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CLAIRE A BERGUS OD
NPI 1790853141
Optometrist in Fall River, MA

Active since December 02, 2006PECOS EnrolledAccepts Medicare Assignment
231 NEW BOSTON RD, FALL RIVER, MA 02720(508) 562-7067 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 28, 2025, Sep 25, 2024 (2 updates tracked since 2024).

About Claire A Bergus Od NPPES

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

CLAIRE A BERGUS OD (NPI 1790853141) is an individual optometrist in Fall River, Massachusetts, licensed in Massachusetts (3412) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Raynham, and is a graduate of New England College Of Optometry (1988).

NPPES Registry Identity

NPI1790853141
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameCLAIRE A BERGUSCredential: OD
Location Address231 NEW BOSTON RDFall River, MA 02720-5563
Mailing AddressPo Box 1244North Dighton, MA 02764-0826
Phone(508) 562-7067
Sole ProprietorYes
Medical School CMSNew England College Of OptometryGraduated 1988
Enumeration DateDecember 2, 2006
Last NPPES UpdateMay 28, 20252 updates tracked since enumeration
NPPES CertifiedMay 28, 2025
✔ NPI 1790853141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in MA · 3412✔ Licensed in MA · MA3412
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
231 NEW BOSTON RD, Fall River, MA 02720
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Secondary Practice Location 1

Location 1473 South St W Ste 14Raynham, MA 02767-5306 · Phone (508) 562-7067

Other Identifiers 5

Other0027907Nhp
Other0904763Cigna
OtherW16164Bcbs
Other00000002289Bmc
Medicaid0369853MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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

Claire A Bergus Od 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 ID7214999622
PECOS Enrollment IDI20041028000606
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.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
14 services12 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.
14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02720 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

Other Providers at the Same Location NPPES 2

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

CLAIRE A BERGUS
Optometrist
231 NEW BOSTON RD
FALL RIVER, MA 02720
Bristol County (508) 562-7067
DR. MARY ANN SPENCER OD
Optometrist
231 NEW BOSTON RD
FALL RIVER, MA 02720
Bristol County (508) 673-6262

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 Claire Bergus's NPI number?

The NPI number for Claire Bergus is 1790853141. It was assigned to this individual provider in the NPPES registry on December 2, 2006.

Where is Claire Bergus located?

Claire Bergus practices at 231 New Boston Rd, Fall River, MA 02720. The listed phone number is (508) 562-7067.

What is Claire Bergus's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Claire Bergus enrolled in Medicare?

Yes. Claire Bergus 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 Claire Bergus accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Claire Bergus 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 Claire Bergus was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.