DR. ETHAN SCHUYLER BERGVALL M.D.
NPI 1891988242
Nuclear Medicine in Charlottesville, VA

Active since August 20, 2007PECOS EnrolledAccepts Medicare Assignment
79.39/100
CMS Quality Rating
1240 LEE ST, CHARLOTTESVILLE, VA 22908(434) 924-9333(434) 243-3938 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 8, 2023, Oct 13, 2020, Jan 13, 2020 (3 updates tracked since 2020).

About Dr. Ethan Schuyler Bergvall M.d. NPPES

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

DR. ETHAN SCHUYLER BERGVALL M.D. (NPI 1891988242) is an individual nuclear medicine provider in Charlottesville, Virginia, licensed in Virginia (0101268271) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with University Of Virginia Medical Center, and is a graduate of University Of Utah School Of Medicine (2006).

NPPES Registry Identity

NPI1891988242
Entity TypeIndividualMale
Primary Taxonomy207U00000X
Provider Legal NameDR. ETHAN SCHUYLER BERGVALLCredential: M.D.
Location Address1240 LEE STCharlottesville, VA 22908-0817
Mailing AddressPo Box 9007Charlottesville, VA 22906-9007 · (434) 295-1000 · Fax (434) 972-4266
Fax(434) 243-3938
Sole ProprietorYes
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2006
Enumeration DateAugust 20, 2007
Last NPPES UpdateAugust 8, 20233 updates tracked since enumeration
NPPES CertifiedAugust 8, 2023
NPI 1891988242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNuclear MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207U00000X
License Licensed in VA · 0101268271
Definition
A nuclear medicine specialist employs the properties of radioactive atoms and molecules in the diagnosis and treatment of disease and in research. Radiation detection and imaging instrument systems are used to detect disease as it changes the function and metabolism of normal cells, tissues and organs. A wide variety of diseases can be found in this way, usually before the structure of the organ involved by the disease can be seen to be abnormal by any other techniques. Early detection of coronary artery disease (including acute heart attack), early cancer detection and evaluation of the effect of tumor treatment, diagnosis of infection and inflammation anywhere in the body and early detection of blood clot in the lungs are all possible with these techniques. Unique forms of radioactive molecules can attack and kill cancer cells (e.g., lymphoma, thyroid cancer) or can relieve the severe pain of cancer that has spread to bone
1240 LEE ST, Charlottesville, VA 22908

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. Ethan Schuyler Bergvall 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 ID2466676028
PECOS Enrollment IDI20200122001542
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 3

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.

Nuclear medicine study from skull base to mid-thigh with ct scan 78815
A nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.
255 services244 patients
Nuclear medicine study whole body with ct scan 78816
A Nuclear Medicine Study with a CT Scan is a diagnostic procedure. It uses a small amount of radioactive substance and a CT scan to create detailed images of your body. These images help doctors diagnose, monitor, and treat various conditions.
91 services84 patients
Nuclear medicine study of bone and/or joint whole body 78306
A nuclear medicine study of bone and/or joint whole body involves injecting a small amount of radioactive material into your body. This material travels to your bones and emits energy. A special camera captures this energy, creating images of your bones to help identify any abnormalities.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number490009
Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22908 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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.

79.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.66
Promoting Interoperability100
Improvement Activities40
Cost57.65

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.

Internal Medicine (Gastroenterology)
1240 LEE ST
CHARLOTTESVILLE, VA 22908
Internal Medicine (Hematology)
1240 LEE ST
CHARLOTTESVILLE, VA 22908
Nurse Practitioner (Family)
1240 LEE ST
CHARLOTTESVILLE, VA 22908
Nurse Practitioner
1240 LEE ST
CHARLOTTESVILLE, VA 22908
Nurse Practitioner (Acute Care)
1240 LEE ST
CHARLOTTESVILLE, VA 22908
Internal Medicine (Hematology & Oncology)
1240 LEE ST
CHARLOTTESVILLE, VA 22908
Internal Medicine (Hematology)
1240 LEE ST
CHARLOTTESVILLE, VA 22908
Obstetrics & Gynecology (Gynecologic Oncology)
1240 LEE ST
CHARLOTTESVILLE, VA 22908

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 Ethan Bergvall's NPI number?

The NPI number for Ethan Bergvall is 1891988242. It was assigned to this individual provider in the NPPES registry on August 20, 2007.

Where is Ethan Bergvall located?

Ethan Bergvall practices at 1240 Lee St, Charlottesville, VA 22908. The listed phone number is (434) 924-9333.

What is Ethan Bergvall's specialty?

The primary specialty registered for this NPI is Nuclear Medicine with taxonomy code 207U00000X.

Is Ethan Bergvall enrolled in Medicare?

Yes. Ethan Bergvall 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.

Is Ethan Bergvall affiliated with any hospitals?

According to CMS data, Ethan Bergvall is affiliated with University Of Virginia Medical Center.

When was this NPI record last updated?

The NPPES record for Ethan Bergvall was last updated on August 8, 2023. 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.