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DEBORAH MICHELLE BERGMAN
NPI 1780176958
Physician Assistant in South Pasadena, CA

Active since June 04, 2018PECOS Enrolled
1107 FAIR OAKS AVE # 7, SOUTH PASADENA, CA 91030(415) 504-0981 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Deborah Michelle Bergman NPPES

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

DEBORAH MICHELLE BERGMAN (NPI 1780176958) is an individual physician assistant in South Pasadena, California, licensed in California (55688) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780176958
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDEBORAH MICHELLE BERGMAN
Location Address1107 FAIR OAKS AVE # 7South Pasadena, CA 91030-3311
Mailing Address1107 Fair Oaks Ave # 7South Pasadena, CA 91030-3311 · (415) 504-0981
Phone(415) 504-0981
Sole ProprietorNo
Enumeration DateJune 4, 2018
Last NPPES UpdateJanuary 9, 2025
NPPES CertifiedJanuary 9, 2025
✔ NPI 1780176958 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 CA · 55688
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.
1107 FAIR OAKS AVE # 7, South Pasadena, CA 91030
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deborah Michelle Bergman 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.

Areas of Expertise CMS Part B claims 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
25 services25 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91030 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

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 Deborah Bergman's NPI number?

The NPI number for Deborah Bergman is 1780176958. It was assigned to this individual provider in the NPPES registry on June 4, 2018.

Where is Deborah Bergman located?

Deborah Bergman practices at 1107 Fair Oaks Ave # 7, South Pasadena, CA 91030. The listed phone number is (415) 504-0981.

What is Deborah Bergman's specialty?

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

Is Deborah Bergman enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Deborah Bergman was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.