KELSEY ANN BERGERON
NPI 1154914216
Dentist in Tonawanda, NY

Active since February 18, 2021PECOS Enrolled
1730 NIAGARA FALLS BLVD STE 300, TONAWANDA, NY 14150(716) 831-2277 Get Directions Write a Review

NPPES record last updated: September 12, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 12, 2022, Feb 18, 2021 (2 updates tracked since 2021).

About Kelsey Ann Bergeron NPPES

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

KELSEY ANN BERGERON (NPI 1154914216) is an individual dentist in Tonawanda, New York, licensed in New York (062750) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Amherst.

NPPES Registry Identity

NPI1154914216
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameKELSEY ANN BERGERON
Location Address1730 NIAGARA FALLS BLVD STE 300Tonawanda, NY 14150-7531
Mailing Address1730 Niagara Falls Blvd Ste 300Tonawanda, NY 14150-7531 · (716) 831-2277
Sole ProprietorNo
Enumeration DateFebruary 18, 2021
Last NPPES UpdateSeptember 12, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2022
NPI 1154914216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in NY · 062750
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1730 NIAGARA FALLS BLVD STE 300, Tonawanda, NY 14150

Secondary Practice Location 1

Location 1540 Longmeadow Rd Apt 2Amherst, NY 14226-2400 · Phone (607) 745-4237

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kelsey Ann Bergeron 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14150 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

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 Kelsey Bergeron's NPI number?

The NPI number for Kelsey Bergeron is 1154914216. It was assigned to this individual provider in the NPPES registry on February 18, 2021.

Where is Kelsey Bergeron located?

Kelsey Bergeron practices at 1730 Niagara Falls Blvd Ste 300, Tonawanda, NY 14150. The listed phone number is (716) 831-2277.

What is Kelsey Bergeron's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Kelsey Bergeron enrolled in Medicare?

Yes. Kelsey Bergeron is registered in the Medicare PECOS enrollment system.

What insurance does Kelsey Bergeron accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Kelsey 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 Kelsey Bergeron was last updated on September 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.