MICHAEL A BERGOM (MD) – Surgery Physician, NPI 1801814108
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,423 GENERAL SURGERY in IL
Provider Addresses for MICHAEL A BERGOM (MD)
1414 CROSS STREET
SUITE 330
SHILOH, IL 622692998
Phone: (618) 277-7400
Fax: (618) 277-7422
Type: Mailing
Aurora Medical Center, 36500, Aurora Drive, Summit, Waukesha County, Wisconsin, 53066, United States
SUMMIT, WI 530664899
Phone: (262) 434-5000
Type: Location
1037, Milwaukee Street, Nagawaukee, Delafield, Waukesha County, Wisconsin, 53018, United States
DELAFIELD, WI 530181626
Phone: (262) 510-6482
Type: Mailing
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 $40.
Total Amount is formed as General ($40) + Research ($0) + Ownership ($0) = $40.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Myriad Genetic Laboratories, Inc. ($40).
Total Amount
$40
General + Research + Ownership
Payments
2
Total payment records
General Amount
$40
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Myriad Genetic Laboratories, Inc. | $40 |
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: 2020-10-26
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 |
|---|---|---|---|---|
| I20201026002130 | I | General Surgery | IL | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 122 | 88 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 83 | 68 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 73 | 42 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 63 | 63 | $0 |
| 19083 | Biopsy of breast and placement of locating device using ultrasound, first growth | 55 | 54 | $0 |
Insurance plans in this area (ZIP 62269)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery, Colorectal Surgery (Proctology) | GA | |
| General Surgery | IL | |
| Family Practice | IL | |
| General Surgery | IL | |
| General Surgery | IL | |
| Physician Assistant | IL | |
| Family Practice | IL | |
| Family Practice | IL | |
| General Surgery | IL | |
| General Surgery | IL |
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