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DR. JENNIFER BERGVALL OD
NPI 1205894938
Optometrist in Richmond, VA

Active since May 02, 2006PECOS EnrolledAccepts Medicare Assignment
5000 BAKERS MILL LN STE 170, RICHMOND, VA 23230(804) 359-0770(804) 359-1106 Get Directions Write a Review

NPPES record last updated: May 17, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jennifer Bergvall Od NPPES

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

DR. JENNIFER BERGVALL OD (NPI 1205894938) is an individual optometrist in Richmond, Virginia, licensed in Virginia (0618000957) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1999).

NPPES Registry Identity

NPI1205894938
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. JENNIFER BERGVALLCredential: OD
Location Address5000 BAKERS MILL LN STE 170Richmond, VA 23230-2432
Mailing Address5000 Bakers Mill Ln Ste 170Richmond, VA 23230-2432 · (804) 359-0770 · Fax (804) 359-1106
Phone(804) 359-0770
Fax(804) 359-1106
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 1999
Enumeration DateMay 2, 2006
Last NPPES UpdateMay 17, 2022
NPPES CertifiedMay 17, 2022
✔ NPI 1205894938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in VA · 0618000957
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
5000 BAKERS MILL LN STE 170, Richmond, VA 23230
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Other Identifiers 1

Other1205894938VA · Npi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jennifer Bergvall Od 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 ID42213704
PECOS Enrollment IDI20060818000080
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 Reassignment

Medicare enrollment records show Jennifer Bergvall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Capital Eye Care, Doctors Of Optometry, PC
Same address
Optometrist
5000 BAKERS MILL LN STE 170
Richmond, VA 23230
  • Reassigned Medicare billing, Virginia enrollment
  • 2 clinicians in this Medicare group
NPI 1578592846 (804) 359-0770

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

Areas of Expertise CMS Part B claims 2

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
81 services80 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.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23230 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

Other Providers at the Same Location NPPES 2

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

DR. ADAM HEROLD OD
Optometrist
5000 BAKERS MILL LN STE 170
RICHMOND, VA 23230
Henrico County (804) 359-0770
CAPITAL EYE CARE, DOCTORS OF OPTOMETRY, PC
Optometrist
5000 BAKERS MILL LN STE 170
RICHMOND, VA 23230
Henrico County (804) 359-0770

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 Jennifer Bergvall's NPI number?

The NPI number for Jennifer Bergvall is 1205894938. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is Jennifer Bergvall located?

Jennifer Bergvall practices at 5000 Bakers Mill Ln Ste 170, Richmond, VA 23230. The listed phone number is (804) 359-0770.

What is Jennifer Bergvall's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jennifer Bergvall enrolled in Medicare?

Yes. Jennifer Bergvall 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.

Which organization bills Medicare for Jennifer Bergvall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Bergvall reassigns Medicare benefits to Capital Eye Care, Doctors Of Optometry, PC (Richmond, VA). The 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 Jennifer Bergvall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Bergvall accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Jennifer Bergvall 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 Jennifer Bergvall was last updated on May 17, 2022. 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.