SAMUEL CLARK BERNGARD M.D.
NPI 1265708622
Internal Medicine - Pulmonary Disease in Boulder, CO
About Samuel Clark Berngard M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL CLARK BERNGARD M.D. (NPI 1265708622) is an individual pulmonary disease provider in Boulder, Colorado, licensed in Colorado (DR.0053721) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Louisville, and is a graduate of University Of Colorado School Of Medicine, Denver (2012).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Samuel Clark Berngard 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 Reassignments
2Medicare enrollment records show Samuel Berngard reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boulder, CO 80301
- Reassigned Medicare billing, Colorado enrollment
- 283 clinicians in this Medicare group
Perris, CA 92571
- Reassigned Medicare billing, California enrollment
- 204 clinicians in this Medicare group
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 15
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 18
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BOULDER, CO 80301
BOULDER, CO 80301
BOULDER, CO 80301
BOULDER, CO 80301
BOULDER, CO 80301
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 Samuel Berngard's NPI number?
The NPI number for Samuel Berngard is 1265708622. It was assigned to this individual provider in the NPPES registry on March 29, 2012.
Where is Samuel Berngard located?
Samuel Berngard practices at 4820 Riverbend Rd Ste 100, Boulder, CO 80301. The listed phone number is (303) 415-5399.
What is Samuel Berngard's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Samuel Berngard enrolled in Medicare?
Yes. Samuel Berngard 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 organizations bill Medicare for Samuel Berngard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Berngard reassigns Medicare benefits to 2 organizations: Boulder Community Health (Boulder, CO) and Knd Development 59 LLC (Perris, CA). Each 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 Samuel Berngard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Samuel Berngard was last updated on May 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.