DR. TOBIAS NIKOLAUS VON BERGEN M.D.
NPI 1861807414
Orthopaedic Surgery - Hand Surgery in Stockbridge, GA

Q: What is the provider's specialty?

The provider's specialty is Orthopaedic Surgery with taxonomy code 207XS0106X and a focus in Hand Surgery.

Active since June 23, 2014PECOS EnrolledAccepts Medicare Assignment

90.8/100

CMS Quality Rating

1240 EAGLES LANDING PKWY STE 300, STOCKBRIDGE, GA 30281(770) 506-4350(770) 506-9860 Get Directions Write a Review

NPPES record last updated: September 15, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 15, 2020, Aug 5, 2019 (2 updates tracked since 2019).

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About Dr. Tobias Nikolaus Von Bergen M.d. NPPES

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

DR. TOBIAS NIKOLAUS VON BERGEN M.D. (NPI 1861807414) is an individual hand surgery provider in Stockbridge, Georgia, licensed in Georgia (86346) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Piedmont Henry Hospital, and is a graduate of Emory University School Of Medicine (2014).

NPPES Registry Identity

NPI1861807414

Entity TypeIndividualMale

Primary Taxonomy207XS0106X

Provider Legal NameDR. TOBIAS NIKOLAUS VON BERGENCredential: M.D.

Location Address1240 EAGLES LANDING PKWY STE 300Stockbridge, GA 30281-5173

Mailing Address900 Circle 75 Pkwy Se Ste 1700Atlanta, GA 30339-3087 · (770) 953-6929

Phone(770) 506-4350

Fax(770) 506-9860

Sole ProprietorNo

Medical School CMSEmory University School Of MedicineGraduated 2014

Enumeration DateJune 23, 2014

Last NPPES UpdateSeptember 15, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 15, 2020

✔ NPI 1861807414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0106X

License✔ Licensed in GA · 86346

Definition

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 86346 (GA), 2019-00768 (NC)

1240 EAGLES LANDING PKWY STE 300, Stockbridge, GA 30281

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, 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 and accepts Medicare assignment

Dr. Tobias Nikolaus Von Bergen 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 ID4082948062

PECOS Enrollment IDI20200826003788

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 11

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

298 services88 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.

157 services119 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

127 services119 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.

112 services84 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

94 services62 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.

56 services56 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Henry Hospital

Acute Care Hospitals · Stockbridge, GA

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110191

Location1133 Eagle's Landing ParkwayStockbridge, GA 30281 · Henry County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30281 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.8/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

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.

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908

DME-Orthotic Devices · category DF000N

2 suppliers24 claims27 services$44.01 avg. paid by Medicare

Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf L3924

DME-Orthotic Devices · category DF000N

2 suppliers17 claims23 services$66.25 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 13

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

MS. CYNTHIA ELLEN HUNT PA-C

Physician Assistant