LANCE K BERGSTROM M.D.
NPI 1578509733
Specialist in Fargo, ND

Active since June 22, 2006PECOS EnrolledAccepts Medicare Assignment
2601 UNIVERSITY DR S, FARGO, ND 58103(701) 235-5200(701) 237-0927 Get Directions Write a Review

NPPES record last updated: August 9, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lance K Bergstrom M.d. NPPES

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

LANCE K BERGSTROM M.D. (NPI 1578509733) is an individual specialist in Fargo, North Dakota, licensed in North Dakota (7230) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Essentia Health St Marys - Detroit Lakes, and is a graduate of University Of Minnesota Medical School (1991).

NPPES Registry Identity

NPI1578509733
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameLANCE K BERGSTROMCredential: M.D.
Location Address2601 UNIVERSITY DR SFargo, ND 58103-6025
Mailing Address2601 University Dr SFargo, ND 58103-6025 · (701) 235-5200 · Fax (701) 237-0927
Fax(701) 237-0927
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1991
Enumeration DateJune 22, 2006
Last NPPES UpdateAugust 9, 2010
NPI 1578509733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses Licensed in ND · 7230 Licensed in MN · 38105
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2601 UNIVERSITY DR S, Fargo, ND 58103

Other Identifiers 13

Other33A71BEMN · Mn Bcbs
Medicare UPING11949ND
Medicare ID-Type UnspecifiedN23645ND
Medicare ID-Type Unspecified180027900Railroad Medicare
Medicare UPING11949MN
Medicaid18672ND
Other236454ND · Nd Bcbs
Other33A70BEMN · Mn Bcbs
Medicare ID-Type UnspecifiedN711226ND
Medicare ID-Type Unspecified180000864MN
Medicaid12698ND
Other01068001ND · Bcbs Of Nd
Medicaid080024400MN

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

Lance K Bergstrom 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 ID5092794735
PECOS Enrollment IDI20090505000182, I20100825000247
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 29

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
3,780 services18 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
544 services203 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.
489 services246 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
363 services265 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
338 services108 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
330 services94 patients

Hospital Affiliations CMS Care Compare 4

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

Essentia Health St Marys - Detroit Lakes

Acute Care Hospitals · Detroit Lakes, MN
OwnershipVoluntary non-profit - Church
CMS Certification Number240101
Location1027 Washington AveDetroit Lakes, MN 56501 · Becker County
Birthing friendly

Essentia Health Ada

Critical Access Hospitals · Ada, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241313
Location201 9th Street WestAda, MN 56510 · Norman County
Emergency services

Essentia Health Fosston

Critical Access Hospitals · Fosston, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241357
Location900 Hilligoss Boulevard SEFosston, MN 56542 · Polk County
Emergency services

Essentia Health

Acute Care Hospitals · Fargo, ND
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350070
Location3000 32nd Ave SouthFargo, ND 58104 · Cass County
Emergency services Birthing friendly

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.

Optometrist
2601 UNIVERSITY DR S
FARGO, ND 58103
Specialist
2601 UNIVERSITY DR S
FARGO, ND 58103
Optometrist
2601 UNIVERSITY DR S
FARGO, ND 58103

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 Lance Bergstrom's NPI number?

The NPI number for Lance Bergstrom is 1578509733. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Lance Bergstrom located?

Lance Bergstrom practices at 2601 University Dr S, Fargo, ND 58103. The listed phone number is (701) 235-5200.

What is Lance Bergstrom's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Lance Bergstrom enrolled in Medicare?

Yes. Lance Bergstrom 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 Lance Bergstrom accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Lance Bergstrom 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 Lance Bergstrom affiliated with any hospitals?

According to CMS data, Lance Bergstrom is affiliated with Essentia Health St Marys - Detroit Lakes, Essentia Health Ada, Essentia Health Fosston and Essentia Health.

When was this NPI record last updated?

The NPPES record for Lance Bergstrom was last updated on August 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.