DR. ROY G BERGSTROM (MD) – Obstetrics & Gynecology Physician, NPI 1174506422

DR. ROY G BERGSTROM (MD) is a healthcare provider. based in Highlands ranch, Colorado. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 36050 (CO). The NPI Number for DR. ROY G BERGSTROM (MD) is 1174506422

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROY G BERGSTROM (MD)
NPI
1174506422
Phone
(303) 738-1100
Address
1805 SHEA CENTER DR STE 301
Enumeration Date
21 November 2005
Last Update Date
2 June 2023

Doctor Profile

Medical School Name
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Secondary Phone
3037785797
Graduation Year
1993 (33 years ago)
PAC ID
2365591328
Group Practice PAC ID
0941110886
Professional Enrollment ID
I20120502000264
Address ID
CO802105850DE2535XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

824 OBSTETRICS/GYNECOLOGY in CO

Provider Addresses for DR. ROY G BERGSTROM (MD)

  • 1805 SHEA CENTER DR STE 301

    HIGHLANDS RANCH, CO 801292251

    Phone: (303) 738-1100

    Fax: (303) 738-1310

    Type: Mailing

  • 2352 Meadows Blvd Ste 255

    Castle Rock, CO 801098417

    Phone: (303) 738-1100

    Fax: (303) 738-1310

    Type: Location

  • 7780, South Broadway, Littleton, Arapahoe County, Colorado, 80122, United States

    SUITE 280

    LITTLETON, CO 80122

    Phone: (303) 738-1100

    Fax: (303) 738-1310

    Type: Location

  • 1805 SHEA CENTER DR STE 3450

    HIGHLANDS RANCH, CO 801292251

    Phone: (303) 738-1100

    Fax: (303) 738-1310

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $61.

Total Amount is formed as General ($61) + Research ($0) + Ownership ($0) = $61.

Last reported payment date: 2024-04-09 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($41).

Total Amount

$61

General + Research + Ownership

Payments

4

Total payment records

General Amount

$61

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2012-05-02

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120502000264IObstetrics/GynecologyCOTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80129)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941110886View full group profile
NameSpecialtyState
-CO
O B S T E T R I C S/ G Y N E C O L O G YCO
Nurse PractitionerCO
Internal MedicineCO
Physician AssistantCO
Family PracticeCO
Physician AssistantCO
-CO
Internal MedicineCO
N E U R O L O G YCO

Reviews

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Frequently asked questions

What is the standard ID for DR. ROY G BERGSTROM (MD) in the U.S.?
In the U.S., DR. ROY G BERGSTROM (MD) is identified by NPI 1174506422.
Should I treat DR. ROY G BERGSTROM (MD) as an active provider?
Patients and plans typically see DR. ROY G BERGSTROM (MD) as active in the national extract.
Which specialty label fits DR. ROY G BERGSTROM (MD)?
NPPES ties DR. ROY G BERGSTROM (MD) to Obstetrics & Gynecology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit DR. ROY G BERGSTROM (MD) in Highlands Ranch, Colorado?
For routing, start with Highlands Ranch, Colorado for DR. ROY G BERGSTROM (MD), then verify phone and hours locally.
Who maintains DR. ROY G BERGSTROM (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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