Active NPI
Bergman Eye Surgery Center, LLC
Doing business as Physician's Surgery Center
- Ambulatory Surgical Clinic/Center
- Hagerstown, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D1085741 | Physicians Surgery Center | Certificate of waiver | Jun 24, 2028 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Annapolis, MD
- NPI 1346215316
Member Of
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.
-
- Ophthalmology Physician
- Hagerstown, MD
- NPI 1245405240
-
- Anesthesiology Physician
- Edgewood, MD
- NPI 1992724322
-
- Ophthalmology Physician
- Hagerstown, MD
- NPI 1154995850
-
- Ophthalmology Physician
- Hagerstown, MD
- NPI 1659371888
-
- Ophthalmology Physician
- San Diego, CA
- NPI 1790888006
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.