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TABETHA EMILY BERGERON PA-C
NPI 1003228925
Physician Assistant in Grand Rapids, MI

Active since May 27, 2014PECOS EnrolledAccepts Medicare Assignment
4069 LAKE DR SE, GRAND RAPIDS, MI 49546(616) 267-7469 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 12, 2024, Nov 20, 2023, Mar 3, 2021 and 3 more (6 updates tracked since 2017).

About Tabetha Emily Bergeron Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TABETHA EMILY BERGERON PA-C (NPI 1003228925) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601006952) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1003228925
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTABETHA EMILY BERGERONCredential: PA-C
Location Address4069 LAKE DR SEGrand Rapids, MI 49546-8816
Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560 · (616) 486-6790
Phone(616) 267-7469
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 27, 2014
Last NPPES UpdateJune 12, 20246 updates tracked since enumeration
NPPES CertifiedJune 12, 2024
✔ NPI 1003228925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601006952
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4069 LAKE DR SE, Grand Rapids, MI 49546
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Other Names 1

Former Name (1)Tabetha Emily Tenney Pa-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tabetha Emily Bergeron Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426272972
PECOS Enrollment IDI20140624001308
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
50 services47 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier18 claims18 services$33.30 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT CUFF MD
Surgery (Vascular Surgery)
4069 LAKE DR SE, S-312
GRAND RAPIDS, MI 49546
Kent County (616) 267-8700
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Durable Medical Equipment & Medical Supplies
4069 LAKE DR SE, SUITE 315
GRAND RAPIDS, MI 49546
Kent County (616) 464-2860
SARAH L PARKER NP
Nurse Practitioner (Family)
4069 LAKE DR SE
GRAND RAPIDS, MI 49546
Kent County (616) 267-7469
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Dietitian, Registered
4069 LAKE DR SE, STE. 315
GRAND RAPIDS, MI 49546
Kent County (616) 267-8950
SAVANNAH DAWN MOLNER PA
Physician Assistant
4069 LAKE DR SE
GRAND RAPIDS, MI 49546
Kent County (616) 267-7469
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Family Medicine
4069 LAKE DR SE
GRAND RAPIDS, MI 49546
Kent County (616) 267-7105
AMELIA JOY ASHCRAFT PA-C
Physician Assistant
4069 LAKE DR SE
GRAND RAPIDS, MI 49546
Kent County (616) 267-7469
MICHIGAN MEDICAL PATIENT CARE
Optometrist
4069 LAKE DR SE, S-315
GRAND RAPIDS, MI 49546
Kent County (616) 974-2890

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tabetha Bergeron's NPI number?

The NPI number for Tabetha Bergeron is 1003228925. It was assigned to this individual provider in the NPPES registry on May 27, 2014. The provider is also known as Tabetha Emily Tenney Pa-C.

Where is Tabetha Bergeron located?

Tabetha Bergeron practices at 4069 Lake Dr SE, Grand Rapids, MI 49546. The listed phone number is (616) 267-7469.

What is Tabetha Bergeron's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Tabetha Bergeron enrolled in Medicare?

Yes. Tabetha Bergeron is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tabetha Bergeron accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, McLaren Health Plan Community and Priority Health list Tabetha Bergeron as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tabetha Bergeron was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.