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VINCENT F BERGQUIST JR. MD
NPI 1174595912
Orthopaedic Surgery in Cullman, AL

Active since February 06, 2006PECOS Enrolled
67.86/100
CMS Quality Rating
1938 AL HIGHWAY 157, CULLMAN, AL 35058(256) 739-4030(256) 739-5743 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 8, 2025, Sep 23, 2022 (2 updates tracked since 2022).

About Vincent F Bergquist Jr. Md NPPES

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

VINCENT F BERGQUIST JR. MD (NPI 1174595912) is an individual orthopaedic surgery provider in Cullman, Alabama, licensed in Alabama (00417) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174595912
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameVINCENT F BERGQUIST JR.Credential: MD
Location Address1938 AL HIGHWAY 157Cullman, AL 35058-1818
Mailing AddressPo Box 2895Cullman, AL 35056-2895 · (256) 739-5505 · Fax (256) 964-9954
Phone(256) 739-4030
Fax(256) 739-5743
Sole ProprietorNo
Enumeration DateFebruary 6, 2006
Last NPPES UpdateApril 8, 20252 updates tracked since enumeration
NPPES CertifiedApril 8, 2025
✔ NPI 1174595912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in AL · 00417
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1938 AL HIGHWAY 157, Cullman, AL 35058
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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)

Vincent F Bergquist Jr. Md 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.

Areas of Expertise CMS Part B claims 7

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 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.
70 services47 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
25 services19 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
23 services14 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
22 services14 patients
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.
20 services13 patients
X-ray of wrist, minimum of 3 views 73110
An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
16 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35058 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

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.

67.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality52.35
Promoting Interoperability89
Improvement Activities40
Cost49.68

Other Providers at the Same Location NPPES 6

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

ERIC GOODRICH DO
Orthopaedic Surgery
1938 AL HIGHWAY 157
CULLMAN, AL 35058
Cullman County (256) 735-5505
DR. ROBERT F OCAMPO DPM
Podiatrist
1938 AL HIGHWAY 157
CULLMAN, AL 35058
Cullman County (256) 735-5505
KATIE E BASCH CRNP
Nurse Practitioner (Family)
1938 AL HIGHWAY 157
CULLMAN, AL 35058
Cullman County (256) 735-5505
DR. CONNOR ANDREW OJARD M.D.
Orthopaedic Surgery
1938 AL HIGHWAY 157
CULLMAN, AL 35058
Cullman County (256) 735-5505
ORTHOPEDIC & SPORTSMEDICINE SPECIALISTS OF CULLMAN PC
Orthopaedic Surgery
1938 AL HIGHWAY 157, SUITE 101
CULLMAN, AL 35058
Cullman County (256) 739-4030
DON R HIRSBRUNNER MD
Orthopaedic Surgery
1938 AL HIGHWAY 157, SUITE 101
CULLMAN, AL 35058
Cullman County (256) 739-4030

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 Vincent Bergquist's NPI number?

The NPI number for Vincent Bergquist is 1174595912. It was assigned to this individual provider in the NPPES registry on February 6, 2006.

Where is Vincent Bergquist located?

Vincent Bergquist practices at 1938 Al Highway 157, Cullman, AL 35058. The listed phone number is (256) 739-4030.

What is Vincent Bergquist's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Vincent Bergquist enrolled in Medicare?

Yes. Vincent Bergquist is registered in the Medicare PECOS enrollment system.

What insurance does Vincent Bergquist accept?

Health plans from Oscar Insurance Company list Vincent Bergquist 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 Vincent Bergquist was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.