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RAMON BERGUER MD
NPI 1285711036
Surgery in Novato, CA

Active since November 01, 2006PECOS Enrolled
85.73/100
CMS Quality Rating
290 IGNACIO VALLEY CIR, NOVATO, CA 94949(415) 845-3912 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 5, 2023, Jul 27, 2021 (2 updates tracked since 2021).

About Ramon Berguer Md NPPES

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

RAMON BERGUER MD (NPI 1285711036) is an individual surgery provider in Novato, California, licensed in California (G074078) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (1985).

NPPES Registry Identity

NPI1285711036
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameRAMON BERGUERCredential: MD
Location Address290 IGNACIO VALLEY CIRNovato, CA 94949-5525
Mailing Address290 Ignacio Valley CirNovato, CA 94949-5525 · (415) 845-3912
Phone(415) 845-3912
Sole ProprietorYes
Medical School CMSWayne State University School Of MedicineGraduated 1985
Enumeration DateNovember 1, 2006
Last NPPES UpdateJuly 5, 20232 updates tracked since enumeration
NPPES CertifiedJuly 5, 2023
✔ NPI 1285711036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in CA · G074078
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.
290 IGNACIO VALLEY CIR, Novato, CA 94949
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ramon Berguer Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456532787
PECOS Enrollment IDI20110221000293
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 2

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.

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
25 services25 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
25 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94949 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
$104.67 typical visit price
range $69.07 – $202.63
Typical copayment $26.16 (range $17.26 – $50.65)
Most-billed visit code 99203
Established Patient
$85.00 typical visit price
range $23.44 – $166.64
Typical copayment $21.25 (range $5.86 – $41.66)
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.

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.

85.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.68
Promoting Interoperability99
Improvement Activities40
Cost70.58

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 Ramon Berguer's NPI number?

The NPI number for Ramon Berguer is 1285711036. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Ramon Berguer located?

Ramon Berguer practices at 290 Ignacio Valley Cir, Novato, CA 94949. The listed phone number is (415) 845-3912.

What is Ramon Berguer's specialty?

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

Is Ramon Berguer enrolled in Medicare?

Yes. Ramon Berguer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ramon Berguer was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.