DR. JAMES TODD BERGIN (MD) – Surgery Physician, NPI 1396708566
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
539 GENERAL SURGERY in KY
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Provider Addresses for DR. JAMES TODD BERGIN (MD)
PO BOX 347
SALEM, KY 420780347
Phone: (270) 988-3298
Fax: (270) 988-4642
Type: Mailing
Hospital Drive, Salem, Livingston County, Kentucky, 42078, United States
SALEM, KY 420788043
Phone: (270) 988-3298
Fax: (270) 988-4642
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $99.
Total Amount is formed as General ($99) + Research ($0) + Ownership ($0) = $99.
Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Smith+Nephew, Inc. ($29).
Total Amount
$99
General + Research + Ownership
Payments
6
Total payment records
General Amount
$99
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $29 |
| Braintree Laboratories, Inc. | $25 |
| ABBVIE INC. | $18 |
| Phathom Pharmaceuticals, Inc. | $14 |
| Acera Surgical, Inc. | $13 |
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: 2006-10-10
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 |
|---|---|---|---|---|
| I20061010000460 | I | General Surgery | KY | 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 | 179 | 130 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 94 | 94 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 87 | 74 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 51 | 51 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 24 | 24 | $0 |
Insurance plans in this area (ZIP 42078)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| - | KY | |
| Internal Medicine | KY | |
| - | KY | |
| - | KY | |
| Physical Therapist In Private Practice | KY | |
| O B S T E T R I C S/ G Y N E C O L O G Y | KY |
Reviews
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