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BRIAN BERGLUND MD
NPI 1023404191
Internal Medicine in Edina, MN

Active since April 15, 2015PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
8100 W 78TH ST STE 100, EDINA, MN 55439(952) 914-8100 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 11, 2021, Sep 13, 2019, Jun 27, 2016 (3 updates tracked since 2016).

About Brian Berglund Md NPPES

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

BRIAN BERGLUND MD (NPI 1023404191) is an individual internal medicine provider in Edina, Minnesota, licensed in Minnesota (63261) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1023404191
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameBRIAN BERGLUNDCredential: MD
Location Address8100 W 78TH ST STE 100Edina, MN 55439-2529
Mailing Address2800 Chicago Ave, #250Minneapolis, MN 55407-1318 · (612) 863-4000
Phone(952) 914-8100
Sole ProprietorYes
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2015
Enumeration DateApril 15, 2015
Last NPPES UpdateMarch 11, 20213 updates tracked since enumeration
NPPES CertifiedMarch 11, 2021
✔ NPI 1023404191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MN · 63261
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
8100 W 78TH ST STE 100, Edina, MN 55439
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12800 Chicago Ave, #250Minneapolis, MN 55407-1318 · Phone (612) 863-4000
Location 2324 E 35th StMinneapolis, MN 55408-4580 · Phone (612) 827-7181

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brian Berglund Md 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 ID4284934506
PECOS Enrollment IDI20190718000146, I20240325003145
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.

Medicare Billing Reassignment

Medicare enrollment records show Brian Berglund reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Allina Health System
0.2 mi
Orthopaedic Surgery
8100 W 78TH ST STE 230
Edina, MN 55439
  • Reassigned Medicare billing, Minnesota and Wisconsin enrollments
  • Also billed through NPI 1679707632 (Wisconsin), NPI 1699621649 (Wisconsin)
  • 3,733 clinicians in this Medicare group
NPI 1508099656 (952) 946-9777

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
313 services97 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
168 services121 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
121 services55 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
63 services61 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
27 services27 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55439 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

Referred Medical Equipment & Supplies CMS DME claims 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers19 claims19 services$91.74 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier17 claims17 services$34.60 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.

MILAN RISTIC DO
Physical Medicine & Rehabilitation
8100 W 78TH ST STE 100
EDINA, MN 55439
Hennepin County (952) 914-8100
DR. LUKE FLOYD WOHLWEND MD
Hospitalist
8100 W 78TH ST STE 100
EDINA, MN 55439
Hennepin County (952) 914-8100
DR. RACHEL LYNN SANG MD
Internal Medicine
8100 W 78TH ST STE 100
EDINA, MN 55439
Hennepin County (952) 941-8100
DR. NAOMI FENNELL M.D.
Student in an Organized Health Care Education/Training Program
8100 W 78TH ST STE 100
EDINA, MN 55439
Hennepin County (952) 914-8100
KELLY JOY FLYNN MD
Internal Medicine
8100 W 78TH ST STE 100
EDINA, MN 55439
Hennepin County (952) 914-8100
TIMOTHY J FLYNN D.O
Internal Medicine
8100 W 78TH ST STE 100
EDINA, MN 55439
Hennepin County (952) 914-8100
PAUL M SUTTER MD
Internal Medicine
8100 W 78TH ST STE 100
EDINA, MN 55439
Hennepin County (952) 914-8100
KATHERINE A HOLTEN M.D.
Internal Medicine
8100 W 78TH ST STE 100
EDINA, MN 55439
Hennepin County (952) 914-8100

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 Brian Berglund's NPI number?

The NPI number for Brian Berglund is 1023404191. It was assigned to this individual provider in the NPPES registry on April 15, 2015.

Where is Brian Berglund located?

Brian Berglund practices at 8100 W 78th St Ste 100, Edina, MN 55439. The listed phone number is (952) 914-8100.

What is Brian Berglund's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Brian Berglund enrolled in Medicare?

Yes. Brian Berglund 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.

Which organization bills Medicare for Brian Berglund's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Berglund reassigns Medicare benefits to Allina Health System (Edina, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brian Berglund's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Brian Berglund affiliated with any hospitals?

According to CMS data, Brian Berglund is affiliated with Abbott Northwestern Hospital.

When was this NPI record last updated?

The NPPES record for Brian Berglund was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.