2026 NPPES data Specialist NPI 1316099849 M.D.
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RODNEY BERGER, M.D.

Specialist in ADDISON, Illinois. 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
3K
Medicare Part D claims · 183 beneficiaries · Specialist avg: 1K
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
12.5612/100
▼ 71 pts below national avg 83.1 · [object Object]
Industry payments
$1.1K
31 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: RODNEY BERGER, M.D. is a Specialist ([object Object]) practicing in ADDISON, Illinois with a Medicare Part D prescribing footprint of 3K claims across 183 beneficiaries — 14% brand-name prescribing . Their CMS MIPS Final Score of 12.5612/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $1.1K across 31 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: RODNEY BERGER, M.D. reported a CMS MIPS final score of 12.5612 out of 100, below the 83.1 national average, and filed 3,259 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

RODNEY BERGER, M.D. at a glance

Below national average

NPI registry status

Active

Issued 01/17/2007

NPI 1316099849

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

3,259 121% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

12.5612/100 70.5388% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in Illinois

How Specialist compares to other specialties among Illinois providers

Illinois providers

Specialist share within Illinois

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within Illinois

Medicare quality performance — MIPS

RODNEY BERGER, M.D.'s 2023 MIPS final score plotted against the Specialist national average

Below national average
MIPS Final Score
12.5612/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) — 12.5612/100 vs national avg 83.1

0%100%National avg83%12.6%
MIPS final score (Specialist) — 12.5612/100 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).

RODNEY BERGER, M.D. is a Specialist provider practicing in ADDISON, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1316099849. 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.

RODNEY BERGER, M.D. appears in the CMS NPPES registry as a Specialist provider holding M.D. credentials at 240 E LAKE ST, ADDISON, IL, 60101, with a listed phone of (630) 941-9344. NPI 1316099849 was issued on 01/17/2007. 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 3,259 prescription claims written by this provider, covering 183 Medicare beneficiaries and totaling roughly $312K in drug spend, split 14% brand-name and 86% generic by claim count, with an opioid prescribing rate of 3.7%. 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 12.5612/100 for the 2023 performance year (Quality 0, Cost 41.8705), compared with the national average of 83.1.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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

240 E LAKE ST
ADDISON, IL 60101

Provider Details

NPI 1316099849
Specialty Specialist
Credentials M.D.
Gender Male
NPI Issued 01/17/2007

CMS Quality Score (MIPS)

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

12.5612
Final Score
Avg: 83.1
0
Quality
41.8705
Cost

Reporting: Individual

Hospital and facility affiliations

Facilities where RODNEY 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.

DES PLAINES COMMUNITY HEALTH CARE CENTER INC
DES PLAINES, 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 RODNEY BERGER, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$1.1K

Largest payer

Lilly 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 — 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 RODNEY BERGER, M.D.. To verify RODNEY BERGER, 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 · Typical

RODNEY BERGER, M.D. — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 3,259 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.

3,259
Total Claims
$312K
Total Drug Cost
183
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,275
Total Day Supply
155,916
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$212K
Generic Drug Cost
$96K
Opioid Claims
122 (3.7% rate)
Antibiotic Claims
30

Patient Demographics

Average Patient Age
72.0 years
Avg HCC Risk Score
2.35
Gender Split
59% female / 41% male
Age Distribution
<65: 32, 65-74: 64, 75-84: 58, 85+: 29

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
164
Amlodipine Besylate
148
Tramadol Hcl
115
Metoprolol Succinate
98
Lisinopril
94
Gabapentin
82
Hydrochlorothiazide
81
Metformin Hcl
81
Eliquis
Apixaban
74
Alprazolam
71

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

Specialist Overview

How RODNEY BERGER, M.D. fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

RODNEY BERGER, M.D.'s 3,259 claims are above the specialty average of 1,474.

Nearby Specialist Providers in Illinois

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

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

Frequently Asked Questions

What is RODNEY BERGER, M.D.'s specialty?
RODNEY BERGER, M.D. specializes in Specialist and practices in ADDISON, Illinois. Credentials: M.D..
How much does RODNEY BERGER, M.D. prescribe under Medicare Part D?
In 2023, RODNEY BERGER, M.D. wrote 3,259 Medicare Part D claims totaling $312K in drug costs for 183 beneficiaries.
What is RODNEY BERGER, M.D.'s Medicare quality score?
RODNEY BERGER, M.D. has a CMS MIPS Final Score of 12.5612/100 (Quality: 0, Cost: 41.8705). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RODNEY BERGER, M.D. located?
RODNEY BERGER, M.D. is located at 240 E LAKE ST, ADDISON, IL, 60101. Phone: (630) 941-9344.
What is RODNEY BERGER, M.D.'s NPI number?
RODNEY BERGER, M.D.'s National Provider Identifier (NPI) is 1316099849, issued on 01/17/2007.
Does RODNEY BERGER, M.D. prescribe more brand-name or generic drugs?
RODNEY BERGER, M.D.'s prescribing is 14% brand-name and 86% generic drugs by claim count, with $212K in brand drug costs.
Does RODNEY BERGER, M.D. prescribe opioids?
Yes, RODNEY BERGER, M.D. had 122 opioid claims in 2023 with an opioid prescribing rate of 3.7%.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does RODNEY BERGER, M.D. prescribe most often?
Based on 2023 Medicare Part D data, RODNEY BERGER, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RODNEY BERGER, M.D. accept Medicare?
RODNEY BERGER, M.D. appears in CMS Medicare data with 3,259 Part D claims and 183 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RODNEY BERGER, M.D.'s credentials?
RODNEY BERGER, M.D.'s NPI is 1316099849 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