BARBARA A BERGDOLT MD
NPI 1558459719
Pediatrics in Chapel Hill, NC

Active since October 11, 2006PECOS EnrolledAccepts Medicare Assignment
118 KNOX WAY, CHAPEL HILL, NC 27516(984) 215-5900(984) 215-5942 Get Directions Write a Review

NPPES record last updated: May 6, 2021. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Barbara A Bergdolt Md NPPES

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

BARBARA A BERGDOLT MD (NPI 1558459719) is an individual pediatrics provider in Chapel Hill, North Carolina, licensed in North Carolina (0097-00021) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Unc Hospitals, and is a graduate of University Of Michigan Medical School (1994).

NPPES Registry Identity

NPI1558459719
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameBARBARA A BERGDOLTCredential: MD
Location Address118 KNOX WAYChapel Hill, NC 27516-6610
Mailing Address2000 Perimeter Park Dr Ste 200Morrisville, NC 27560-8442 · (984) 215-4110
Fax(984) 215-5942
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1994
Enumeration DateOctober 11, 2006
Last NPPES UpdateMay 6, 2021
NPPES CertifiedMay 6, 2021
✔ NPI 1558459719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NC · 0097-00021
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
118 KNOX WAY, Chapel Hill, NC 27516

Other Identifiers 1

Medicaid891167YNC

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

Barbara A Bergdolt 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 ID7113952458
PECOS Enrollment IDI20051005000576
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 8

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
251 services150 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
190 services124 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
131 services131 patients
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.
118 services100 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
48 services47 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
42 services42 patients

Hospital Affiliations CMS Care Compare 2

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

Unc Hospitals

Acute Care Hospitals · Chapel Hill, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340061
Location101 Manning DriveChapel Hill, NC 27514 · Orange County
Emergency services Birthing friendly

Chatham Hospital Inc

Critical Access Hospitals · Siler City, NC
OwnershipVoluntary non-profit - Private
CMS Certification Number341311
Location475 Progress BlvdSiler City, NC 27344 · Chatham County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27516 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers12 claims44 services$6.34 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims2,622 services$0.29 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers15 claims15 services$32.07 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.

Student in an Organized Health Care Education/Training Program
118 KNOX WAY
CHAPEL HILL, NC 27516
Student in an Organized Health Care Education/Training Program
118 KNOX WAY
CHAPEL HILL, NC 27516
Student in an Organized Health Care Education/Training Program
118 KNOX WAY
CHAPEL HILL, NC 27516
Student in an Organized Health Care Education/Training Program
118 KNOX WAY
CHAPEL HILL, NC 27516
Nurse Practitioner (Psychiatric/Mental Health)
118 KNOX WAY
CHAPEL HILL, NC 27516
Pediatrics
118 KNOX WAY
CHAPEL HILL, NC 27516
Student in an Organized Health Care Education/Training Program
118 KNOX WAY
CHAPEL HILL, NC 27516
Dietitian, Registered
118 KNOX WAY
CHAPEL HILL, NC 27516

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 Barbara Bergdolt's NPI number?

The NPI number for Barbara Bergdolt is 1558459719. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Barbara Bergdolt located?

Barbara Bergdolt practices at 118 Knox Way, Chapel Hill, NC 27516. The listed phone number is (984) 215-5900.

What is Barbara Bergdolt's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Barbara Bergdolt enrolled in Medicare?

Yes. Barbara Bergdolt 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 Barbara Bergdolt accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Barbara Bergdolt 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 Barbara Bergdolt affiliated with any hospitals?

According to CMS data, Barbara Bergdolt is affiliated with Unc Hospitals and Chatham Hospital Inc.

When was this NPI record last updated?

The NPPES record for Barbara Bergdolt was last updated on May 6, 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.