Individual provider Active NPI

Colby Berger, DPM

  • Foot & Ankle Surgery Podiatrist
  • La Jolla, CA
National Provider Identifier
1831756105
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5836 Issued in CA
Practice address
9850 Genesee Ave Ste 510
La Jolla, CA 92037
Phone
(858) 450-9218
Fax
(858) 450-3296
NPI assigned
May 22, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E5836 CA Primary

Addresses

Primary practice location

9850 Genesee Ave Ste 510
La Jolla, CA 92037

Mailing address

9850 Genesee Ave Ste 510
La Jolla, CA 92037-1213
Phone (858) 450-9218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220621002175 CA Practitioner - Podiatry 5597144626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Socal Foot Care PCGroup PAC ID 5395110076, 29 clinicians

Practice addresses (Care Compare)

9850 Genesee Ave
Suite 510
La Jolla, CA 92037-1213
Phone (858) 450-9218

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.67 of 100Reported as group
Quality
70.31
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
78.03 of 100Reported as group
Quality
78.11
Improvement activities
40
Cost
33.57

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue224
Removal of skin lesions1-10
Removal of nail tissue404
Removal or shaving of skin growth214

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5836CAMDFoot & Ankle Surgery Podiatrist
5836CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Socal Foot Care PC Podiatrist CurrentSince Nov 11, 2024 Accepting new patients
Socal Foot Care PC Podiatrist CurrentSince Nov 11, 2024 Accepting new patients

Locations

501 N El Camino Real
Ste 201
Encinitas, CA 92024
Phone (760) 436-8667

9850 Genesee Ave
Ste 510
La Jolla, CA 92037
Phone (858) 450-9218

39755 Murrieta Hot Springs Rd
Ste D130
Murrieta, CA 92563
Phone (951) 698-4611

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: colby.berger.1@20181.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1831756105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE STE 510",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371213",
            "telephone_number": "858-450-9218",
            "fax_number": "858-450-3296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE STE 510",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "92037",
            "telephone_number": "858-450-9218",
            "fax_number": "858-450-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "COLBY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-22",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.