DUSTIN MICHAEL BERGMAN
NPI 1477143949
Anesthesiology - Pediatric Anesthesiology in Dayton, OH

Q: What is Dustin Bergman's NPI number?

The NPI number for Dustin Bergman is 1477143949. It was assigned to this individual provider in the NPPES registry on January 19, 2021.

Q: What is Dustin Bergman's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pediatric Anesthesiology, with taxonomy code 207LP3000X.

Q: When was this NPI record last updated?

The NPPES record for Dustin Bergman was last updated on October 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 January 19, 2021Accepts Medicare Assignment

1 CHILDRENS PLZ, DAYTON, OH 45404(937) 641-3477(937) 641-5410 Get Directions Write a Review

NPPES record last updated: October 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 15, 2021, Mar 18, 2021, Jan 19, 2021 (3 updates tracked since 2021).

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About Dustin Michael Bergman NPPES

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

DUSTIN MICHAEL BERGMAN (NPI 1477143949) is an individual pediatric anesthesiology provider in Dayton, Ohio, licensed in Ohio (APRN.CRNA.0020210) and active in the NPI registry since January 2021. He maintains a secondary practice location in Miamisburg and is a graduate of Other (2020).

NPPES Registry Identity

NPI1477143949

Entity TypeIndividualMale

Primary Taxonomy207LP3000X

Provider Legal NameDUSTIN MICHAEL BERGMAN

Location Address1 CHILDRENS PLZDayton, OH 45404-1815

Mailing Address1430 Abbey Park PlXenia, OH 45385-7512 · (419) 733-6536

Phone(937) 641-3477

Fax(937) 641-5410

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJanuary 19, 2021

Last NPPES UpdateOctober 15, 20213 updates tracked since enumeration

NPPES CertifiedOctober 15, 2021

✔ NPI 1477143949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pediatric AnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207LP3000X

License✔ Licensed in OH · APRN.CRNA.0020210

Definition

An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy.

1 CHILDRENS PLZ, Dayton, OH 45404

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Secondary Practice Location 1

Location 13333 W Tech RdMiamisburg, OH 45342-0955 · Phone (937) 641-3880 · Fax (937) 641-6159

Other Identifiers 1

Medicaid0430074OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Dustin Michael Bergman 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 ID1052726361

PECOS Enrollment IDI20210218003071

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45404 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

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.

HEMANTH SHIMOGA LINGADEVARU MD,MPH,FAAP

Pediatrics (Pediatric Critical Care Medicine)

1 CHILDRENS PLZ
DAYTON, OH 45404

Montgomery County (937) 641-3000

TANYA PAUL M.D

Pediatrics (Pediatric Emergency Medicine)

1 CHILDRENS PLZ
DAYTON, OH 45404

Montgomery County (937) 641-3600

NICOLE LYNNE-BENDT SCOTT

Physician Assistant

1 CHILDRENS PLZ
DAYTON, OH 45404

Montgomery County (937) 641-3600

CODY H MCMILLAN

Physician Assistant

1 CHILDRENS PLZ
DAYTON, OH 45404

Montgomery County (937) 641-3000

TANIA MONTENEGRO MS, MPH

Genetic Counselor, MS

1 CHILDRENS PLZ
DAYTON, OH 45404

Montgomery County (937) 641-5923

MS. FAITH ANGELA CALLIF-DALEY M.S.

Genetic Counselor, MS

1 CHILDRENS PLZ, DAYTON CHILDREN'S MEDICAL CENTER
DAYTON, OH 45404

Montgomery County (937) 641-5645

DR. EMMETT H BROXSON JR. MD

Pediatrics (Pediatric Hematology-Oncology)

1 CHILDRENS PLZ
DAYTON, OH 45404

Montgomery County (937) 641-3111

MISS SAUNDRA D ZERBE FNP

Nurse Practitioner (Family)

1 CHILDRENS PLZ
DAYTON, OH 45404

Montgomery County (937) 641-3600

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 Dustin Bergman's NPI number?

The NPI number for Dustin Bergman is 1477143949. It was assigned to this individual provider in the NPPES registry on January 19, 2021.

Where is Dustin Bergman located?

Dustin Bergman practices at 1 Childrens Plz, Dayton, OH 45404. The listed phone number is (937) 641-3477.

What is Dustin Bergman's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pediatric Anesthesiology, with taxonomy code 207LP3000X.

Is Dustin Bergman enrolled in Medicare?

Yes. Dustin 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 Dustin Bergman accept?

Health plans from CareSource list Dustin 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.

When was this NPI record last updated?

The NPPES record for Dustin Bergman was last updated on October 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.