LISA A BERGERON M.D.
NPI 1801890355
Pediatrics in Fort Wayne, IN

Q: What is Lisa Bergeron's NPI number?

The NPI number for Lisa Bergeron is 1801890355. It was assigned to this individual provider in the NPPES registry on June 10, 2005.

Q: What is Lisa Bergeron's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Bergeron was last updated on December 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 June 10, 2005PECOS Enrolled

11115 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845(260) 266-5400(260) 266-5405 Get Directions Write a Review

NPPES record last updated: December 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lisa A Bergeron M.d. NPPES

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

LISA A BERGERON M.D. (NPI 1801890355) is an individual pediatrics provider in Fort Wayne, Indiana, licensed in Indiana (01043876A) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801890355

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameLISA A BERGERONCredential: M.D.

Location Address11115 PARKVIEW PLAZA DRFort Wayne, IN 46845-1701

Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701

Phone(260) 266-5400

Fax(260) 266-5405

Sole ProprietorNo

Enumeration DateJune 10, 2005

Last NPPES UpdateDecember 20, 2022

NPPES CertifiedDecember 20, 2022

✔ NPI 1801890355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in IN · 01043876A✔ Licensed in OH · 35065206

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

11115 PARKVIEW PLAZA DR, Fort Wayne, IN 46845

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Other Identifiers 2

Medicaid200037410IN

Other000000602350IN · Anthem

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 (PECOS)

Lisa A Bergeron M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46845 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

Other Providers at the Same Location NPPES 20

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

DR. MELISSA S RICE D.O.

Pediatrics (Neonatal-Perinatal Medicine)