DR. KIM A BERGNER M.D.
NPI 1417930942
Pediatrics in South Weymouth, MA

Q: What is Kim Bergner's NPI number?

The NPI number for Kim Bergner is 1417930942. It was assigned to this individual provider in the NPPES registry on November 29, 2005.

Q: What is Kim Bergner's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Kim Bergner was last updated on July 12, 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.

Active since November 29, 2005PECOS Enrolled

55 FOGG RD, SOUTH WEYMOUTH, MA 02190(781) 624-8338 Get Directions Write a Review

NPPES record last updated: July 12, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Dr. Kim A Bergner M.d. NPPES

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

DR. KIM A BERGNER M.D. (NPI 1417930942) is an individual pediatrics provider in South Weymouth, Massachusetts, licensed in Massachusetts (154589) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417930942

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. KIM A BERGNERCredential: M.D.

Location Address55 FOGG RDSouth Weymouth, MA 02190-2455

Mailing Address300 Longwood AveBoston, MA 02115-5724 · (617) 355-6000

Phone(781) 624-8338

Sole ProprietorNo

Enumeration DateNovember 29, 2005

Last NPPES UpdateJuly 12, 2021

NPPES CertifiedJuly 12, 2021

✔ NPI 1417930942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MA · 154589

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

55 FOGG RD, South Weymouth, MA 02190

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kim A Bergner M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Kim Bergner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Children's Hospital Pediatric Associates, Inc

14 mi

Pediatrics

300 LONGWOOD AVE
Boston, MA 02115

Reassigned Medicare billing, Massachusetts enrollment
1,358 clinicians in this Medicare group

NPI 1457306664 (617) 355-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02190 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

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

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.

Other Providers at the Same Location NPPES 20

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

LINDA CASHMAN-BELTON R.D.

Dietitian, Registered

55 FOGG RD
WEYMOUTH, MA 02190

Norfolk County (781) 340-4293

DR. ARI CHARLES SACKS M.D.

Radiology (Diagnostic Radiology)

55 FOGG RD
WEYMOUTH, MA 02190

Norfolk County (781) 624-8000

OLIVIA SERPA

Dietitian, Registered

55 FOGG RD
WEYMOUTH, MA 02190

Norfolk County (781) 624-8935

MRS. PAULA L KENNEDY RDN

Dietitian, Registered

55 FOGG RD
SOUTH WEYMOUTH, MA 02190

Norfolk County (781) 624-7267

DONNA J HUDSON-BRYANT FNP-BC, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

55 FOGG RD
WEYMOUTH, MA 02190

Norfolk County (781) 624-8000

DR. GABRIEL PARIS DO

Pediatrics

55 FOGG RD
S WEYMOUTH, MA 02190

Norfolk County (781) 624-8000

MELISSA MCPHERSON

Social Worker (Clinical)

55 FOGG RD
WEYMOUTH, MA 02190

Norfolk County (781) 624-3021

NKIRU SOFIA OGBUEFI

Student in an Organized Health Care Education/Training Program

55 FOGG RD
SOUTH WEYMOUTH, MA 02190

Norfolk County (781) 624-8000

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 Kim Bergner's NPI number?

The NPI number for Kim Bergner is 1417930942. It was assigned to this individual provider in the NPPES registry on November 29, 2005.

Where is Kim Bergner located?

Kim Bergner practices at 55 Fogg Rd, South Weymouth, MA 02190. The listed phone number is (781) 624-8338.

What is Kim Bergner's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kim Bergner enrolled in Medicare?

Yes. Kim Bergner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kim Bergner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kim Bergner reassigns Medicare benefits to Children's Hospital Pediatric Associates, Inc (Boston, MA). The 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 Kim Bergner'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 Kim Bergner was last updated on July 12, 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.