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CLAIRE E P BERGMAN NP
NPI 1275179509
Nurse Practitioner in Madison, WI

Active since November 21, 2019PECOS EnrolledAccepts Medicare Assignment
77.43/100
CMS Quality Rating
20 S PARK ST STE 360, MADISON, WI 53715(608) 720-5200(608) 261-2946 Get Directions Write a Review

NPPES record last updated: January 13, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 13, 2021, Nov 21, 2019 (2 updates tracked since 2019).

About Claire E P Bergman Np NPPES

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

CLAIRE E P BERGMAN NP (NPI 1275179509) is an individual nurse practitioner in Madison, Wisconsin, licensed in Wisconsin (9741) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1275179509
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCLAIRE E P BERGMANCredential: NP
Location Address20 S PARK ST STE 360Madison, WI 53715-1387
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Phone(608) 720-5200
Fax(608) 261-2946
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 21, 2019
Last NPPES UpdateJanuary 13, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2021
✔ NPI 1275179509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 9741
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
20 S PARK ST STE 360, Madison, WI 53715
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW and more.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

Claire E P Bergman Np 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 ID8224462353
PECOS Enrollment IDI20191226001559
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.
26 services25 patients

Hospital Affiliations CMS Care Compare

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

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53715 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.83
Promoting Interoperability77
Improvement Activities40
Cost62.12

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 Claire Bergman's NPI number?

The NPI number for Claire Bergman is 1275179509. It was assigned to this individual provider in the NPPES registry on November 21, 2019.

Where is Claire Bergman located?

Claire Bergman practices at 20 S Park St Ste 360, Madison, WI 53715. The listed phone number is (608) 720-5200.

What is Claire Bergman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Claire Bergman enrolled in Medicare?

Yes. Claire Bergman 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.

What insurance does Claire Bergman accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW, HealthPartners and Quartz and 1 other insurer list Claire Bergman 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.

Is Claire Bergman affiliated with any hospitals?

According to CMS data, Claire Bergman is affiliated with University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Claire Bergman was last updated on January 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.