ZACHARY BERGMAN
NPI 1811420441
Surgery in Saint Paul, MN

Active since April 10, 2017PECOS EnrolledAccepts Medicare Assignment
295 PHALEN BLVD, SAINT PAUL, MN 55130(651) 495-6600(952) 883-9677 Get Directions Write a Review

NPPES record last updated: April 13, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 13, 2020, Apr 10, 2017 (2 updates tracked since 2017).

About Zachary Bergman NPPES

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

ZACHARY BERGMAN (NPI 1811420441) is an individual surgery provider in Saint Paul, Minnesota, licensed in Minnesota (67119) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview Southdale Hospital, and maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1811420441
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameZACHARY BERGMAN
Location Address295 PHALEN BLVDSaint Paul, MN 55130-2400
Mailing Address420 Delaware St Se, Mmc 195Minneapolis, MN 55455-0341 · (612) 625-6483
Fax(952) 883-9677
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2017
Enumeration DateApril 10, 2017
Last NPPES UpdateApril 13, 20202 updates tracked since enumeration
NPPES CertifiedApril 13, 2020
NPI 1811420441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in MN · 67119
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

295 PHALEN BLVD, Saint Paul, MN 55130

Secondary Practice Location 1

Location 1420 Delaware St SE, MMC 195Minneapolis, MN 55455-0341 · Phone (612) 625-6483

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

Zachary Bergman 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 ID9830461912
PECOS Enrollment IDI20200630001130
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.

Hospital Affiliations CMS Care Compare 2

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

M Health Fairview Southdale Hospital

Acute Care Hospitals · Edina, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240078
Location6401 France Avenue SouthEdina, MN 55435 · Hennepin County
Emergency services Birthing friendly

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55130 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 20

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

Physical Therapy Assistant
295 PHALEN BLVD
SAINT PAUL, MN 55130
Physical Therapy Assistant
295 PHALEN BLVD
SAINT PAUL, MN 55130
Physical Therapy Assistant
295 PHALEN BLVD
SAINT PAUL, MN 55130
Physical Therapist
295 PHALEN BLVD
SAINT PAUL, MN 55130
Physical Therapy Assistant
295 PHALEN BLVD
SAINT PAUL, MN 55130
Occupational Therapist
295 PHALEN BLVD
SAINT PAUL, MN 55130
Speech-Language Pathologist
295 PHALEN BLVD
SAINT PAUL, MN 55130
Nurse Practitioner (Family)
295 PHALEN BLVD
SAINT PAUL, MN 55130

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811420441, enumerated as an "individual" on April 10, 2017.

The provider is located at 295 PHALEN BLVD SAINT PAUL, MN 55130 and the phone number is (651) 495-6600.

Surgery with taxonomy code 208600000X.

Zachary Bergman is affiliated with: M HEALTH FAIRVIEW SOUTHDALE HOSPITAL and M HEALTH FAIRVIEW UNIVERSITY OF MN.