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LUKE WILLIAM BERGLUND
NPI 1336772730
Physician Assistant in Winneconne, WI

Active since February 14, 2020PECOS EnrolledAccepts Medicare Assignment
94.62/100
CMS Quality Rating
1132 ASTER LN, WINNECONNE, WI 54986(262) 893-3035 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 12, 2025, Dec 6, 2021, Feb 14, 2020 (3 updates tracked since 2020).

About Luke William Berglund NPPES

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

LUKE WILLIAM BERGLUND (NPI 1336772730) is an individual physician assistant in Winneconne, Wisconsin, licensed in California (PA60232) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS, is affiliated with Door County Medical Center, and is a graduate of Northwestern University Feinberg Medical School (2021).

NPPES Registry Identity

NPI1336772730
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameLUKE WILLIAM BERGLUND
Location Address1132 ASTER LNWinneconne, WI 54986-9166
Mailing Address323 S 18th AveSturgeon Bay, WI 54235-1401 · (920) 743-5566
Phone(262) 893-3035
Sole ProprietorYes
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2021
Enumeration DateFebruary 14, 2020
Last NPPES UpdateFebruary 12, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2025
✔ NPI 1336772730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA60232
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1132 ASTER LN, Winneconne, WI 54986
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).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

Luke William 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 ID8224428008
PECOS Enrollment IDI20240523000120
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

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

Door County Medical Center

Critical Access Hospitals · Sturgeon Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521358
Location323 South 18th AvenueSturgeon Bay, WI 54235 · Door County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54986 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
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

94.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.67
Improvement Activities40
Cost97.14

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 Luke Berglund's NPI number?

The NPI number for Luke Berglund is 1336772730. It was assigned to this individual provider in the NPPES registry on February 14, 2020.

Where is Luke Berglund located?

Luke Berglund practices at 1132 Aster Ln, Winneconne, WI 54986. The listed phone number is (262) 893-3035.

What is Luke Berglund's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Luke Berglund enrolled in Medicare?

Yes. Luke Berglund 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 Luke Berglund accept?

Health plans from CareSource (Common Ground Healthcare) list Luke Berglund 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 Luke Berglund affiliated with any hospitals?

According to CMS data, Luke Berglund is affiliated with Door County Medical Center.

When was this NPI record last updated?

The NPPES record for Luke Berglund was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.