MR. COLIN OLIVER BERGERON (PA-C) – Physician Assistant, NPI 1174083018

MR. COLIN OLIVER BERGERON (PA-C) is a healthcare provider. based in Tulsa, Oklahoma. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 3014 (OK). The NPI Number for MR. COLIN OLIVER BERGERON (PA-C) is 1174083018

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
MR. COLIN OLIVER BERGERON (PA-C)
NPI
1174083018
Phone
(918) 502-3939
Address
6161 S YALE AVE
Enumeration Date
25 March 2019
Last Update Date
25 March 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9184942200
Graduation Year
2018 (8 years ago)
PAC ID
4981939691
Group Practice PAC ID
5395234678
Professional Enrollment ID
I20190717000609
Address ID
OK741361902TU6161XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,797 PHYSICIAN ASSISTANT in OK

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Provider Addresses for MR. COLIN OLIVER BERGERON (PA-C)

  • Saint Francis Hospital, 6161, South Yale Avenue, Warrenton, Tulsa, Tulsa County, Oklahoma, 74136, United States

    TULSA, OK 741361992

    Phone: (918) 502-3939

    Fax: (918) 502-3945

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2019-07-17

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
I20190717000609IPhysician AssistantOKTBD

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
99284Emergency department visit with moderate level of medical decision making7575$0
99285Emergency department visit with high level of medical decision making2727$0
99291Critical care, first 30-74 minutes2121$0
99283Emergency department visit with low level of medical decision making2020$0
View full utilization report →

Insurance plans in this area (ZIP 74136)

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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: 5395234678View full group profile
NameSpecialtyState
Nurse PractitionerWI
Emergency MedicineTX
Physician AssistantOK
Emergency MedicineCA
Physician AssistantOK
Physician AssistantOK
Physician AssistantOK
Physician AssistantOK
Physician AssistantMO
Emergency MedicineID

Reviews

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Frequently asked questions

What identifier follows MR. COLIN OLIVER BERGERON (PA-C) across health systems?
The NPI 1174083018 uniquely identifies MR. COLIN OLIVER BERGERON (PA-C) in U.S. healthcare data.
Should I treat MR. COLIN OLIVER BERGERON (PA-C) as an active provider?
Patients and plans typically see MR. COLIN OLIVER BERGERON (PA-C) as active in the national extract.
Which specialty label fits MR. COLIN OLIVER BERGERON (PA-C)?
NPPES ties MR. COLIN OLIVER BERGERON (PA-C) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MR. COLIN OLIVER BERGERON (PA-C)?
MR. COLIN OLIVER BERGERON (PA-C) is associated with Tulsa, Oklahoma in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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