1. Home
  2. Directory
  3. Minnesota
  4. Rochester
  5. Family Medicine
  6. NPI Profile

RUSSELL ALAN BERGUM D.O.
NPI 1669400024
Family Medicine - Sports Medicine in Rochester, MN

Active since June 28, 2006PECOS EnrolledAccepts Medicare Assignment
2560 2ND ST SW STE 120, ROCHESTER, MN 55902(507) 361-0400(866) 371-6710 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 16, 2023, Apr 30, 2022, Sep 28, 2020 and 1 more (4 updates tracked since 2019).

About Russell Alan Bergum D.o. NPPES

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

RUSSELL ALAN BERGUM D.O. (NPI 1669400024) is an individual sports medicine provider in Rochester, Minnesota, licensed in Minnesota (42602) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Des Moines, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1669400024
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameRUSSELL ALAN BERGUMCredential: D.O.
Location Address2560 2ND ST SW STE 120Rochester, MN 55902-4363
Mailing Address2560 2nd St Sw Ste 120Rochester, MN 55902-4363 · (507) 361-0400 · Fax (866) 371-6710
Phone(507) 361-0400
Fax(866) 371-6710
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJune 28, 2006
Last NPPES UpdateAugust 16, 20234 updates tracked since enumeration
NPPES CertifiedAugust 16, 2023
✔ NPI 1669400024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in MN · 42602
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
2560 2ND ST SW STE 120, Rochester, MN 55902
Open in Google Maps ↗

Secondary Practice Location 1

Location 16151 Thornton Ave Ste 200Des Moines, IA 50321-2413 · Phone (515) 421-4090 · Fax (402) 939-0407

Accepted Insurance

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

Russell Alan Bergum D.o. 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 ID8628093176
PECOS Enrollment IDI20240222001035
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.

Complete ultrasound scan of joint 76881
A complete ultrasound scan of a joint is a non-invasive procedure using sound waves to create images of your joint. It helps identify problems like inflammation, injury, or disease. It's painless, safe, and doesn't involve radiation.
88 services55 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
40 services40 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
25 services21 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55902 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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 Russell Bergum's NPI number?

The NPI number for Russell Bergum is 1669400024. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Russell Bergum located?

Russell Bergum practices at 2560 2nd St SW Ste 120, Rochester, MN 55902. The listed phone number is (507) 361-0400.

What is Russell Bergum's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Russell Bergum enrolled in Medicare?

Yes. Russell Bergum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Russell Bergum accept?

Health plans from Medica list Russell Bergum 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 Russell Bergum was last updated on August 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.