DALE BERGESON PA NPI 1730288150
Physician Assistant in Barron, WI

About DALE BERGESON PA

Dale Bergeson is a primary care provider established in Barron, Wisconsin and his medical specialization is Physician Assistant. The NPI number of this provider is 1730288150 and was assigned on September 2006. The practitioner's primary taxonomy code is 363A00000X with license number 87 (WI). The provider is registered as an individual and his NPI record was last updated 9 years ago.

NPI
1730288150
Provider Name DALE BERGESON PA
Location Address1222 E WOODLAND AVE BARRON, WI 54812
Location Phone(715) 537-3166
Mailing AddressPO BOX 1510 EAU CLAIRE, WI 54702
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date09-22-2006
Last Update Date08-16-2013

A primary care provider (PCP) like Dale Bergeson sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc Dale Bergeson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices..

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 95.9, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code363A00000X
ClassificationPhysician Assistant
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.87
License StateWI
Taxonomy DescriptionA 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.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

1222 E WOODLAND AVE
BARRON, WI
ZIP 54812
Phone: (715) 537-3166

Get Directions


Mailing Address

PO BOX 1510
EAU CLAIRE, WI
ZIP 54702
Phone: (715) 838-5222


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 100
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% 77.7
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 95.9
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
1730288150MEDICAID (05)WI
00502 0894MEDICARE PIN (08)WI

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1730288150
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27604816110
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 6 + 0 + 4 + 8 + 1 + 6 + 1 + 1 + 0 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1730288150 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1235139510 CHRISTA JOHNSON MARS M.D.
Individual
Surgery1222 E WOODLAND AVE
BARRON, WI 54812
(715) 537-3166
1710967351 JAMES R LEAVITT MD
Individual
Orthopaedic Surgery1222 E WOODLAND AVE
BARRON, WI 54812
(715) 537-3166
1932172129 NICOLLE RENEA SAMUELS PT
Individual
Physical Therapist1222 E WOODLAND AVE
BARRON, WI 54812
(715) 838-5222
1003882739 CATHERINE C SODERQUIST MD
Individual
Family Medicine1222 E WOODLAND AVE
BARRON, WI 54812
(715) 537-3166
1063472199 JAMES L ESSWEIN MD
Individual
Family Medicine1222 E WOODLAND AVE
BARRON, WI 54812
(715) 838-5222
1598721045 MICHAEL S DAMROTH MD
Individual
Family Medicine1222 E WOODLAND AVE
BARRON, WI 54812
(715) 838-5222
1427015635 JOEL A BORMANN DO
Individual
Family Medicine1222 E WOODLAND AVE
BARRON, WI 54812
(715) 838-5222
1598722704 DAVID A MYERS MD
Individual
Family Medicine1222 E WOODLAND AVE
BARRON, WI 54812
(715) 838-5222
1396702585 HOWARD A THALACKER MD
Individual
Family Medicine1222 E WOODLAND AVE
BARRON, WI 54812
(715) 838-5222
1437107174 CLARE R JANTY PA
Individual
Physician Assistant1222 E WOODLAND AVE
BARRON, WI 54812
(715) 838-5222
1669422549 JEWEL MARIE MARKET MD
Individual
Family Medicine1222 E WOODLAND AVE
BARRON, WI 54812
(715) 838-5222
1205008190MS. BARBARA JEAN WEBB O.T.R.
Individual
Occupational Therapist1222 E WOODLAND AVE
BARRON, WI 54812
(715) 537-3166
1851471767 JOSEPH WILLIAM BELL DO
Individual
Obstetrics & Gynecology1222 E WOODLAND AVE
BARRON, WI 54812
(715) 838-5222
1982671285 SCOTT RODNEY JAMESON CRNA
Individual
Nurse Anesthetist, Certified Registered1222 E WOODLAND AVE
BARRON, WI 54812
(715) 537-3166
1073783932 MATTHEW BEIER HANKES PT, ATC
Individual
Physical Therapist1222 E WOODLAND AVE
BARRON, WI 54812
(715) 537-9905
1871543355MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC.
Organization
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)1222 E WOODLAND AVE
BARRON, WI 54812
(715) 838-5270
1518494244MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC.
Organization
Clinic/Center (Multi-Specialty)1222 E WOODLAND AVE
BARRON, WI 54812
(715) 838-5270
1326079740MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC.
Organization
Medicare Defined Swing Bed Unit1222 E WOODLAND AVE
BARRON, WI 54812
(715) 838-5270
1306992474MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC.
Organization
Non-Pharmacy Dispensing Site1222 E WOODLAND AVE
BARRON, WI 54812
(715) 537-3166
1366861445DR. ADAM HAMISI KIBOLA MD
Individual
Hospitalist1222 E WOODLAND AVE
BARRON, WI 54812
(715) 838-3635

Frequently Asked Questions

What is Dale Bergeson PA NPI number?

The NPI number assigned to this healthcare provider is 1730288150, registered as an "individual" on September 22, 2006

Where is Dale Bergeson PA located?

The provider is located at 1222 E Woodland Ave Barron, Wi 54812 and the phone number is (715) 537-3166

Which is Dale Bergeson PA specialty?

The provider's speciality is Physician Assistant

What insurance does Dale Bergeson PA accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Is Dale Bergeson PA registered in PECOS?

Yes, as of January 10, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What are Dale Bergeson PA Quality Ratings?

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.

How much is a visit to Dale Bergeson PA?

Medicare beneficiaries should expect a typical cost of $85.6 with an average copayment of $21.4 for new patient appointments. Established patients should expect a typical charge of $69.98 and an average copayment of 17.49. Please review your insurance plan or contact the provider directly to determine your specific costs.

How do I update my NPI information?

The NPI record of Dale Bergeson PA was last updated on September 22, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]