KENNETH S BERGMAN (MD) – Radiation Oncology Physician, NPI 1669443032
Radiation Oncology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
184 RADIATION ONCOLOGY in WA
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Provider Addresses for KENNETH S BERGMAN (MD)
314 MLK JR WAY
STE 11
TACOMA, WA 98405
Phone: (253) 627-6172
Fax: (253) 627-8792
Type: Mailing
Saint Anthony Hospital Annex, 11511, Canterwood Boulevard Northwest, Canterwood, Gig Harbor, Pierce County, Washington, 98332, United States
SUITE 50
GIG HARBOR, WA 983325813
Phone: (253) 851-5155
Fax: (253) 851-5367
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $370.
Total Amount is formed as General ($370) + Research ($0) + Ownership ($0) = $370.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: PALETTE LIFE SCIENCES, INC. ($124).
Total Amount
$370
General + Research + Ownership
Payments
12
Total payment records
General Amount
$370
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2004-07-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040701001525 | I | Radiation Oncology | WA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 9,970 | 107 | $0 |
| A9607 | Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie | 7,000 | 23 | $0 |
| 77014 | Ct guidance for insertion of radiation therapy fields | 817 | 81 | $0 |
| G6015 | Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session | 721 | 68 | $0 |
| 77336 | Continuing radiation therapy consultation per week | 181 | 80 | $0 |
Insurance plans in this area (ZIP 98405)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | WA |
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