TYLER BERGSTROM
NPI 1619276334
Surgery in Rapid City, SD

Q: What is Tyler Bergstrom's NPI number?

The NPI number for Tyler Bergstrom is 1619276334. It was assigned to this individual provider in the NPPES registry on March 21, 2011.

Q: What is Tyler Bergstrom's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Bergstrom was last updated on June 30, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 21, 2011PECOS Enrolled

76.56/100

CMS Quality Rating

2820 MOUNT RUSHMORE RD, RAPID CITY, SD 57701(605) 342-3280 Get Directions Write a Review

NPPES record last updated: June 30, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Tyler Bergstrom NPPES

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

TYLER BERGSTROM (NPI 1619276334) is an individual surgery provider in Rapid City, South Dakota, licensed in South Dakota (9906) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, is affiliated with Monument Health Rapid City Hospital, and is a graduate of R Franklin University Of Med & Sci/chicago Medical School (2021).

NPPES Registry Identity

NPI1619276334

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameTYLER BERGSTROM

Location Address2820 MOUNT RUSHMORE RDRapid City, SD 57701-5462

Mailing AddressPo Box 6020Rapid City, SD 57709-6020

Phone(605) 342-3280

Sole ProprietorNo

Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 2021

Enumeration DateMarch 21, 2011

Last NPPES UpdateJune 30, 2016

✔ NPI 1619276334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in SD · 9906

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

2820 MOUNT RUSHMORE RD, Rapid City, SD 57701

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica, Oscar Insurance Company 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 (PECOS)

Tyler Bergstrom is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618113549

PECOS Enrollment IDI20160803001828

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 10

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

77 services77 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.

44 services41 patients

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

43 services27 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

40 services38 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

35 services35 patients

Fusion of lower spine bone through abdomen with partial removal of disc 22558

This procedure involves merging the bones in your lower spine through an abdominal approach. A portion of the disc, which acts like a cushion between your vertebrae, is partially removed. The goal is to alleviate back pain by limiting movement in the problem area of your spine.

28 services27 patients

Hospital Affiliations CMS Care Compare 2

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

Monument Health Rapid City Hospital

Acute Care Hospitals · Rapid City, SD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430077

Location353 Fairmont BlvdRapid City, SD 57701 · Pennington County

Emergency services Birthing friendly

Black Hills Surgical Hospital LLP

Acute Care Hospitals · Rapid City, SD

OwnershipProprietary

CMS Certification Number430091

Location216 Anamaria DrRapid City, SD 57703 · Pennington County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57701 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

$85.21 typical visit price

range $55.52 – $167.23

Typical copayment $21.30 (range $13.88 – $41.80)

Most-billed visit code 99203

Established Patient

$69.20 typical visit price

range $18.08 – $137.08

Typical copayment $17.30 (range $4.52 – $34.27)

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.

76.56/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

74.92

Promoting Interoperability

Improvement Activities

Cost

49.46

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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.

KIMBERLY HUSHAGEN MD

Pediatrics