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DR. GREGORY WALTER BERGNER MD
NPI 1851398671
Family Medicine in South Lake Tahoe, CA

Active since July 07, 2005PECOS Enrolled
1067 4TH ST, SOUTH LAKE TAHOE, CA 96150(530) 600-1960(530) 542-4372 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gregory Walter Bergner Md NPPES

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

DR. GREGORY WALTER BERGNER MD (NPI 1851398671) is an individual family medicine provider in South Lake Tahoe, California, licensed in California (G34890) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in South Lake Tahoe.

NPPES Registry Identity

NPI1851398671
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. GREGORY WALTER BERGNERCredential: MD
Location Address1067 4TH STSouth Lake Tahoe, CA 96150-3459
Mailing Address1111 Emerald Bay RdSouth Lake Tahoe, CA 96150-6207 · (530) 543-5659 · Fax (530) 541-8723
Phone(530) 600-1960
Fax(530) 542-4372
Sole ProprietorNo
Enumeration DateJuly 7, 2005
Last NPPES UpdateMarch 17, 2018
✔ NPI 1851398671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G34890
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1067 4TH ST, South Lake Tahoe, CA 96150
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Secondary Practice Location 1

Location 12170 South AveSouth Lake Tahoe, CA 96150-7026 · Phone (530) 541-3420

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gregory Walter Bergner Md 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 96150 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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 5

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

SIERRA C ARMSTRONG FNP
Nurse Practitioner
1067 4TH ST
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 600-1968
DR. SHERELLEN B GERHART MD
Internal Medicine (Hospice and Palliative Medicine)
1067 4TH ST
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 600-1960
DR. ERICA CUSICK DO
Psychiatry & Neurology (Psychiatry)
1067 4TH ST
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 600-1968
REBECCA K PHILLIPSEN MSW, LCSW
Social Worker (Clinical)
1067 4TH ST
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 600-1968
MOUNTAIN MEADOWS MEDICAL GROUP OF CALIFORNIA, INC.
Obstetrics & Gynecology
1067 4TH ST
S LAKE TAHOE, CA 96150
El Dorado County (530) 543-5710

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 Gregory Bergner's NPI number?

The NPI number for Gregory Bergner is 1851398671. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Gregory Bergner located?

Gregory Bergner practices at 1067 4th St, South Lake Tahoe, CA 96150. The listed phone number is (530) 600-1960.

What is Gregory Bergner's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gregory Bergner enrolled in Medicare?

Yes. Gregory Bergner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gregory Bergner was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.