ANDREW BERGERSEN (M.D.) – Urology Physician, NPI 1063899250

ANDREW BERGERSEN (M.D.) is a healthcare provider. based in Minneapolis, Minnesota. specializing in UROLOGY. They hold the professional credentials M.D.. They hold a License No. R74933 (AZ). The NPI Number for ANDREW BERGERSEN (M.D.) is 1063899250

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW BERGERSEN (M.D.)
NPI
1063899250
Phone
(602) 796-2868
Address
2024 GEORGIA AVE S
Enumeration Date
27 April 2015
Last Update Date
1 July 2020

Doctor Profile

Medical School Name
UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Secondary Phone
7635207700
Graduation Year
2015 (11 years ago)
PAC ID
4486960457
Group Practice PAC ID
0840183984
Professional Enrollment ID
I20200513000120
Address ID
MN554222966RO3366XNXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:11State licenses:2Digital endpointsOther names

284 UROLOGY in MN

Provider Addresses for ANDREW BERGERSEN (M.D.)

  • 2024 GEORGIA AVE S

    MINNEAPOLIS, MN 554262841

    Phone: (602) 796-2868

    Type: Mailing

  • 3366 OAKDALE AVE N STE 303

    ROBBINSDALE, MN 554222977

    Phone: (952) 927-6501

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 47 Open Payments records for all available years, with a total value of $2,650.

Total Amount is formed as General ($2,650) + Research ($0) + Ownership ($0) = $2,650.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: PROCEPT BioRobotics Corporation ($908).

Total Amount

$2,650

General + Research + Ownership

Payments

47

Total payment records

General Amount

$2,650

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2020-05-13

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
I20200513000120IUrologyMNTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes214162$0
51798Ultrasound measurement of bladder capacity after voiding189140$0
99213Established patient office or other outpatient visit, 20-29 minutes168140$0
81002Urinalysis, manual test16196$0
52000Diagnostic exam of bladder and urethra using an endoscope6658$0
View full utilization report →

Insurance plans in this area (ZIP 55426)

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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: 0840183984View full group profile
NameSpecialtyState
Physician AssistantMN
Physician AssistantMN
P A T H O L O G YMN
Physician AssistantMN
Diagnostic Radiology, Interventional RadiologyIA
-MN
U R O L O G YMN
Physician AssistantMN
U R O L O G YMN
U R O L O G YMN

Reviews

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Frequently asked questions

Can I cross-check ANDREW BERGERSEN (M.D.) using NPI 1063899250?
NPI 1063899250 belongs to ANDREW BERGERSEN (M.D.); compare other details if you need extra assurance.
Is ANDREW BERGERSEN (M.D.) shown as active in public data?
Registry records indicate ANDREW BERGERSEN (M.D.) maintains an active NPI.
How would a patient describe ANDREW BERGERSEN (M.D.)'s focus?
For ANDREW BERGERSEN (M.D.), the primary taxonomy reads as Urology Physician. Clinical services aligned with this taxonomy classification.
Is ANDREW BERGERSEN (M.D.) located near Minneapolis?
ANDREW BERGERSEN (M.D.) currently maps to Minneapolis, Minnesota in this extract.
When was this NPI issued?
Enumeration for ANDREW BERGERSEN (M.D.) is noted as April 27, 2015 where the registry provides it.

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