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KYLE BERGANTZ PA
NPI 1609517937
Physician Assistant in Sacramento, CA

Active since April 01, 2022PECOS EnrolledAccepts Medicare Assignment
94.62/100
CMS Quality Rating
4500 12TH AVE, SACRAMENTO, CA 95820(805) 748-4387 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kyle Bergantz Pa NPPES

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

KYLE BERGANTZ PA (NPI 1609517937) is an individual physician assistant in Sacramento, California, licensed in California (61193) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1609517937
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKYLE BERGANTZCredential: PA
Location Address4500 12TH AVESacramento, CA 95820-1437
Mailing Address4500 12th AveSacramento, CA 95820-1437
Phone(805) 748-4387
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateApril 1, 2022
Last NPPES UpdateJune 6, 2022
NPPES CertifiedJune 6, 2022
✔ NPI 1609517937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 61193
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4500 12TH AVE, Sacramento, CA 95820
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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

Kyle Bergantz Pa 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 ID1658753850
PECOS Enrollment IDI20220804002223
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95820 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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.

94.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.67
Improvement Activities40
Cost97.14

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 Kyle Bergantz's NPI number?

The NPI number for Kyle Bergantz is 1609517937. It was assigned to this individual provider in the NPPES registry on April 1, 2022.

Where is Kyle Bergantz located?

Kyle Bergantz practices at 4500 12th Ave, Sacramento, CA 95820. The listed phone number is (805) 748-4387.

What is Kyle Bergantz's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kyle Bergantz enrolled in Medicare?

Yes. Kyle Bergantz 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.

When was this NPI record last updated?

The NPPES record for Kyle Bergantz was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.