Dr. Paul M. Berger, MD

  • Bethlehem, PA
  • Urologist
NPI1225027352PAC ID6709819451
Medicare services, 2024
1,628
Medicare patients, 2024
597
Part D claims, 2024
1,404
MIPS score, 2024
97
Hospital affiliations
5
Practice address
1521 8th Ave, Bethlehem, PA 18018
Practice phone
Call (484) 526-2598
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

St. Luke's Center for Urology

Bethlehem, Pennsylvania

See all 14 affiliations

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Dr. Paul M. Berger is a urologist in Bethlehem, Pennsylvania

Dr. Berger practices at St. Luke's Center for Urology in Bethlehem, Pennsylvania.

Dr. Berger's NPI, 1225027352, was assigned on October 20, 2005. Dr. Berger graduated from University of Maryland School of Medicine - Baltimore in 1994. Dr. Berger holds Pennsylvania license MD058959L.

NPI and contact details
Medicare PAC ID
6709819451
NPI enumeration date
October 20, 2005
NPI status
Active
Accepts Medicare assignment
Yes
Offers telehealth
Yes
Practice phone
(484) 526-2598
Professional email
Get email
Personal email
Get email
Mobile number
Get number
Sex
Male
Estimated age
58
Medical school graduation
1994

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Paul M. Berger practices at St. Luke's Center for Urology in Bethlehem, Pennsylvania

Dr. Berger's primary practice is St. Luke's Center for Urology, at 1521 8th Ave, Bethlehem, PA 18018 in Northampton County. The practice phone is (484) 526-2598.

  • St. Luke's Center for Urology
    1521 8th Ave, Bethlehem, PA 18018 · Northampton CountyPhone(484) 526-2598

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Dr. Paul M. Berger is affiliated with 10 sites of care and 4 medical groups

Dr. Berger's primary practice is St. Luke's Center for Urology in Bethlehem, Pennsylvania. Dr. Berger is also affiliated with St. Luke's University Hospital - Bethlehem Campus. The medical group on file is St. Luke's South Mountain Family Practice. Dmand AI also links Dr. Berger to 4 more hospitals, 4 group practices and clinics and 3 medical groups, each named with a free account.

See all 14 affiliations for Dr. Berger

Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Paul M. Berger's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Berger practices, 9 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
St. Luke's Center for UrologyAvailable with a free account
+9 more sites and 3 medical groupsAvailable with a free account

Source: Dmand AI Technology Install Data

For health IT teams

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Dr. Paul M. Berger is one of 562 urologists in Pennsylvania

Urology is Dr. Berger's primary specialty in the NPI Registry, under taxonomy code 208800000X. Dr. Berger is board certified in urology by the American Board of Urology. Dmand AI has Dr. Berger's licenses on file in 2 states: Pennsylvania and North Carolina.

Specialties and state licenses

  • Urology, PennsylvaniaPrimaryLicense MD058959L · 1995 to 2026 · taxonomy 208800000X
  • North Carolina license1999 to 2006

Clinical focus

Dmand AI lists bladder disease, enlarged prostate, enlarged prostate transurethral surgery (TURP), erectile dysfunction, kidney cysts, kidney removal surgery, kidney stone disease and pelvic prolapse among the conditions Dr. Berger treats.

Urologists near Dr. Berger

Counts of urologists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Paul M. Berger billed Medicare for 1,628 services in 2024

CMS data shows 1,628 Medicare services from Dr. Berger across 21 procedure codes in 2024, for 597 Medicare patients. Medicare paid $133,228 for them.

Medicare services, 20241,628
Medicare patients597
Paid by Medicare$133,228
Procedure codes21

Dr. Berger's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 9162024: 67826%
Surgery
2023: 6362024: 51319%
Drugs given in the office
2023: 1682024: 21327%
Lab and pathology
2023: 2592024: 15142%
Tests and treatments
2023: 352024: 376%
Imaging
2023: 182024: 36100%

Where Dr. Berger's Medicare services took place, 2024

  • In an office1,46490%
  • In a facility16410%

Dr. Berger compared with the Pennsylvania median for urologists, 2024

  • Dr. Berger
  • Pennsylvania median
Medicare services
1,628vs 1,06553% above
Medicare patients
597vs 43139% above
Part D claims
1,253vs 74768% above

Medians across 539 urologists in Pennsylvania with Dmand AI profiles that report each measure.

Dr. Berger's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Berger

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Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Berger and other urologists in Pennsylvania.

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Paul M. Berger treated 597 Medicare patients in 2024, average age 74

CMS counts 597 Medicare patients who saw Dr. Berger in 2024. The largest group is 65 to 74, with 281 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 10% are also on Medicaid. Their average risk score is 1.69, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Berger's median patient age at 72, with 27% women.

Medicare patients, 2024597
Average age74
Average risk score1.69
Also on Medicaid10%

Dr. Berger's Medicare patients by age, 2024

Dr. Berger's Medicare patients by sex, 2024

  • Women15125%
  • Men44675%

Chronic conditions among Dr. Berger's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Arthritis51%
  4. Chronic kidney disease44%
  5. Cancer42%
  6. Diabetes36%
  7. Ischemic heart disease31%
  8. Anxiety30%

Share of Medicare patients with each condition. A patient can have several.

Dr. Berger's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 72

Patient panel by sex, all payers

  • Women27%
  • Men72%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Paul M. Berger wrote 1,404 Medicare Part D claims in 2024

In 2024, Dr. Berger wrote 1,404 Medicare Part D claims for 470 patients. 91% of them were for generic drugs. CMS names the drug for 1,253 of them, across 20 drugs with 11 or more claims each, at $67,269 in total drug cost. In 2023, CMS named 1,170 claims across 22 drugs.

Part D claims, 20241,404
Drugs named by CMS20
Total drug cost$67,269
Part D patients470

Dr. Berger's Part D claims by kind of drug, 2024

  • Generic1,278 claims91%
  • Brand-name115 claims8%
  • Other11 claims1%

Dr. Berger's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Berger's Part D claims, 2024

  • Opioids7%98 of 1,404 claims
  • Antibiotics30%420 of 1,404 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 1,1702024: 1,2537%

Drugs named by CMS: 20 in 2024, 22 in 2023.

See all prescribing by Dr. Berger

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Paul M. Berger scored 97 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 97 out of 100 for Dr. Berger for performance year 2024, reported through an alternative payment model (APM). Dr. Berger accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Dr. Berger as offering telehealth. CMS counts 19 procedures of prostate resection by Dr. Berger, more than 79% of the clinicians it reports for that procedure.

Accepts Medicare assignment
Yes
Offers telehealth
Yes

Dr. Berger's MIPS scores, performance year 2024

  • 97of 100Final score
  • 82.3of 100Quality
  • 100of 100Promoting Interoperability
  • 40of 100Improvement Activities

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Where Dr. Berger ranks in Medicare procedure volume

Prostate resection
79th percentile19 procedures

CMS ranks each clinician against every clinician it reports for the same procedure category.

Removal of tissue: 1 to 10 procedures (CMS shows small counts as a range)

Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)

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Dr. Paul M. Berger received $3,274 in industry payments from 2016 to 2025

CMS Open Payments shows 34 general payments to Dr. Berger from 11 drug and device companies from 2016 to 2025. Travel and lodging make up the largest share, 61% of the total. AngioDynamics, Inc. paid the most, $1,949.

General payments to Dr. Berger by program year, 2016 to 2025

General payments to Dr. Berger by kind, 2016 to 2025

$3.3Kin total
  • Travel and lodging$1,98561%
  • Food and beverage$1,28639%
  • Education$30%

Companies that paid Dr. Berger the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Berger

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Paul M. Berger graduated from University of Maryland School of Medicine - Baltimore

Dr. Berger graduated from University of Maryland School of Medicine - Baltimore in 1994.

  1. Medical schoolUniversity of Maryland School of Medicine - Baltimore
  2. Board certified in urologyAmerican Board of Urology

Source: Dmand AI Professional Profile Data

Dr. Paul M. Berger accepts plans from 16 insurance carriers

Dr. Berger is in network with 16 carriers, including Aetna, Elevance and Blue Cross Blue Shield of Michigan. Medicare plans come from the most carriers, 14. Check the plan with the practice before a visit.

  • Aetna
  • Elevance
  • Blue Cross Blue Shield of Michigan
  • Excellus BlueCross BlueShield
  • Highmark
  • Horizon Blue Cross Blue Shield of New Jersey
  • United Healthcare
  • Capital Blue Cross
  • +8 more carriersWith a free account

Plan types Dr. Berger accepts, by number of carriers

  1. Medicare14
  2. PPO12
  3. HMO8
  4. POS8
  5. EPO4

Source: Dmand AI Insurance Network Data

Sources for Dr. Paul M. Berger's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Paul M. Berger

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Paul M. Berger's NPI number?

Dr. Paul M. Berger's NPI number is 1225027352. It was assigned on October 20, 2005, and it is active in the NPI Registry.

What kind of doctor is Dr. Paul M. Berger?

Dr. Paul M. Berger is a urologist in Bethlehem, Pennsylvania. The primary specialty in the NPI Registry is Urology Physician (taxonomy code 208800000X).

Where does Dr. Paul M. Berger practice?

Dr. Berger practices at 1521 8th Ave, Bethlehem, PA 18018. Dr. Berger's primary practice is St. Luke's Center for Urology in Bethlehem, Pennsylvania. Dmand AI also links Dr. Berger to 4 hospitals, 4 group practices and clinics and 3 medical groups.

What is Dr. Paul M. Berger's office phone number?

The practice phone on file for Dr. Berger is (484) 526-2598.

What is Dr. Paul M. Berger's medical license number?

Dr. Berger holds Pennsylvania license MD058959L, one of the licenses on file in 2 states.

Which states has Dr. Paul M. Berger been licensed in?

Dmand AI has state licenses on file for Dr. Berger in Pennsylvania (1995 to 2026) and North Carolina (1999 to 2006).

Which hospitals is Dr. Paul M. Berger affiliated with?

Dr. Berger is affiliated with St. Luke's University Hospital - Bethlehem Campus. Dmand AI links Dr. Berger to 4 more hospitals.

What medical group is Dr. Paul M. Berger part of?

Dr. Berger is linked to St. Luke's South Mountain Family Practice. Dmand AI links Dr. Berger to 3 more medical groups.

Does Dr. Paul M. Berger accept Medicare?

Yes. CMS data shows Dr. Berger billed Medicare for 1,628 services in 2024, and Dr. Berger accepts Medicare assignment.

Does Dr. Paul M. Berger offer telehealth?

Yes. The CMS Doctors and Clinicians file lists Dr. Berger as offering telehealth services.

Show 9 more questionsShow fewer questions

What is Dr. Paul M. Berger's MIPS score?

Dr. Berger's MIPS final score for performance year 2024 is 97 out of 100, reported through an alternative payment model (APM).

How many Medicare patients does Dr. Paul M. Berger see?

CMS counts 597 Medicare patients who saw Dr. Berger in 2024, with an average age of 74.

Is Dr. Paul M. Berger board certified?

Yes. Dr. Berger is board certified in urology by the American Board of Urology.

What services does Dr. Paul M. Berger bill to Medicare?

In 2024, Dr. Berger's most billed Medicare services were office visit, established patient (99213), injected or infused drug (J9217) and office visit, established patient (99214).

Where did Dr. Paul M. Berger go to medical school?

Dr. Berger graduated from University of Maryland School of Medicine - Baltimore in 1994.

What drugs does Dr. Paul M. Berger prescribe most?

In 2024 Medicare Part D data, Dr. Berger's most prescribed drugs by claims were Cephalexin, Tamsulosin HCl and Finasteride.

Has Dr. Paul M. Berger received payments from drug or device companies?

CMS Open Payments shows $3,274 in general payments to Dr. Berger from 11 companies from 2016 to 2025. The largest total came from AngioDynamics, Inc.

How long has Dr. Paul M. Berger been practicing?

Dr. Berger graduated from medical school in 1994, 32 years ago.

What insurance does Dr. Paul M. Berger accept?

Dr. Berger is in network with 16 carriers, including Aetna, Elevance and Blue Cross Blue Shield of Michigan. Medicare plans come from the most carriers, 14. Check the plan with the practice before a visit.

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