MR. RUSTY BERGMAN (D.O.) – Internal Medicine Physician, NPI 1649277500

MR. RUSTY BERGMAN (D.O.) is a healthcare provider. based in N kansas city, Missouri. specializing in HOSPITALIST, INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. 05-31668 (KS). The NPI Number for MR. RUSTY BERGMAN (D.O.) is 1649277500

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
MR. RUSTY BERGMAN (D.O.)
NPI
1649277500
Phone
(816) 968-9320
Address
2750 CLAY EDWARDS DR STE 200A
Enumeration Date
6 July 2005
Last Update Date
16 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8167517832
Graduation Year
1996 (30 years ago)
PAC ID
8022914886
Group Practice PAC ID
0143116368
Professional Enrollment ID
I20240911004602
Address ID
MO641083403KA3011XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,189 HOSPITALIST in MO

Provider Addresses for MR. RUSTY BERGMAN (D.O.)

  • 2750 CLAY EDWARDS DR STE 200A

    N KANSAS CITY, MO 641163237

    Phone: (816) 968-9320

    Type: Mailing

  • 5675 ROE BLVD

    ROELAND PARK, KS 662052515

    Phone: (913) 432-2080

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $163.

Total Amount is formed as General ($163) + Research ($0) + Ownership ($0) = $163.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Amgen Inc. ($33).

Total Amount

$163

General + Research + Ownership

Payments

10

Total payment records

General Amount

$163

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

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: 2024-09-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20031211000375IHospitalistMOTBD
I20240911004602IInternal MedicineKSTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes502197$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes107101$0
99239Hospital discharge day management, more than 30 minutes10399$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes10170$0
99238Hospital discharge day management, 30 minutes or less9290$0
View full utilization report →

Insurance plans in this area (ZIP 64116)

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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: 0143116368View full group profile
NameSpecialtyState
Family Practice, Internal MedicineKS
Family PracticeKS
Clinical PsychologistMO
Physical Medicine And RehabilitationNE
Internal Medicine, Pediatric MedicineKS
Internal MedicineMO
Family PracticeMO
Clinical PsychologistMO
Emergency Medicine, Family Practice, Sports MedicineMO
Family PracticeMO

Reviews

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Frequently asked questions

Does MR. RUSTY BERGMAN (D.O.) have a public NPI I can cite?
Public records show MR. RUSTY BERGMAN (D.O.) under NPI 1649277500.
Does the public listing show MR. RUSTY BERGMAN (D.O.) as active?
MR. RUSTY BERGMAN (D.O.)'s NPI record reflects an active status in NPPES.
What services align with MR. RUSTY BERGMAN (D.O.)'s listing?
MR. RUSTY BERGMAN (D.O.)'s public classification highlights Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to MR. RUSTY BERGMAN (D.O.)?
MR. RUSTY BERGMAN (D.O.) shows a connection to N Kansas City, Missouri in registry-derived data.
Can I export MR. RUSTY BERGMAN (D.O.)'s record?
You can download the official NPPES record; we summarize key fields for readability.