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MICHELLE R BERGNER MD
NPI 1538168679
Obstetrics & Gynecology in Enid, OK

Active since July 20, 2005PECOS EnrolledAccepts Medicare Assignment
77.69/100
CMS Quality Rating
601 W GARRIOTT RD, ENID, OK 73701(580) 233-1100(580) 548-1434 Get Directions Write a Review

NPPES record last updated: February 8, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michelle R Bergner Md NPPES

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

MICHELLE R BERGNER MD (NPI 1538168679) is an individual obstetrics & gynecology provider in Enid, Oklahoma, licensed in Oklahoma (23956) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Alliancehealth Woodward, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2000).

NPPES Registry Identity

NPI1538168679
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMICHELLE R BERGNERCredential: MD
Location Address601 W GARRIOTT RDEnid, OK 73701-5524
Mailing Address5300 N Independence Ave, 280Oklahoma City, OK 73112-5556 · (580) 233-1100 · Fax (580) 548-1434
Phone(580) 233-1100
Fax(580) 548-1434
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2000
Enumeration DateJuly 20, 2005
Last NPPES UpdateFebruary 8, 2018
✔ NPI 1538168679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in OK · 23956
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
601 W GARRIOTT RD, Enid, OK 73701
Open in Google Maps ↗

Other Names 1

Former Name (1)Michelle R Smith

Other Identifiers 2

OtherP00262612OK · Rr Medicare Ptan
Medicaid200033320AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health and more.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

Michelle R Bergner 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 ID6305817578
PECOS Enrollment IDI20040802001423
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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.
46 services34 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
46 services46 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
26 services23 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Alliancehealth Woodward

Acute Care Hospitals · Woodward, OK
2/5 CMS rating
OwnershipProprietary
CMS Certification Number370002
Location900 17th StreetWoodward, OK 73801 · Woodward County
Emergency services

Integris Bass Baptist Health Center

Acute Care Hospitals · Enid, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370016
Location600 South MonroeEnid, OK 73701 · Garfield County
Emergency services Birthing friendly

St Mary's Regional Medical Center

Acute Care Hospitals · Enid, OK
4/5 CMS rating
OwnershipProprietary
CMS Certification Number370026
Location305 South 5th StreetEnid, OK 73701 · Garfield County
Emergency services Birthing friendly

O U Medical Center

Acute Care Hospitals · Oklahoma City, OK
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370093
Location700 NE 13th StreetOklahoma City, OK 73104 · Oklahoma County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73701 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

77.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.52
Promoting Interoperability100
Improvement Activities40
Cost43.13

Other Providers at the Same Location NPPES 3

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

DAVID L WEAVER JR. MD
Obstetrics & Gynecology
601 W GARRIOTT RD
ENID, OK 73701
Garfield County (580) 977-1903
OSU CENTER FOR HEALTH SCIENCES
Clinic/Center
601 W GARRIOTT RD
ENID, OK 73701
Garfield County (918) 561-8306
MS. MICHELLE DENISE MARTINEAU WHCNP
Nurse Practitioner (Obstetrics & Gynecology)
601 W GARRIOTT RD
ENID, OK 73701
Garfield County (580) 977-1903

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 Michelle Bergner's NPI number?

The NPI number for Michelle Bergner is 1538168679. It was assigned to this individual provider in the NPPES registry on July 20, 2005. The provider is also known as Michelle R Smith.

Where is Michelle Bergner located?

Michelle Bergner practices at 601 W Garriott Rd, Enid, OK 73701. The listed phone number is (580) 233-1100.

What is Michelle Bergner's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Michelle Bergner enrolled in Medicare?

Yes. Michelle Bergner 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 Michelle Bergner accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health and UnitedHealthcare list Michelle Bergner 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 Michelle Bergner affiliated with any hospitals?

According to CMS data, Michelle Bergner is affiliated with Alliancehealth Woodward, Integris Bass Baptist Health Center, St Mary's Regional Medical Center and O U Medical Center.

When was this NPI record last updated?

The NPPES record for Michelle Bergner was last updated on February 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.