DR. MICHELE SHOSHANA BERGEN D.M.D., M.D.
NPI 1215929286
Dentist - Oral and Maxillofacial Surgery in Greenwich, CT
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
Specialties & Licenses 2
Other Identifiers 3
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. 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.
Medicare Billing Reassignment
Medicare enrollment records show Michele Bergen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Greenwich, CT 06830
- Reassigned Medicare billing, Connecticut enrollment
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
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.
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, PAPhysician 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.
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.
GREENWICH, CT 06830
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.
Which organization bills Medicare for Michele Bergen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michele Bergen reassigns Medicare benefits to Center For Oral And Implant Surgery Of Greenwich, LLC (Greenwich, CT). 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 Michele Bergen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Dr. Michele Shoshana Bergen, D.M.D., M.D. · NPI 1215929286
Oral and Maxillofacial Surgery provider in Greenwich, Connecticut. Individual provider, active in the CMS NPPES registry since August 16, 2005.
## Identity
- **NPI:** 1215929286 (Entity type: Individual)
- **Enumerated:** August 16, 2005
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** 009275 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 49 LAKE AVE, Greenwich, CT 06830-4501
- **Phone:** (203) 661-4231 · **Fax:** (203) 661-0155
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Center For Oral And Implant Surgery Of Greenwich, LLC (NPI 1194053942, Greenwich, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rutgers New Jersey Medical School, class of 2001
## Record status
- **NPPES last updated:** August 8, 2012
- **Other identifiers:** Medicaid 001422063 (CT); Medicare UPIN I23887 (CT); Medicare ID-Type Unspecified 850000013 (CT)
---
Source: [NPI Profile](https://npiprofile.com/npi/1215929286) · Data from the CMS NPPES public registry.