JOSEPH P BERGERON (MD) – Cytopathology Physician, NPI 1518194802

JOSEPH P BERGERON (MD) is a healthcare provider. based in Kennesaw, Georgia. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. 71667 (GA). The NPI Number for JOSEPH P BERGERON (MD) is 1518194802

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
JOSEPH P BERGERON (MD)
NPI
1518194802
Phone
(770) 793-5452
Address
1242 FAWNDALE DR NW
Enumeration Date
15 June 2009
Last Update Date
22 October 2019

Doctor Profile

Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Secondary Phone
7704248222
Graduation Year
2009 (17 years ago)
PAC ID
2062654726
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20140922001651
Address ID
GA301527742KE5150XRDXX501

Contacts

Secure Messaging
jbergeron89633@directwellstar.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:16State licenses:1Other namesUpdated within 12 months

391 PATHOLOGY in GA

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Provider Addresses for JOSEPH P BERGERON (MD)

  • 1242 FAWNDALE DR NW

    KENNESAW, GA 301523960

    Phone: (770) 793-5452

    Type: Mailing

  • 677, Church Street Northwest, Elizabeth, Marietta, Cobb County, Georgia, 30060, United States

    KENNESTONE HOSPITAL DEPARTMENT OF PATHOLOGY

    MARIETTA, GA 30060

    Phone: (770) 793-5452

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2014-09-22

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
I20140922001651IPathologyGATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity746450$0
88341Special stained specimen slides to examine tissue, each additional procedure709147$0
88342Special stained specimen slides to examine tissue, initial procedure212165$0
88307Pathology examination of tissue using a microscope, moderately high complexity15197$0
88112Cell examination of specimen, selective cellular enhancement technique117105$0
View full utilization report →

Insurance plans in this area (ZIP 30152)

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Provider's Procedures

JOSEPH P BERGERON (MD) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYGA88304Pathology examination of tissue using a microscope, moderately low complexity4343
PATHOLOGYGA88312Special stained specimen slides to identify organisms including interpretation and report5746
PATHOLOGYGA88342Tissue or cell analysis by immunologic technique141129

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: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

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Frequently asked questions

Can I verify JOSEPH P BERGERON (MD) with an NPI only?
You can start verification with NPI 1518194802 for JOSEPH P BERGERON (MD), then check state licensing separately.
Does the file indicate JOSEPH P BERGERON (MD) is practicing under active NPI?
Directory data currently reports JOSEPH P BERGERON (MD) as active.
What taxonomy line describes JOSEPH P BERGERON (MD)?
For research purposes, treat JOSEPH P BERGERON (MD) as Cytopathology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does JOSEPH P BERGERON (MD) serve?
JOSEPH P BERGERON (MD)'s listing highlights Kennesaw, Georgia; more addresses can appear in NPPES.
Why does JOSEPH P BERGERON (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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