2026 NPPES data Adult Health Nurse Practitioner NPI 1396959847 APN-C
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THOMAS BERGES, APN-C

Adult Health Nurse Practitioner in WAYNE, 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
1K
Medicare Part D claims · 224 beneficiaries · Adult Health Nurse Practitioner avg: 1K
MIPS score
98.6738/100
▲ 16 pts above national avg 83.1 · [object Object]

What the federal data shows

THOMAS BERGES, APN-C reported a CMS MIPS final score of 98.6738/100 — above the 83.1 national average — and filed 1,262 Medicare Part D claims in 2023.

98.6738/100
MIPS score · +16 vs avg
1K
Part D claims, 2023

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.

THOMAS BERGES, APN-C's MIPS score vs every scored U.S. clinician

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

99 Top 11% higher than 89% 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

What does the federal data show about THOMAS BERGES, APN-C?

High performer (top quartile)

NPI registry status

Active

Issued 05/10/2007

NPI 1396959847

Primary specialty

Adult Health Nurse Practitioner

Mid-sized

29,492 US NPIs in this specialty

Medicare Part D claims

1,262 5% vs specialty avg

2023 prescription claims

Specialty avg: 1,201

MIPS final score

98.6738/100 15.573800000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New Jersey

How Adult Health Nurse Practitioner compares to other specialties among New Jersey providers

New Jersey providers

Adult Health Nurse Practitioner share within New Jersey

1. Adult Health Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adult Health Nurse Practitioner share within New Jersey

Medicare quality performance — MIPS

THOMAS BERGES, APN-C's 2023 MIPS final score plotted against the Adult Health Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
98.6738/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adult Health Nurse Practitioner) — 98.6738/100 vs national avg 83.1

0%100%National avg83%98.7%
MIPS final score (Adult Health Nurse Practitioner) — 98.6738/100 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).

THOMAS BERGES, APN-C appears in the CMS NPPES registry as a Adult Health Nurse Practitioner provider holding APN-C credentials at 493 BLACK OAK RIDGE RD, WAYNE, NJ, 07470, with a listed phone of (973) 692-5950. NPI 1396959847 was issued on 05/10/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BERGES 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 1,262 prescription claims written by this provider, covering 224 Medicare beneficiaries and totaling roughly $66K in drug spend, with an opioid prescribing rate of 7.4%. 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 98.6738/100 for the 2023 performance year (Quality 93.5705), compared with the national average of 83.1.

Adult Health Nurse Practitioner is a mid-sized specialty nationwide, with 29,492 enrolled providers across 55 states and an average of 1,201 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

493 BLACK OAK RIDGE RD
WAYNE, NJ 07470

Provider Details

NPI 1396959847
Specialty Adult Health Nurse Practitioner
Credentials APN-C
Gender Male
NPI Issued 05/10/2007

CMS Quality Score (MIPS)

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

98.6738
Final Score
Avg: 83.1
93.5705
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where THOMAS BERGES, APN-C 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.

BRIDGECARE PROVIDER GROUP LLC
WAYNE, NJ
WOUND HEALING ASSOCIATES PC
CRESSKILL, 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).

Medicare Part D Prescribing Data

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

1,262
Total Claims
$66K
Total Drug Cost
224
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,288
Total Day Supply
28,930
Generic Drug Cost
$20K
Opioid Claims
93 (7.4% rate)
Antibiotic Claims
28

Patient Demographics

Average Patient Age
80.5 years
Avg HCC Risk Score
2.40
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.

What THOMAS BERGES, APN-C 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
Atorvastatin Calcium
69
Pantoprazole Sodium
44
Losartan Potassium
37
Eliquis
Apixaban
35
Furosemide
35
Escitalopram Oxalate
33
Potassium Chloride
32
Tamsulosin Hcl
32
Amlodipine Besylate
31
Levothyroxine Sodium
31

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

Adult Health Nurse Practitioner Overview

How THOMAS BERGES, APN-C fits within the Adult Health Nurse Practitioner landscape nationally.

29,492
Adult Health Nurse Practitioner Providers in US
55
States with Adult Health Nurse Practitioner
1,201
Avg Claims per Provider

THOMAS BERGES, APN-C's 1,262 claims are above the specialty average of 1,201.

Nearby Adult Health Nurse Practitioner Providers in New Jersey

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

Compare Adult Health Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is THOMAS BERGES, APN-C's specialty?
THOMAS BERGES, APN-C specializes in Adult Health Nurse Practitioner and practices in WAYNE, New Jersey. Credentials: APN-C.
How much does THOMAS BERGES, APN-C prescribe under Medicare Part D?
In 2023, THOMAS BERGES, APN-C wrote 1,262 Medicare Part D claims totaling $66K in drug costs for 224 beneficiaries.
What is THOMAS BERGES, APN-C's Medicare quality score?
THOMAS BERGES, APN-C has a CMS MIPS Final Score of 98.6738/100 (Quality: 93.5705). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is THOMAS BERGES, APN-C located?
THOMAS BERGES, APN-C is located at 493 BLACK OAK RIDGE RD, WAYNE, NJ, 07470. Phone: (973) 692-5950.
What is THOMAS BERGES, APN-C's NPI number?
THOMAS BERGES, APN-C's National Provider Identifier (NPI) is 1396959847, issued on 05/10/2007.
Does THOMAS BERGES, APN-C prescribe opioids?
Yes, THOMAS BERGES, APN-C had 93 opioid claims in 2023 with an opioid prescribing rate of 7.4%.
How many Adult Health Nurse Practitioner providers are there in the US?
There are 29,492 Adult Health Nurse Practitioner providers across 55 states in the US. The average Adult Health Nurse Practitioner provider writes 1,201 Medicare Part D claims per year.
What drugs does THOMAS BERGES, APN-C prescribe most often?
Based on 2023 Medicare Part D data, THOMAS BERGES, APN-C's most frequently prescribed drugs include Atorvastatin Calcium, Pantoprazole Sodium, Losartan Potassium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does THOMAS BERGES, APN-C accept Medicare?
THOMAS BERGES, APN-C appears in CMS Medicare data with 1,262 Part D claims and 224 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify THOMAS BERGES, APN-C's credentials?
THOMAS BERGES, APN-C's NPI is 1396959847 with credentials APN-C. 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