Organization Active NPI

Bergman Eye Surgery Center, LLC

Doing business as Physician's Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Hagerstown, MD
National Provider Identifier
1235304312
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
BERGMAN EYE SURGERY CENTER, LLC
Doing business as
Physician's Surgery Center
Practice address
220 Champion Dr
Suite 101
Hagerstown, MD 21740-6558
Phone
(301) 791-0888
Fax
(301) 791-3611
NPI assigned
Apr 29, 2008
Last updated
Jul 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Pascetta
Title
Cfo
Phone
(860) 652-5002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

220 Champion Dr
Suite 101
Hagerstown, MD 21740-6558

Mailing address

220 Champion Dr Ste 101
Hagerstown, MD 21740-6665
Phone (301) 791-0888

Other names 1

  • Physician's Surgery Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080917000704 MD Part B Supplier - Ambulatory Surgical Center 9830266899 Practice locations: Hagerstown, MD

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Bergman Eye Surgery Center LLCCCN 21C0001482
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D1085741Physicians Surgery Center220 Champion Drive Ste 101, Hagerstown, MD 21740Certificate of waiverJun 24, 2028

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

220 Champion Dr
Ste 101
Hagerstown, MD 21740
Phone 3017910888303

10212 Governor Lane Blvd
Ste 1004B
Williamsport, MD 21795

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1235304312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CHAMPION DR STE 101",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406665",
            "telephone_number": "301-791-0888",
            "fax_number": "301-791-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 CHAMPION DR",
            "address_2": "SUITE 101",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406558",
            "telephone_number": "301-791-0888",
            "fax_number": "301-791-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGMAN EYE SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "PASCETTA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "860-652-5002"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physician's Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.