DEREK BERGLUND
NPI 1235526591
Surgery in Somerset, NJ

Q: What is Derek Berglund's NPI number?

The NPI number for Derek Berglund is 1235526591. It was assigned to this individual provider in the NPPES registry on April 23, 2015.

Q: What is Derek Berglund's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Derek Berglund was last updated on June 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 23, 2015PECOS EnrolledAccepts Medicare Assignment

81 VERONICA AVE STE 205, SOMERSET, NJ 08873(732) 640-5316(800) 689-2361 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 27, 2024, Jun 11, 2024 (2 updates tracked since 2024).

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About Derek Berglund NPPES

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

DEREK BERGLUND (NPI 1235526591) is an individual surgery provider in Somerset, New Jersey, licensed in New Jersey (25MA11864000) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Logan Health Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1235526591

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDEREK BERGLUND

Location Address81 VERONICA AVE STE 205Somerset, NJ 08873-3491

Mailing Address549 Manchester CtPiscataway, NJ 08854-6221 · (701) 226-1806

Phone(732) 640-5316

Fax(800) 689-2361

Sole ProprietorNo

Medical School CMSSaint Louis University School Of MedicineGraduated 2015

Enumeration DateApril 23, 2015

Last NPPES UpdateJune 27, 20242 updates tracked since enumeration

NPPES CertifiedJune 27, 2024

✔ NPI 1235526591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in NJ · 25MA11864000✔ Licensed in MT · 142708

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

81 VERONICA AVE STE 205, Somerset, NJ 08873

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Secondary Practice Locations 2

Location 1100 N Academy AveDanville, PA 17822-9800 · Phone (570) 271-6211

Location 21333 Surgical Services WayKalispell, MT 59901-4844 · Phone (406) 751-5392 · Fax (406) 751-5406

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, Providence Health Plan.Insurance ›

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

Derek Berglund 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 ID5799080230

PECOS Enrollment IDI20240723001452

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.

Hospital Affiliations CMS Care Compare 2

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

Logan Health Medical Center

Acute Care Hospitals · Kalispell, MT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number270051

Location310 Sunnyview LaneKalispell, MT 59901 · Flathead County

Emergency services Birthing friendly

Logan Health - Whitefish

Critical Access Hospitals · Whitefish, MT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number271336

Location1600 Hospital WayWhitefish, MT 59937 · Flathead County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08873 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

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$79.09 typical visit price

range $20.97 – $155.92

Typical copayment $19.77 (range $5.24 – $38.98)

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 11

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

CLAIRE LOUISE TEREZ

Surgery