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DR. THOR CHRISTIAN BERGERSEN M.D.
NPI 1013112796
Psychiatry & Neurology - Psychiatry in Needham, MA

Active since June 20, 2007Opted out of Medicare · through Jul 1, 2027
75 2ND AVE, SUITE 310, NEEDHAM, MA 02494(781) 726-6698(781) 726-6725 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Thor Christian Bergersen M.d. NPPES

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

DR. THOR CHRISTIAN BERGERSEN M.D. (NPI 1013112796) is an individual psychiatry provider in Needham, Massachusetts, licensed in Massachusetts (204123) and active in the NPI registry since June 2007. He has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1013112796
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. THOR CHRISTIAN BERGERSENCredential: M.D.
Location Address75 2ND AVE, SUITE 310Needham, MA 02494-2820
Mailing Address75 2nd Ave, Suite 310Needham, MA 02494-2820 · (781) 726-6698 · Fax (781) 726-6725
Phone(781) 726-6698
Fax(781) 726-6725
Sole ProprietorNo
Enumeration DateJune 20, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1013112796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in MA · 204123
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
75 2ND AVE, Needham, MA 02494
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Thor Christian Bergersen M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2015 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2015
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02494 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
$189.86 typical visit price
range $63.72 – $189.86
Typical copayment $47.46 (range $15.93 – $47.46)
Most-billed visit code 99205
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

Other Providers at the Same Location NPPES 4

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

HALLOWELL CENTER
Psychologist
75 2ND AVE, SUITE 310
NEEDHAM, MA 02494
Norfolk County (781) 726-6698
DR. CATHERINE T BIRGENEAU PH.D.
Psychologist
75 2ND AVE, SUITE 310
NEEDHAM, MA 02494
Norfolk County (781) 726-6698
ALETHA DESIREE MARIE WEBB ANP-BC
Nurse Practitioner (Adult Health)
75 2ND AVE, SUITE 450
NEEDHAM, MA 02494
Norfolk County (800) 363-4752
NICHOLE A. DACOSTA NP
Nurse Practitioner (Adult Health)
75 2ND AVE, SUITE 450
NEEDHAM, MA 02494
Norfolk County (781) 507-5637

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 Thor Bergersen's NPI number?

The NPI number for Thor Bergersen is 1013112796. It was assigned to this individual provider in the NPPES registry on June 20, 2007.

Where is Thor Bergersen located?

Thor Bergersen practices at 75 2nd Ave Suite 310, Needham, MA 02494. The listed phone number is (781) 726-6698.

What is Thor Bergersen's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Thor Bergersen enrolled in Medicare?

No. Thor Bergersen has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Thor Bergersen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.