NPI registry status
Active
2026 NPPES data Family Medicine Physician NPI 1053492827 MD
Verify on CMS → Tony Berg, MD
Family Medicine Physician in Burke, South Dakota.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 147,760 in Family Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
413
Medicare Part D claims · 24 beneficiaries · Family Medicine Physician avg: 3K
MIPS score
97.3/100
▲ 14 pts above national avg 83.1 · Exceptional
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Tony Berg, MD reported a CMS MIPS final score of 97.3/100 - above the 83.1 national average - and filed 413 Medicare Part D claims in 2023.
- 97.3/100
- MIPS score · +14 vs avg
- 413
- 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.
Tony Berg, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
97 Top 15% higher than 85% 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
Where Tony Berg, MD sits
This provider among family medicine physician peers
Across the 22,040 family medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Tony Berg, MD writes more Part D claims than 21% of them and scores higher on MIPS quality than 89% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one family medicine physician peer from a representative sample of 60; the gold marker is Tony Berg, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Tony Berg, 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 Tony Berg, MD?
High performer (top quartile)Primary specialty
Family Medicine Physician
Medicare Part D claims
413 88% vs specialty avg
MIPS final score
97.3/100 14.2 pts vs avg
Specialty distribution in South Dakota
How Family Medicine Physician compares to other specialties among South Dakota providers
Medicare quality performance, MIPS
Tony Berg, MD's 2023 MIPS final score plotted against the Family Medicine Physician national average
- MIPS Final Score
- 97.3/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Family Medicine Physician) - 97.3/100 vs national avg 83.1
How MIPS and board certification work
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).
Tony Berg, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 809 JACKSON ST, Burke, SD, 57523, with a listed phone of (605) 775-2631. NPI 1053492827 was issued on 10/18/2006.
Medicare Part D records for calendar year 2023 show 413 prescription claims written by this provider, covering 24 Medicare beneficiaries and totaling roughly $75K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 97.3/100 for the 2023 performance year (Quality 90.3), compared with the national average of 83.1.
Family Medicine Physician is a high-volume specialty nationwide, with 147,760 enrolled providers across 56 states and an average of 3,418 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 | 1053492827 |
|---|---|
| Specialty | Family Medicine Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 10/18/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
97.3301
Final Score
Avg: 83.1
90.2558
Quality
96
Promoting Interoperability
Reporting: Group practice
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
413
Total Claims
$75K
Total Drug Cost
24
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 418
- Total Day Supply
- 9,615
- Generic Drug Cost
- $10K
- Antibiotic Claims
- 11
Patient Demographics
- Average Patient Age
- 78.8 years
- Avg HCC Risk Score
- 1.71
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Tony Berg, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Quetiapine Fumarate
Quetiapine Fumarate
29 claims
- Omeprazole
Omeprazole
28 claims
- Metformin Hcl
Metformin Hcl
26 claims
- Myrbetriq
Myrbetriq
26 claims
- Gabapentin
Gabapentin
18 claims
- Sertraline Hcl
Sertraline Hcl
18 claims
- Ipratropium-Albute…
Ipratropium-Albuterol
17 claims
- Baclofen
Baclofen
16 claims
| Drug | Claims |
|---|---|
| Quetiapine Fumarate | 29 |
| Omeprazole | 28 |
| Metformin Hcl | 26 |
| Myrbetriq Mirabegron | 26 |
| Gabapentin | 18 |
| Sertraline Hcl | 18 |
| Ipratropium-Albuterol Ipratropium/Albuterol Sulfate | 17 |
| Baclofen | 16 |
| Divalproex Sodium | 14 |
| Fluoxetine Hcl | 14 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Family Medicine Physician Overview
How Tony Berg, MD fits within the Family Medicine Physician landscape nationally.
147,760
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider
Tony Berg, MD's 413 claims are below the specialty average of 3,418.
Nearby Family Medicine Physician Providers in South Dakota
Other clinicians with the same primary specialty enrolled in South Dakota, drawn from the same CMS NPPES roster as Berg.
Dr. Gordon Abernathie
D.O.
Rapid City, SD
Dr. Kyle Adams
D.O.
Rapid City, SD
Dr. Mary Ahlers
DO
Brookings, SD
Dr. Alese Allerdings
M.D.
De Smet, SD
Dr. Jay Allison
MD
Sioux Falls, SD
Compare Family Medicine Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the South Dakota medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Family Medicine Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Explore South Dakota
Frequently Asked Questions
What is Tony Berg, MD's specialty? ▼
Tony Berg, MD specializes in Family Medicine Physician and practices in Burke, South Dakota. Credentials: MD.
How much does Tony Berg, MD prescribe under Medicare Part D? ▼
In 2023, Tony Berg, MD wrote 413 Medicare Part D claims totaling $75K in drug costs for 24 beneficiaries.
What is Tony Berg, MD's Medicare quality score? ▼
Tony Berg, MD has a CMS MIPS Final Score of 97.3/100 (Quality: 90.3). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Tony Berg, MD located? ▼
Tony Berg, MD is located at 809 JACKSON ST, Burke, SD, 57523. Phone: (605) 775-2631.
What is Tony Berg, MD's NPI number? ▼
Tony Berg, MD's National Provider Identifier (NPI) is 1053492827, issued on 10/18/2006.
How many Family Medicine Physician providers are there in the US? ▼
There are 147,760 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Tony Berg, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Tony Berg, MD's most frequently prescribed drugs include Quetiapine Fumarate, Omeprazole, Metformin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Tony Berg, MD accept Medicare? ▼
Tony Berg, MD appears in CMS Medicare data with 413 Part D claims and 24 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Tony Berg, MD's credentials? ▼
Tony Berg, MD's NPI is 1053492827 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.