DR. MARC BERGMAN M.D.
NPI 1437259652
Orthopaedic Surgery in Boca Raton, FL

Active since September 25, 2006PECOS EnrolledAccepts Medicare Assignment
32.5/100
CMS Quality Rating
1905 CLINT MOORE RD, SUITE 214, BOCA RATON, FL 33496(561) 241-8668(561) 912-9556 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Marc Bergman M.d. NPPES

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

DR. MARC BERGMAN M.D. (NPI 1437259652) is an individual orthopaedic surgery provider in Boca Raton, Florida, licensed in Florida (ME0058513) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Bethesda Hospital Inc, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1437259652
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. MARC BERGMANCredential: M.D.
Location Address1905 CLINT MOORE RD, SUITE 214Boca Raton, FL 33496-2658
Mailing Address1905 Clint Moore Rd, Suite 214Boca Raton, FL 33496-2658 · (561) 241-8668 · Fax (561) 912-9556
Fax(561) 912-9556
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateSeptember 25, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1437259652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in FL · ME0058513
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

1905 CLINT MOORE RD, Boca Raton, FL 33496

Other Identifiers 2

Medicare UPINE81801
Medicare ID-Type Unspecified11979Z

Accepted 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

Dr. Marc Bergman 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.

PECOS PAC ID3779485669
PECOS Enrollment IDI20080905000075
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 38

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.

Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg J7320
Genvisc 850 is an injection containing hyaluronan, a substance naturally found in your joints. It helps to lubricate and cushion your joints. This treatment is used to relieve knee pain due to osteoarthritis when other treatments have not worked.
11,276 services82 patients
Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg J7329
Trivisc is a treatment involving injections of a substance called hyaluronan into your joint, typically the knee. This substance is similar to a natural fluid in your joints that helps cushion and lubricate them. Trivisc can help reduce pain and improve joint movement.
4,925 services55 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
2,217 services645 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
1,663 services979 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
642 services514 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
632 services198 patients

Hospital Affiliations CMS Care Compare 2

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

Bethesda Hospital Inc

Acute Care Hospitals · Boynton Beach, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100002
Location2815 S Seacrest BlvdBoynton Beach, FL 33435 · Palm Beach County
Emergency services Birthing friendly

Boca Raton Regional Hospital

Acute Care Hospitals · Boca Raton, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100168
Location800 Meadows RdBoca Raton, FL 33486 · Palm Beach County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33496 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

32.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality15
Improvement Activities20

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf L1902
DME-Orthotic Devices · category DF003N
1 supplier15 claims15 services$59.90 avg. paid by Medicare
Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L3807
DME-Orthotic Devices · category DF000N
1 supplier21 claims21 services$189.92 avg. paid by Medicare
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier28 claims29 services$40.72 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L4360
DME-Orthotic Devices · category DF003N
1 supplier24 claims24 services$221.02 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1905 CLINT MOORE RD, SUITE 306
BOCA RATON, FL 33496
Internal Medicine
1905 CLINT MOORE RD, SUITE 2001
BOCA RATON, FL 33496
Internal Medicine
1905 CLINT MOORE RD, SUITE 201
BOCA RATON, FL 33496
Internal Medicine
1905 CLINT MOORE RD, SUITE 201
BOCA RATON, FL 33496
Internal Medicine
1905 CLINT MOORE RD, SUITE 201
BOCA RATON, FL 33496
Internal Medicine
1905 CLINT MOORE RD, SUITE 204
BOCA RATON, FL 33496
Nurse Anesthetist, Certified Registered
1905 CLINT MOORE RD, SUITE 303
BOCA RATON, FL 33496
Internal Medicine (Nephrology)
1905 CLINT MOORE RD, SUITE 212
BOCA RATON, FL 33496

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 Marc Bergman's NPI number?

The NPI number for Marc Bergman is 1437259652. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Marc Bergman located?

Marc Bergman practices at 1905 Clint Moore Rd Suite 214, Boca Raton, FL 33496. The listed phone number is (561) 241-8668.

What is Marc Bergman's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Marc Bergman enrolled in Medicare?

Yes. Marc 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 Marc Bergman accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 2 other insurers list Marc 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 Marc Bergman affiliated with any hospitals?

According to CMS data, Marc Bergman is affiliated with Bethesda Hospital Inc and Boca Raton Regional Hospital.

When was this NPI record last updated?

The NPPES record for Marc Bergman was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.