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KAREN LEA BERGERON PA
NPI 1639359144
Physician Assistant in North Dartmouth, MA

Active since November 13, 2007PECOS Enrolled
535 FAUNCE CORNER RD, NORTH DARTMOUTH, MA 02747(508) 996-3991 Get Directions Write a Review

NPPES record last updated: February 21, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Karen Lea Bergeron Pa NPPES

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

KAREN LEA BERGERON PA (NPI 1639359144) is an individual physician assistant in North Dartmouth, Massachusetts, licensed in Massachusetts (AP2385) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS, is affiliated with Saint Anne's Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1639359144
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKAREN LEA BERGERONCredential: PA
Location Address535 FAUNCE CORNER RDNorth Dartmouth, MA 02747-1242
Mailing Address535 Faunce Corner RdNorth Dartmouth, MA 02747-1242 · (508) 996-3991
Phone(508) 996-3991
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateNovember 13, 2007
Last NPPES UpdateFebruary 21, 2018
✔ NPI 1639359144 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 MA · AP2385
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.
535 FAUNCE CORNER RD, North Dartmouth, MA 02747
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Other Names 1

Former Name (1)Karen Lea Sylvia Pa

Other Identifiers 1

Other04-3436165MA · Hawthorn Medical Tax Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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)

Karen Lea Bergeron Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860574761
PECOS Enrollment IDI20080131000177
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 3

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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
69 services50 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
65 services62 patients
Removal of gallbladder using an endoscope 47562
This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.
30 services30 patients

Hospital Affiliations CMS Care Compare 2

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

Saint Anne's Hospital

Acute Care Hospitals · Fall River, MA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number220020
Location795 Middle StreetFall River, MA 02721 · Bristol County
Emergency services

Southcoast Hospitals Group

Acute Care Hospitals · Fall River, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220074
Location363 Highland AvenueFall River, MA 02720 · Bristol County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02747 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
84%31 patients4/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%59 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
81%204 patients4/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
58%33 patients3/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
88%51 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
43%35 patients2/55-star benchmark: 96%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
83%204 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
83%204 patients4/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
46%204 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

JACK A HOWARD MD
Internal Medicine (Cardiovascular Disease)
535 FAUNCE CORNER RD
DARTMOUTH, MA 02747
Bristol County (508) 996-3991
SOUTH COAST ORTHOPEDIC TECHNOLOGY
Prosthetic/Orthotic Supplier
535 FAUNCE CORNER RD, SUITE 201
N DARTMOUTH, MA 02747
Bristol County (508) 998-7268
DR. MARIA PACHECO RUMSEY MD
Internal Medicine (Cardiovascular Disease)
535 FAUNCE CORNER RD
DARTMOUTH, MA 02747
Bristol County (508) 996-3991
EILEEN PHANEUF C.C.C.-SLP
Speech-Language Pathologist
535 FAUNCE CORNER RD
DARTMOUTH, MA 02747
Bristol County (508) 996-3991
JENNIFER SADECK
Nurse Practitioner (Acute Care)
535 FAUNCE CORNER RD
DARTMOUTH, MA 02747
Bristol County (508) 996-3991
FRANCINE MITCHELL AUD
Audiologist
535 FAUNCE CORNER RD
DARTMOUTH, MA 02747
Bristol County (508) 996-3991
STEPHEN LEIGHTON KEITH M.D.
Surgery (Vascular Surgery)
535 FAUNCE CORNER RD
DARTMOUTH, MA 02747
Bristol County (508) 996-3991
HEATHER DUFOUR FNP
Nurse Practitioner (Family)
535 FAUNCE CORNER RD
DARTMOUTH, MA 02747
Bristol County (508) 996-3991

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 Karen Bergeron's NPI number?

The NPI number for Karen Bergeron is 1639359144. It was assigned to this individual provider in the NPPES registry on November 13, 2007. The provider is also known as Karen Lea Sylvia PA.

Where is Karen Bergeron located?

Karen Bergeron practices at 535 Faunce Corner Rd, North Dartmouth, MA 02747. The listed phone number is (508) 996-3991.

What is Karen Bergeron's specialty?

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

Is Karen Bergeron enrolled in Medicare?

Yes. Karen Bergeron is registered in the Medicare PECOS enrollment system.

What insurance does Karen Bergeron accept?

Health plans from Anthem Blue Cross and Blue Shield list Karen Bergeron 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 Karen Bergeron affiliated with any hospitals?

According to CMS data, Karen Bergeron is affiliated with Saint Anne's Hospital and Southcoast Hospitals Group.

When was this NPI record last updated?

The NPPES record for Karen Bergeron was last updated on February 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.