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RYAN BERGESON MD
NPI 1154460152
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Georgetown, TX

Active since February 06, 2007PECOS EnrolledAccepts Medicare Assignment
73.26/100
CMS Quality Rating
1520 LEANDER RD STE 101, GEORGETOWN, TX 78628(512) 942-2499(512) 943-0001 Get Directions Write a Review

NPPES record last updated: June 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ryan Bergeson Md NPPES

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

RYAN BERGESON MD (NPI 1154460152) is an individual orthopaedic surgery of the spine provider in Georgetown, Texas, licensed in Texas (N2403) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Central Texas, and is a graduate of University Of Texas Medical School At Houston (2003).

NPPES Registry Identity

NPI1154460152
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameRYAN BERGESONCredential: MD
Location Address1520 LEANDER RD STE 101Georgetown, TX 78628-8842
Mailing Address1520 Leander Rd Ste 100Georgetown, TX 78628-8829 · (512) 942-2499 · Fax (512) 943-0001
Phone(512) 942-2499
Fax(512) 943-0001
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2003
Enumeration DateFebruary 6, 2007
Last NPPES UpdateJune 23, 2020
NPPES CertifiedJune 23, 2020
✔ NPI 1154460152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
Licenses✔ Licensed in TX · N2403✔ Licensed in KY · 41610
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 2003-0222 (NM)
1520 LEANDER RD STE 101, Georgetown, TX 78628
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Other Identifiers 3

Other000000586305KY · Anthem (univ Ortho Assoc)
Medicaid219591906TX
Other000000577128KY · Anthem (spine Institute)

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Ryan Bergeson 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 ID8123196284
PECOS Enrollment IDI20091204000445
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 11

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
310 services197 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
69 services65 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
67 services67 patients
Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
61 services17 patients
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.
42 services41 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
30 services30 patients

Hospital Affiliations CMS Care Compare 3

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

Adventhealth Central Texas

Acute Care Hospitals · Killeen, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450152
Location2201 S Clear Creek RoadKilleen, TX 76542 · Bell County
Emergency services Birthing friendly

St David's Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450431
Location919 E 32nd StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

Ascension Seton Williamson

Acute Care Hospitals · Round Rock, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670041
Location201 Seton ParkwayRound Rock, TX 78664 · Williamson County
Emergency services Birthing friendly

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.

73.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality76.93
Promoting Interoperability100
Improvement Activities40
Cost33.96

Reported Quality Measures

Advance Care Plan
26%579 patients2/55-star benchmark: 100%
Breast Cancer Screening
28%266 patients2/55-star benchmark: 93%
Cervical Cancer Screening
13%211 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
61%363 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
23%605 patients2/55-star benchmark: 88%
Communication with the Physician or Other Clinician Managing On-Going Care Post-Fracture for Men and Women Aged 50 Years and Older
0%87 patients1/55-star benchmark: 100%
Controlling High Blood Pressure
62%191 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
16%85 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
53%85 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
93%1,907 patients4/55-star benchmark: 100%
e-Prescribing
100%125 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
14%522 patients1/55-star benchmark: 100%
HIV Screening
2%499 patients1/55-star benchmark: 60%
One-Time Screening for Hepatitis C Virus (HCV) for all Patients
8%468 patients1/55-star benchmark: 98%
Osteoporosis Management in Women Who Had a Fracture
55%42 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
23%961 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
20%860 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
23%1,405 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 87% · 782 patients
Patients screened: 89% · 782 patients
87%83 patients4/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 22% · 468 patients
21%468 patients
Provide Patients Electronic Access to Their Health Information
91%601 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
46%235 patients2/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
78%166 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 541 patients
Patients totalRate: 10% · 544 patients
9%544 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

MR. JOSH COVINGTON P.A.-C.
Physician Assistant (Surgical)
1520 LEANDER RD STE 101
GEORGETOWN, TX 78628
Williamson County (512) 942-2499

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 Ryan Bergeson's NPI number?

The NPI number for Ryan Bergeson is 1154460152. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is Ryan Bergeson located?

Ryan Bergeson practices at 1520 Leander Rd Ste 101, Georgetown, TX 78628. The listed phone number is (512) 942-2499.

What is Ryan Bergeson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Ryan Bergeson enrolled in Medicare?

Yes. Ryan Bergeson 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 Ryan Bergeson accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Ryan Bergeson 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.

Is Ryan Bergeson affiliated with any hospitals?

According to CMS data, Ryan Bergeson is affiliated with Adventhealth Central Texas, St David's Medical Center and Ascension Seton Williamson.

When was this NPI record last updated?

The NPPES record for Ryan Bergeson was last updated on June 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.