EDWARD JOSEPH BERGERON MD
NPI 1477753952
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Traverse City, MI

Active since July 23, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1221 SIXTH ST STE 202, TRAVERSE CITY, MI 49684(231) 935-5730(231) 935-5736 Get Directions Write a Review

NPPES record last updated: April 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 16, 2021, Mar 17, 2018, Jul 6, 2017 (3 updates tracked since 2017).

About Edward Joseph Bergeron Md NPPES

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

EDWARD JOSEPH BERGERON MD (NPI 1477753952) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Traverse City, Michigan, licensed in Michigan (4301086049) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Munson Medical Center, and maintains a secondary practice location in Aurora.

NPPES Registry Identity

NPI1477753952
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameEDWARD JOSEPH BERGERONCredential: MD
Location Address1221 SIXTH ST STE 202Traverse City, MI 49684-2359
Mailing Address1221 Sixth St Ste 202Traverse City, MI 49684-2359 · (231) 935-5730 · Fax (231) 935-5736
Fax(231) 935-5736
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2005
Enumeration DateJuly 23, 2007
Last NPPES UpdateApril 16, 20213 updates tracked since enumeration
NPPES CertifiedApril 16, 2021
NPI 1477753952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License Licensed in MI · 4301086049
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedSurgeryTaxonomy 208600000X · License 4301086049 (MI)
1221 SIXTH ST STE 202, Traverse City, MI 49684

Secondary Practice Location 1

Location 113001 E. 17th Place, University of Colorado School of Medicine GMEAurora, CO 80045-2581 · Phone (303) 724-2798 · Fax (303) 724-2806

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

Edward Joseph Bergeron Md 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 ID2062644933
PECOS Enrollment IDI20170522002575
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 4

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.

Replacement of aortic valve through the skin and femoral artery 33361
This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.
23 services23 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
23 services23 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
15 services15 patients
Exclusion of appendage of left upper chamber of heart performed during other procedure on chest 33268
This is a procedure done on the heart's left upper chamber (atrium). The small pouch-like appendage is sealed off during another chest procedure. This is done to reduce the risk of blood clots forming and causing strokes.
14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Munson Medical Center

Acute Care Hospitals · Traverse City, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230097
Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County
Emergency services Birthing friendly

Munson Healthcare Manistee Hospital

Acute Care Hospitals · Manistee, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230303
Location1465 E Parkdale AveManistee, MI 49660 · Manistee County
Emergency services

Paul Oliver Memorial Hospital

Critical Access Hospitals · Frankfort, MI
OwnershipGovernment - Local
CMS Certification Number231300
Location224 Park AvenueFrankfort, MI 49635 · Benzie County
Emergency services

Kalkaska Memorial Health Center

Critical Access Hospitals · Kalkaska, MI
OwnershipGovernment - Hospital District or Authority
CMS Certification Number231301
Location419 S CoralKalkaska, MI 49646 · Kalkaska County
Emergency services

Charlevoix Area Hospital

Critical Access Hospitals · Charlevoix, MI
OwnershipVoluntary non-profit - Other
CMS Certification Number231322
Location14700 Lakeshore DriveCharlevoix, MI 49720 · Charlevoix County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 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
$166.68 typical visit price
range $54.34 – $166.68
Typical copayment $41.67 (range $13.58 – $41.67)
Most-billed visit code 99205
Established Patient
$68.07 typical visit price
range $17.09 – $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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

Physician Assistant
1221 SIXTH ST STE 202
TRAVERSE CITY, MI 49684
Nurse Practitioner (Family)
1221 SIXTH ST STE 202
TRAVERSE CITY, MI 49684
Nurse Practitioner
1221 SIXTH ST STE 202
TRAVERSE CITY, MI 49684
Surgery
1221 SIXTH ST STE 202
TRAVERSE CITY, MI 49684

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 Edward Bergeron's NPI number?

The NPI number for Edward Bergeron is 1477753952. It was assigned to this individual provider in the NPPES registry on July 23, 2007.

Where is Edward Bergeron located?

Edward Bergeron practices at 1221 Sixth St Ste 202, Traverse City, MI 49684. The listed phone number is (231) 935-5730.

What is Edward Bergeron's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Edward Bergeron enrolled in Medicare?

Yes. Edward Bergeron 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 Edward Bergeron accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Edward Bergeron 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 Edward Bergeron affiliated with any hospitals?

According to CMS data, Edward Bergeron is affiliated with Munson Medical Center, Munson Healthcare Manistee Hospital, Paul Oliver Memorial Hospital, Kalkaska Memorial Health Center and Charlevoix Area Hospital.

When was this NPI record last updated?

The NPPES record for Edward Bergeron was last updated on April 16, 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.