ELIZABETH BERGAMINI
NPI 1154740629
Pediatrics in Manchester, MO

Active since April 14, 2014PECOS Enrolled
1511 PLOMA DR, MANCHESTER, MO 63021(314) 304-8298 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Elizabeth Bergamini NPPES

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

ELIZABETH BERGAMINI (NPI 1154740629) is an individual pediatrics provider in Manchester, Missouri, licensed in Missouri (2017010207) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154740629
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameELIZABETH BERGAMINI
Location Address1511 PLOMA DRManchester, MO 63021-7048
Mailing Address1511 Ploma DrManchester, MO 63021-7048 · (314) 304-8298
Sole ProprietorNo
Enumeration DateApril 14, 2014
Last NPPES UpdateApril 7, 2025
NPPES CertifiedApril 7, 2025
✔ NPI 1154740629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MO · 2017010207
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedHospitalistTaxonomy 208M00000X · License 2017010207 (MO)
1511 PLOMA DR, Manchester, MO 63021

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Bergamini is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Elizabeth Bergamini reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
1015 BOWLES AVENUE
Fenton, MO 63026
  • Reassigned Medicare billing, Missouri enrollment
  • 741 clinicians in this Medicare group
Internal Medicine
1225 SOUTH GRAND BLVD, 2L - DOOR 3,4
Saint Louis, MO 63104
  • Reassigned Medicare billing, Missouri enrollment
  • 1,294 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63021 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

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 Elizabeth Bergamini's NPI number?

The NPI number for Elizabeth Bergamini is 1154740629. It was assigned to this individual provider in the NPPES registry on April 14, 2014.

Where is Elizabeth Bergamini located?

Elizabeth Bergamini practices at 1511 Ploma Dr, Manchester, MO 63021. The listed phone number is (314) 304-8298.

What is Elizabeth Bergamini's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Elizabeth Bergamini enrolled in Medicare?

Yes. Elizabeth Bergamini is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Elizabeth Bergamini's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Bergamini reassigns Medicare benefits to 2 organizations: Ssm Health Care St Louis (Fenton, MO) and Ssm Health Care Group (Saint Louis, MO). Each 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 Elizabeth Bergamini's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elizabeth Bergamini accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Elizabeth Bergamini 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 Elizabeth Bergamini was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.