DR. JACLYN BEAGHAN BERGERON M.D.
NPI 1639313208
Internal Medicine in Memphis, TN

Q: What is Jaclyn Bergeron's NPI number?

The NPI number for Jaclyn Bergeron is 1639313208. It was assigned to this individual provider in the NPPES registry on April 27, 2009.

Q: What is Jaclyn Bergeron's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Jaclyn Bergeron was last updated on April 27, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 27, 2009PECOS EnrolledAccepts Medicare Assignment

75.06/100

CMS Quality Rating

1169 JEFFERSON AVE, MEMPHIS, TN 38104(901) 425-1880(901) 725-5766 Get Directions Write a Review

NPPES record last updated: April 27, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 27, 2020, Feb 7, 2017 (2 updates tracked since 2017).

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About Dr. Jaclyn Beaghan Bergeron M.d. NPPES

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

DR. JACLYN BEAGHAN BERGERON M.D. (NPI 1639313208) is an individual internal medicine provider in Memphis, Tennessee, licensed in Tennessee (50407) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS, is affiliated with Regional One Health, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2009).

NPPES Registry Identity

NPI1639313208

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. JACLYN BEAGHAN BERGERONCredential: M.D.

Location Address1169 JEFFERSON AVEMemphis, TN 38104-7217

Mailing AddressPo Box 1000, Dept 351Memphis, TN 38148-0001 · (901) 516-2362

Phone(901) 425-1880

Fax(901) 725-5766

Sole ProprietorNo

Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2009

Enumeration DateApril 27, 2009

Last NPPES UpdateApril 27, 20202 updates tracked since enumeration

NPPES CertifiedApril 27, 2020

✔ NPI 1639313208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in TN · 50407

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License 50407 (TN)

1169 JEFFERSON AVE, Memphis, TN 38104

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Other Identifiers 4

Medicaid04058365MS

Other6055871TN · Bcbs

Medicaid199952001AR

MedicaidQ013161TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

Dr. Jaclyn Beaghan Bergeron 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 ID7810133568

PECOS Enrollment IDI20130830000115

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 4

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 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.

105 services51 patients

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.

64 services30 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

54 services52 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

43 services43 patients

Hospital Affiliations CMS Care Compare

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

Regional One Health

Acute Care Hospitals · Memphis, TN

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number440152

Location877 Jefferson AvenueMemphis, TN 38103 · Shelby County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38104 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

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.

75.06/100

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

Scored as part of a group practice

Quality

56.46

Improvement Activities

Cost

71.87

Referred Medical Equipment & Supplies CMS DME claims

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

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$914.81 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 8

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

HEATHER RANSOME SWANSON MD

Hospitalist