DUSTIN MICHAEL BERGMAN
NPI 1477143949
Anesthesiology - Pediatric Anesthesiology in Dayton, OH
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
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Dustin Bergman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dayton, OH 45404
- Reassigned Medicare billing, Ohio enrollment
- Medicare enrollment name: Dayton Childrens Specialty Physicians Inc
- 479 clinicians in this Medicare group
Dayton, OH 45409
- Reassigned Medicare billing, Ohio enrollment
- 283 clinicians in this Medicare group
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 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.
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.
DAYTON, OH 45404
DAYTON, OH 45404
DAYTON, OH 45404
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.
Which organizations bill Medicare for Dustin Bergman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dustin Bergman reassigns Medicare benefits to 2 organizations: Dayton Children's Specialty Physicians, Inc. (Dayton, OH) and Anesthesiology Services Network Ltd (Dayton, OH). Each 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 Dustin Bergman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 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.
# Dustin Michael Bergman · NPI 1477143949
Pediatric Anesthesiology physician in Dayton, Ohio. Individual provider, active in the CMS NPPES registry since January 19, 2021.
## Identity
- **NPI:** 1477143949 (Entity type: Individual)
- **Enumerated:** January 19, 2021
- **Primary specialty:** Anesthesiology - Pediatric Anesthesiology · taxonomy 207LP3000X
- **State license:** APRN.CRNA.0020210 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 CHILDRENS PLZ, Dayton, OH 45404-1815
- **Phone:** (937) 641-3477 · **Fax:** (937) 641-5410
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Dayton Children's Specialty Physicians, Inc. (NPI 1225192610, Dayton, OH); Anesthesiology Services Network Ltd (NPI 1821076779, Dayton, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** October 15, 2021
- **Other identifiers:** Medicaid 0430074 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1477143949) · Data from the CMS NPPES public registry.