DR. JEFFREY MARK BERGERON JR. M.D.
NPI 1790217149
Otolaryngology in Pearland, TX

Q: What is Jeffrey Bergeron's NPI number?

The NPI number for Jeffrey Bergeron is 1790217149. It was assigned to this individual provider in the NPPES registry on April 3, 2017.

Q: What is Jeffrey Bergeron's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Bergeron was last updated on July 5, 2024. 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.

Active since April 03, 2017PECOS EnrolledAccepts Medicare Assignment

10970 SHADOW CREEK PKWY STE 360, PEARLAND, TX 77584(713) 436-8071(866) 939-1568 Get Directions Write a Review

NPPES record last updated: July 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 5, 2024, Aug 5, 2022, Nov 19, 2021 (3 updates tracked since 2021).

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About Dr. Jeffrey Mark Bergeron Jr. M.d. NPPES

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

DR. JEFFREY MARK BERGERON JR. M.D. (NPI 1790217149) is an individual otolaryngology provider in Pearland, Texas, licensed in Texas (T8489) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and is a graduate of Baylor College Of Medicine (2017).

NPPES Registry Identity

NPI1790217149

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameDR. JEFFREY MARK BERGERON JR.Credential: M.D.

Location Address10970 SHADOW CREEK PKWY STE 360Pearland, TX 77584-0123

Mailing Address10740 N Gessner Rd Ste 310Dallas, TX 75284-4658 · (281) 897-0416 · Fax (305) 807-8284

Phone(713) 436-8071

Fax(866) 939-1568

Sole ProprietorYes

Medical School CMSBaylor College Of MedicineGraduated 2017

Enumeration DateApril 3, 2017

Last NPPES UpdateJuly 5, 20243 updates tracked since enumeration

NPPES CertifiedJuly 5, 2024

✔ NPI 1790217149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in TX · T8489

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

10970 SHADOW CREEK PKWY STE 360, Pearland, TX 77584

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jeffrey Mark Bergeron Jr. M.d. 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 ID2860750825

PECOS Enrollment IDI20220718002578

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 Jeffrey Bergeron reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Texas Ear, Nose & Throat Specialists, PLLC

260 mi

Otolaryngology

6717 ELDORADO PKWY STE 140
Mckinney, TX 75070

Reassigned Medicare billing, Texas enrollment
133 clinicians in this Medicare group

NPI 1255314985 (972) 731-7654

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

Areas of Expertise CMS Part B claims 11

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

102 services102 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

100 services72 patients

Diagnostic exam of nasal passages using an endoscope 31231

A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.

84 services62 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

84 services55 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

81 services81 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

65 services56 patients

Hospital Affiliations CMS Care Compare

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

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450184

Location1635 North Loop WestHouston, TX 77008 · Harris County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77584 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

$131.03 typical visit price

range $57.16 – $172.89

Typical copayment $32.75 (range $14.29 – $43.22)

Most-billed visit code 99204

Established Patient

$71.28 typical visit price

range $18.45 – $141.27

Typical copayment $17.82 (range $4.61 – $35.31)

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.

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.

Tracheal suction catheter, any type other than closed system, each A4624

DME-Other DME · category DE000N

1 supplier14 claims1,260 services$2.57 avg. paid by Medicare

Tracheostomy care kit for established tracheostomy A4629

DME-Orthotic Devices · category DF000N

1 supplier14 claims480 services$4.43 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOUSAB DIAB MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)