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DR. MICHELE SHOSHANA BERGEN D.M.D., M.D.
NPI 1215929286
Dentist - Oral and Maxillofacial Surgery in Greenwich, CT

Active since August 16, 2005PECOS EnrolledAccepts Medicare Assignment
49 LAKE AVE, GREENWICH, CT 06830(203) 661-4231(203) 661-0155 Get Directions Write a Review

NPPES record last updated: August 8, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michele Shoshana Bergen D.m.d., M.d. NPPES

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

DR. MICHELE SHOSHANA BERGEN D.M.D., M.D. (NPI 1215929286) is an individual oral and maxillofacial surgery provider in Greenwich, Connecticut, licensed in Connecticut (009275) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Geisinger Medical Center, and is a graduate of Rutgers New Jersey Medical School (2001).

NPPES Registry Identity

NPI1215929286
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameDR. MICHELE SHOSHANA BERGENCredential: D.M.D., M.D.
Location Address49 LAKE AVEGreenwich, CT 06830-4501
Mailing Address49 Lake AveGreenwich, CT 06830-4501 · (203) 661-4231 · Fax (203) 661-0155
Phone(203) 661-4231
Fax(203) 661-0155
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2001
Enumeration DateAugust 16, 2005
Last NPPES UpdateAugust 8, 2012
✔ NPI 1215929286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in CT · 009275✔ Licensed in NY · 050181
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License 231685 (NY), 042206 (CT)
49 LAKE AVE, Greenwich, CT 06830
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Other Identifiers 3

Medicaid001422063CT
Medicare UPINI23887CT
Medicare ID-Type Unspecified850000013CT

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. Michele Shoshana Bergen D.m.d., 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 ID4880643436
PECOS Enrollment IDI20050120000772
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

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.
35 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Geisinger Medical Center

Acute Care Hospitals · Danville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390006
Location100 North Academy AvenueDanville, PA 17822 · Montour County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06830 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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 20

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

DR. DAVID D EVANS M.D.
Radiology (Diagnostic Radiology)
49 LAKE AVE
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 861-2381
DR. JAMES STEPHEN BORGES MD
Specialist
49 LAKE AVE
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 661-2934
CENTER FOR ORAL AND IMPLANT SURGERY OF GREENWICH, LLC
Clinic/Center (Oral and Maxillofacial Surgery)
49 LAKE AVE
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 661-4231
DR. LYNNE M HAVEN M. D.,
Dermatology
49 LAKE AVE
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 869-4242
VINOD RAVIKUMAR M.D. LLC
Clinic/Center (Health Service)
49 LAKE AVE
GREENWICH, CT 06830
Western Connecticut Planning Region (845) 368-8808
JOSHUA JABLONSKI
Audiologist
49 LAKE AVE, SUITE 103
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 869-2030
MR. LOUIS VISCONTI
Pharmacist
49 LAKE AVE
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 869-5700
DR. EREZ SALIK MD
Radiology (Diagnostic Radiology)
49 LAKE AVE
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 861-2381

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 Michele Bergen's NPI number?

The NPI number for Michele Bergen is 1215929286. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Where is Michele Bergen located?

Michele Bergen practices at 49 Lake Ave, Greenwich, CT 06830. The listed phone number is (203) 661-4231.

What is Michele Bergen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Michele Bergen enrolled in Medicare?

Yes. Michele Bergen 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.

Is Michele Bergen affiliated with any hospitals?

According to CMS data, Michele Bergen is affiliated with Geisinger Medical Center.

When was this NPI record last updated?

The NPPES record for Michele Bergen was last updated on August 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.