MELANIE KIM BERGMAN (M.D.) – Gynecologic Oncology Physician, NPI 1902892987

MELANIE KIM BERGMAN (M.D.) is a healthcare provider. based in Liberty lake, Washington. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. MD00041339 (WA). The NPI Number for MELANIE KIM BERGMAN (M.D.) is 1902892987

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
MELANIE KIM BERGMAN (M.D.)
NPI
1902892987
Phone
(509) 474-2200
Address
PO BOX 421
Enumeration Date
23 September 2005
Last Update Date
16 April 2021

Doctor Profile

Medical School Name
UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Secondary Phone
5094744060
Graduation Year
1994 (32 years ago)
PAC ID
9436199783
Group Practice PAC ID
0345139929
Professional Enrollment ID
I20050505001249
Address ID
WA992042307SP101XXAVEX447

Contacts

Secure Messaging
mbergman341062@wm.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,037 OBSTETRICS/GYNECOLOGY in WA

Provider Addresses for MELANIE KIM BERGMAN (M.D.)

  • PO BOX 421

    LIBERTY LAKE, WA 990190421

    Phone: (509) 474-2200

    Fax: (509) 227-7070

    Type: Mailing

  • 101 W 8TH AVE STE 1400

    SPOKANE, WA 992042307

    Phone: (509) 474-2200

    Fax: (509) 227-7070

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $152.

Total Amount is formed as General ($152) + Research ($0) + Ownership ($0) = $152.

Last reported payment date: 2024-08-13 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($131).

Total Amount

$152

General + Research + Ownership

Payments

2

Total payment records

General Amount

$152

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-13

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: 2005-05-05

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
I20050505001249IObstetrics/GynecologyWATBD

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 minutes8455$0
99205New patient office or other outpatient visit, 60-74 minutes6666$0
99213Established patient office or other outpatient visit, 20-29 minutes5047$0
99215Established patient office or other outpatient visit, 40-54 minutes2019$0
58575Removal of uterus for removal of growth using an endoscope1919$0
View full utilization report →

Insurance plans in this area (ZIP 99019)

Loading plans...

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: 0345139929View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the standard ID for MELANIE KIM BERGMAN (M.D.) in the U.S.?
In the U.S., MELANIE KIM BERGMAN (M.D.) is identified by NPI 1902892987.
Quick check: is MELANIE KIM BERGMAN (M.D.) active?
Public NPPES data shows MELANIE KIM BERGMAN (M.D.) with an active NPI status right now.
Which specialty label fits MELANIE KIM BERGMAN (M.D.)?
NPPES ties MELANIE KIM BERGMAN (M.D.) to Gynecologic Oncology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to MELANIE KIM BERGMAN (M.D.)?
MELANIE KIM BERGMAN (M.D.) shows a connection to Liberty Lake, Washington in registry-derived data.
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.

Similar Providers

ELIZABETH ANN GROSEN (M.D.)

Gynecologic Oncology Physician
101 W 8TH AVE STE 1400
NPI: 1235125220

CASEY HAY (MD)

Gynecologic Oncology Physician
200 N PARK ST
NPI: 1053607523

DEANNA GLASSMAN (M.D.)

Gynecologic Oncology Physician
1515 Holcombe Blvd
NPI: 1770992315