DANIEL BERGMAN (MD) – MOHS-Micrographic Surgery Physician, NPI 1053843169
MOHS-Micrographic Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
207 DERMATOLOGY in AL
Provider Addresses for DANIEL BERGMAN (MD)
1360 MONTGOMERY HWY STE 114
VESTAVIA HILLS, AL 352162750
Phone: (205) 379-0900
Fax: (205) 238-7900
Type: Mailing
Mayo Clinic Hospital Scottsdale Campus, 13400, East Shea Boulevard, Scottsdale, Maricopa County, Arizona, 85259, United States
SCOTTSDALE, AZ 852595452
Phone: (480) 301-8000
Type: Mailing
PO BOX 55310
BIRMINGHAM, AL 352555310
Phone: (205) 731-9701
Type: Mailing
619 19TH ST S
BIRMINGHAM, AL 352492541
Phone: (205) 934-4011
Fax: (205) 297-9411
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $101.
Total Amount is formed as General ($101) + Research ($0) + Ownership ($0) = $101.
Last reported payment date: 2024-06-11 • Largest payer in this snapshot: Kerecis Limited ($73).
Total Amount
$101
General + Research + Ownership
Payments
2
Total payment records
General Amount
$101
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Kerecis Limited | $73 |
| Regeneron Healthcare Solutions, Inc. | $28 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-06-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210608000666 | I | Dermatology | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 397 | 312 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 211 | 139 | $0 |
| 17313 | Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks | 119 | 96 | $0 |
| 13132 | Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm | 117 | 113 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 73 | 11 | $0 |
Insurance plans in this area (ZIP 35216)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AL | |
| D E R M A T O L O G Y | AL |
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