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.
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
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)Primary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in New Jersey
How Adult Health Nurse Practitioner compares to other specialties among New Jersey providers
Adult Health Nurse Practitioner share within New Jersey
Adult Health Nurse Practitioner is one of the more visible NUCC categories in New Jersey
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Medicare quality performance — MIPS
THOMAS BERGES, APN-C's 2023 MIPS final score plotted against the Adult Health Nurse Practitioner national average
- 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
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Specialty volume Adult Health Nurse Practitioner US NPIs
98.6738/100 MIPS final score — 15.6 pts above the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Adult Health Nurse Practitioner. Quality dim: 93.5705.
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
Provider Details
| NPI | 1396959847 |
|---|---|
| Specialty | Adult Health Nurse Practitioner |
| Credentials | APN-C |
| Gender | Male |
| NPI Issued | 05/10/2007 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm THOMAS BERGES, APN-C's current license status, disciplinary history, and board certifications with the New Jersey State Board of Medical Examiners in New Jersey before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
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.
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.
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
- Atorvastatin Calcium
Atorvastatin Calcium
69 claims
- Pantoprazole Sodium
Pantoprazole Sodium
44 claims
- Losartan Potassium
Losartan Potassium
37 claims
- Eliquis
Eliquis
35 claims
- Furosemide
Furosemide
35 claims
- Escitalopram Oxalate
Escitalopram Oxalate
33 claims
- Potassium Chloride
Potassium Chloride
32 claims
- Tamsulosin Hcl
Tamsulosin Hcl
32 claims
| 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.
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 →
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Frequently Asked Questions
What is THOMAS BERGES, APN-C's specialty? ▼
How much does THOMAS BERGES, APN-C prescribe under Medicare Part D? ▼
What is THOMAS BERGES, APN-C's Medicare quality score? ▼
Where is THOMAS BERGES, APN-C located? ▼
What is THOMAS BERGES, APN-C's NPI number? ▼
Does THOMAS BERGES, APN-C prescribe opioids? ▼
How many Adult Health Nurse Practitioner providers are there in the US? ▼
What drugs does THOMAS BERGES, APN-C prescribe most often? ▼
Does THOMAS BERGES, APN-C accept Medicare? ▼
How can I verify THOMAS BERGES, APN-C's credentials? ▼
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