BRENT D BERGEN MD
NPI 1629070693
Internal Medicine - Pulmonary Disease in Springfield, MO

Q: What is Brent Bergen's NPI number?

The NPI number for Brent Bergen is 1629070693. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Q: What is Brent Bergen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Brent Bergen was last updated on December 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since August 10, 2005PECOS EnrolledAccepts Medicare Assignment

3800 S NATIONAL AVE STE 510, SPRINGFIELD, MO 65807(417) 875-3160 Get Directions Write a Review

NPPES record last updated: December 27, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 27, 2018, Jun 22, 2017 (2 updates tracked since 2017).

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About Brent D Bergen Md NPPES

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

BRENT D BERGEN MD (NPI 1629070693) is an individual pulmonary disease provider in Springfield, Missouri, licensed in Missouri (2007001545) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1629070693

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameBRENT D BERGENCredential: MD

Location Address3800 S NATIONAL AVE STE 510Springfield, MO 65807-5284

Mailing AddressPo Box 9007Springfield, MO 65808-9007 · (417) 875-3462

Phone(417) 875-3160

Sole ProprietorNo

Medical School CMSOtherGraduated 1990

Enumeration DateAugust 10, 2005

Last NPPES UpdateDecember 27, 20182 updates tracked since enumeration

✔ NPI 1629070693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in MO · 2007001545

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

3800 S NATIONAL AVE STE 510, Springfield, MO 65807

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Other Identifiers 6

Medicaid200096100AIN

Other000000048062KY · Anthem Bcbs

Other1069441KY · Passport Health

Medicaid204593909MO

Other290009315Rr Medicare

Medicaid64319783KY

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

Brent D Bergen 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 ID6002811445

PECOS Enrollment IDI20070504000128

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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

43 services21 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

39 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65807 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

$121.96 typical visit price

range $52.28 – $161.24

Typical copayment $30.49 (range $13.07 – $40.31)

Most-billed visit code 99204

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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 7

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

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

3 suppliers19 claims109 services$20.45 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

4 suppliers12 claims72 services$17.19 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

5 suppliers29 claims29 services$63.76 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

6 suppliers20 claims20 services$21.69 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

6 suppliers23 claims23 services$19.88 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

6 suppliers27 claims157 services$2.85 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 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CASSONDRA DAWN SIMMONEAU NP

Nurse Practitioner