SCOTT JAMES BERGEAUX M.D.
NPI 1568586014
Family Medicine in Kaplan, LA

Q: What is Scott Bergeaux's NPI number?

The NPI number for Scott Bergeaux is 1568586014. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Q: What is Scott Bergeaux's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Scott Bergeaux was last updated on August 19, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 19, 2007PECOS EnrolledAccepts Medicare Assignment

707 N MONTGOMERY AVE, KAPLAN, LA 70548(337) 643-6219(337) 643-6230 Get Directions Write a Review

NPPES record last updated: August 19, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Scott James Bergeaux M.d. NPPES

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

SCOTT JAMES BERGEAUX M.D. (NPI 1568586014) is an individual family medicine provider in Kaplan, Louisiana, licensed in Louisiana (MD200241) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Ochsner Lafayette General Medical Center, and is a graduate of Louisiana State University School Of Medicine In Shreveport (2004).

NPPES Registry Identity

NPI1568586014

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameSCOTT JAMES BERGEAUXCredential: M.D.

Location Address707 N MONTGOMERY AVEKaplan, LA 70548-2923

Mailing Address707 N Montgomery AveKaplan, LA 70548-2923 · (337) 643-6219 · Fax (337) 643-6230

Phone(337) 643-6219

Fax(337) 643-6230

Sole ProprietorYes

Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 2004

Enumeration DateMarch 19, 2007

Last NPPES UpdateAugust 19, 2011

✔ NPI 1568586014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in LA · MD200241

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

707 N MONTGOMERY AVE, Kaplan, LA 70548

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.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

Scott James Bergeaux M.d. 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 ID2062517782

PECOS Enrollment IDI20070424000718

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 19

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.

724 services364 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.

310 services310 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

160 services14 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

124 services44 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

87 services71 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.

58 services50 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

49 services23 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

46 services43 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.

45 services45 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

39 services23 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

38 services38 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

35 services28 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

28 services23 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

23 services19 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

22 services19 patients

Imaging of retina with remote review by physician 92228

This procedure involves capturing detailed images of your retina, a layer at the back of your eye. These images are then sent to a remote physician for review. It helps diagnose and monitor conditions affecting your eyesight. No discomfort is expected.

17 services17 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

14 services14 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

12 services12 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Ochsner Lafayette General Medical Center

Acute Care Hospitals · Lafayette, LA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190002

Location1214 Coolidge AvenueLafayette, LA 70503 · Lafayette County

Emergency services Birthing friendly

Abbeville General Hospital

Acute Care Hospitals · Abbeville, LA

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number190034

Location118 N Hospital DrAbbeville, LA 70510 · Vermilion County

Emergency services Birthing friendly

Acadia General Hospital

Acute Care Hospitals · Crowley, LA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190044

Location1305 Crowley Rayne HighwayCrowley, LA 70526 · Acadia County

Emergency services

Our Lady Of Lourdes Regional Medical Center, Inc

Acute Care Hospitals · Lafayette, LA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190102

Location4801 Ambassador Caffery ParkwayLafayette, LA 70508 · Lafayette County

Emergency services Birthing friendly

Abrom Kaplan Memorial Hospital

Critical Access Hospitals · Kaplan, LA

OwnershipVoluntary non-profit - Private

CMS Certification Number191322

Location1310 West Seventh StreetKaplan, LA 70548 · Vermilion County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70548 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

$83.60 typical visit price

range $53.43 – $164.73

Typical copayment $20.90 (range $13.35 – $41.18)

Most-billed visit code 99203

Established Patient

$95.09 typical visit price

range $16.64 – $133.62

Typical copayment $23.77 (range $4.16 – $33.40)

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 13

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

13 suppliers87 claims207 services$6.28 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

4 suppliers14 claims15 services$2.94 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

10 suppliers49 claims68 services$1.08 avg. paid by Medicare

Tracheostomy, inner cannula A4623

DME-Orthotic Devices · category DF000N

1 supplier12 claims686 services$6.33 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

5 suppliers12 claims12 services$15.97 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

5 suppliers11 claims63 services$2.42 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

ALTON ROMERO JR. MD

Obstetrics & Gynecology

707 N MONTGOMERY AVE
KAPLAN, LA 70548

Vermilion Parish (337) 643-6500

EMILY TRAHAN

Nurse Practitioner (Family)

707 N MONTGOMERY AVE
KAPLAN, LA 70548

Vermilion Parish (337) 643-6219

CHIROPRACTIC PAIN MANAGEMENT & INJURY CLINIC

Chiropractor

707 N MONTGOMERY AVE
KAPLAN, LA 70548

Vermilion Parish (337) 643-6546

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 Scott Bergeaux's NPI number?

The NPI number for Scott Bergeaux is 1568586014. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Where is Scott Bergeaux located?

Scott Bergeaux practices at 707 N Montgomery Ave, Kaplan, LA 70548. The listed phone number is (337) 643-6219.

What is Scott Bergeaux's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Scott Bergeaux enrolled in Medicare?

Yes. Scott Bergeaux 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 Scott Bergeaux accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Scott Bergeaux 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 Scott Bergeaux affiliated with any hospitals?

According to CMS data, Scott Bergeaux is affiliated with Ochsner Lafayette General Medical Center, Abbeville General Hospital, Acadia General Hospital, Our Lady Of Lourdes Regional Medical Center, Inc and Abrom Kaplan Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Scott Bergeaux was last updated on August 19, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.