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DR. KENNETH R BERGMAN JR. MD
NPI 1659349447
Otolaryngology - Sleep Medicine in Elkton, VA

Active since March 09, 2006PECOS Enrolled
4116 BROWN MOUNTAIN LN, ELKTON, VA 22827(571) 246-7223 Get Directions Write a Review

NPPES record last updated: January 2, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Kenneth R Bergman Jr. Md NPPES

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

DR. KENNETH R BERGMAN JR. MD (NPI 1659349447) is an individual sleep medicine provider in Elkton, Virginia, licensed in Virginia (0101102580) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659349447
Entity TypeIndividualMale
Primary Taxonomy207YS0012X
Provider Legal NameDR. KENNETH R BERGMAN JR.Credential: MD
Location Address4116 BROWN MOUNTAIN LNElkton, VA 22827-3409
Mailing Address4116 Brown Mountain LnElkton, VA 22827-3409 · (571) 246-7223
Phone(571) 246-7223
Sole ProprietorNo
Enumeration DateMarch 9, 2006
Last NPPES UpdateJanuary 2, 2025
NPPES CertifiedJanuary 2, 2025
✔ NPI 1659349447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207YS0012X
License✔ Licensed in VA · 0101102580
Definition
An Otolaryngologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Also ListedOtolaryngologyTaxonomy 207Y00000X · License 0101102580 (VA)
4116 BROWN MOUNTAIN LN, Elkton, VA 22827
Open in Google Maps ↗

Other Identifiers 1

OtherP00406443VA · Rr Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenneth R Bergman Jr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Kenneth Bergman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Loudoun Medical Group, PC
76 mi
Surgery
24430 STONE SPRINGS BLVD STE 215
Dulles, VA 20166
  • Reassigned Medicare billing, Virginia enrollment
  • 291 clinicians in this Medicare group
NPI 1891819298 (703) 858-3200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22827 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 2

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

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers11 claims11 services$44.43 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers11 claims62 services$1.43 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Kenneth Bergman's NPI number?

The NPI number for Kenneth Bergman is 1659349447. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Where is Kenneth Bergman located?

Kenneth Bergman practices at 4116 Brown Mountain Ln, Elkton, VA 22827. The listed phone number is (571) 246-7223.

What is Kenneth Bergman's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Sleep Medicine, with taxonomy code 207YS0012X.

Is Kenneth Bergman enrolled in Medicare?

Yes. Kenneth Bergman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kenneth Bergman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Bergman reassigns Medicare benefits to Loudoun Medical Group, PC (Dulles, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenneth Bergman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenneth Bergman accept?

Health plans from Blue Cross Blue Shield of Wyoming list Kenneth Bergman 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.

When was this NPI record last updated?

The NPPES record for Kenneth Bergman was last updated on January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.