DR. RICHARD M BERGENSTAL (MD) – Endocrinology, Diabetes & Metabolism Physician, NPI 1669459061

DR. RICHARD M BERGENSTAL (MD) is a healthcare provider. based in St louis park, Minnesota. specializing in Endocrinology, Diabetes & Metabolism Physician. They hold the professional credentials MD. They hold a License No. 28104 (MN). The NPI Number for DR. RICHARD M BERGENSTAL (MD) is 1669459061

Main info

Male
50 Years Of Experience
Accepts Medicare Assignment
Name
DR. RICHARD M BERGENSTAL (MD)
NPI
1669459061
Phone
(952) 993-1913
Address
3800 PARK NICOLLET BLVD
Enumeration Date
27 December 2005
Last Update Date
20 October 2011

Doctor Profile

Medical School Name
UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Secondary Phone
9529934300
Graduation Year
1976 (50 years ago)
PAC ID
7315859949
Group Practice PAC ID
7911819438
Professional Enrollment ID
I20100331001264
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. RICHARD M BERGENSTAL (MD)

  • 3800, Park Nicollet Boulevard, Elmwood, Saint Louis Park, Hennepin County, Minnesota, 55416, United States

    ST LOUIS PARK, MN 554162527

    Phone: (952) 993-1913

    Fax: (952) 993-1302

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 140 Open Payments records for all available years, with a total value of $173,737.

Total Amount is formed as General ($169,357) + Research ($4,381) + Ownership ($0) = $173,737.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Eli Lilly and Company ($35,661).

Total Amount

$173,737

General + Research + Ownership

Payments

140

Total payment records

General Amount

$169,357

General payments

Research Amount

$4,381

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2010-03-31

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
I20100331001264IEndocrinologyMNTBD

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
G0108Diabetes outpatient self-management training services, individual, per 30 minutes1,660585$0
95249Continuous monitoring of blood sugar level in tissue fluid using sensor under skin2626$0
95250Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment2219$0
View full utilization report →

Insurance plans in this area (ZIP 55416)

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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: 7911819438View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMN
Family PracticeMN
-MN
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMN
Cardiac ElectrophysiologyMN
Family PracticeMN
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physician AssistantMN
D E R M A T O L O G YMN

Reviews

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Frequently asked questions

Does DR. RICHARD M BERGENSTAL (MD) have a public NPI I can cite?
Public records show DR. RICHARD M BERGENSTAL (MD) under NPI 1669459061.
Should I treat DR. RICHARD M BERGENSTAL (MD) as an active provider?
Patients and plans typically see DR. RICHARD M BERGENSTAL (MD) as active in the national extract.
What type of care does DR. RICHARD M BERGENSTAL (MD) provide?
DR. RICHARD M BERGENSTAL (MD)'s profile centers on Endocrinology, Diabetes & Metabolism Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. RICHARD M BERGENSTAL (MD)?
DR. RICHARD M BERGENSTAL (MD) is associated with St Louis Park, Minnesota in the same public data insurers reference.
Who maintains DR. RICHARD M BERGENSTAL (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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