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DR. TERESE STAVENJORD BERGHEIM M.D.
NPI 1194146688
Internal Medicine in Irvine, CA

Active since December 30, 2013PECOS EnrolledAccepts Medicare Assignment
118 MED SURGE I, IRVINE, CA 92697(949) 824-4405 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Terese Stavenjord Bergheim M.d. NPPES

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

DR. TERESE STAVENJORD BERGHEIM M.D. (NPI 1194146688) is an individual internal medicine provider in Irvine, California, licensed in California (A138240) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1194146688
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. TERESE STAVENJORD BERGHEIMCredential: M.D.
Location Address118 MED SURGE IIrvine, CA 92697-2400
Mailing Address118 Med Surge IIrvine, CA 92697-2400 · (949) 824-4405
Phone(949) 824-4405
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateDecember 30, 2013
Last NPPES UpdateNovember 29, 2021
✔ NPI 1194146688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A138240
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.
118 MED SURGE I, Irvine, CA 92697
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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

Dr. Terese Stavenjord Bergheim M.d. 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 ID8820385594
PECOS Enrollment IDI20191104000882
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 92697 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Other Providers at the Same Location NPPES 3

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

DR. TYLER JAMES MALY M.D.
Dermatology
118 MED SURGE I
IRVINE, CA 92697
Orange County (949) 824-4405
MATTHEW WADE M.D.
Ophthalmology (Cornea and External Diseases Specialist)
118 MED SURGE I
IRVINE, CA 92697
Orange County (949) 824-0158
JONATHAN WINARKO MD
Ophthalmology
118 MED SURGE I
IRVINE, CA 92697
Orange County (949) 824-0158

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 Terese Bergheim's NPI number?

The NPI number for Terese Bergheim is 1194146688. It was assigned to this individual provider in the NPPES registry on December 30, 2013.

Where is Terese Bergheim located?

Terese Bergheim practices at 118 Med Surge I, Irvine, CA 92697. The listed phone number is (949) 824-4405.

What is Terese Bergheim's specialty?

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

Is Terese Bergheim enrolled in Medicare?

Yes. Terese Bergheim 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.

When was this NPI record last updated?

The NPPES record for Terese Bergheim was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.