RYAN BERGESON (MD) – Orthopaedic Surgery of the Spine Physician, NPI 1154460152

RYAN BERGESON (MD) is a healthcare provider. based in Georgetown, Texas. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. 2003-0222 (NM). The NPI Number for RYAN BERGESON (MD) is 1154460152

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
RYAN BERGESON (MD)
NPI
1154460152
Phone
(512) 942-2499
Address
1520 LEANDER RD STE 100
Enumeration Date
6 February 2007
Last Update Date
23 June 2020

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
5129422499
Graduation Year
2003 (23 years ago)
PAC ID
8123196284
Group Practice PAC ID
0941333280
Professional Enrollment ID
I20091204000445
Address ID
TX786288842GE1520XRDXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience85
Completeness75
Years active:19State licenses:3Digital endpointsOther names

2,187 ORTHOPEDIC SURGERY in TX

Provider Addresses for RYAN BERGESON (MD)

  • 1520 LEANDER RD STE 100

    GEORGETOWN, TX 786288829

    Phone: (512) 942-2499

    Fax: (512) 943-0001

    Type: Mailing

  • 1520 LEANDER RD STE 101

    GEORGETOWN, TX 786288842

    Phone: (512) 942-2499

    Fax: (512) 943-0001

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $1,488.

Total Amount is formed as General ($1,488) + Research ($0) + Ownership ($0) = $1,488.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Medtronic, Inc. ($1,038).

Total Amount

$1,488

General + Research + Ownership

Payments

17

Total payment records

General Amount

$1,488

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

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: 2009-12-04

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
I20091204000445IOrthopedic SurgeryTXTBD

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 minutes302195$0
99215Established patient office or other outpatient visit, 40-54 minutes9474$0
99204New patient office or other outpatient visit, 45-59 minutes5656$0
99213Established patient office or other outpatient visit, 20-29 minutes5249$0
22614Fusion of additional segment of spine4117$0
View full utilization report →

Insurance plans in this area (ZIP 78628)

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Provider's Procedures

RYAN BERGESON (MD) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYKY22842Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments1818
ORTHOPEDIC SURGERYKY63048Partial removal of spine bone with release of spinal cord and/or nerves3418

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: 0941333280View full group profile

Reviews

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Frequently asked questions

Can I verify RYAN BERGESON (MD) with an NPI only?
You can start verification with NPI 1154460152 for RYAN BERGESON (MD), then check state licensing separately.
Does the file indicate RYAN BERGESON (MD) is practicing under active NPI?
Directory data currently reports RYAN BERGESON (MD) as active.
What taxonomy line describes RYAN BERGESON (MD)?
For research purposes, treat RYAN BERGESON (MD) as Orthopaedic Surgery of the Spine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does RYAN BERGESON (MD) list a practice location?
Patients near Georgetown, Texas may find RYAN BERGESON (MD) in results; validate coverage separately.
Why does RYAN BERGESON (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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