAMON BERGUER, MD's NPI is 1285711036 with credentials MD. 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