Cory Bergman, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

12382 Issued in SD

Practice address

2800 3Rd St
Rapid City, SD 57701-7374

Phone

(605) 719-3110

Fax

(605) 341-0278

NPI assigned

Jun 21, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in SD, WY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Ophthalmology

Education

University of Colorado School of Medicine, Aurora, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Black Hills Regional Eye Institute LLPGroup PAC ID 0547156762, shared by 2 NPIs, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Summit Medical Center Hospital, Casper, WY, CCN 530034

Merit-based Incentive Payment System (MIPS)

Final score

80.21 of 100Reported as group

Quality

98.64

Promoting interoperability

100

Improvement activities

40

Cost

35.39

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cbergman@bhrei.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Black Hills Regional Eye Institute, LLP

  • Ophthalmology Physician
  • Rapid City, SD
  • NPI 1952381881
  Medicare reassignment NPD
• Black Hills Regional Eye Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Rapid City, SD
  • NPI 1346220183
  Medicare reassignment NPD
• Black Hills Regional Eye Institute, LLP

  • Ophthalmology Physician
  • Gillette, WY
  • NPI 1689863839
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Summit Medical Center, LLC

  • General Acute Care Hospital
  • Casper, WY
  • NPI 1609297506
  Care Compare affiliation

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

{
    "created_epoch": "1403308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1285049940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 3RD ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017374",
            "telephone_number": "605-719-3110",
            "fax_number": "605-341-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 3RD ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017374",
            "telephone_number": "605-719-3110",
            "fax_number": "605-341-0278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11370 Anderson St Ste 1800",
            "address_purpose": "LOCATION",
            "city": "Loma Linda",
            "state": "CA",
            "postal_code": "923543450",
            "country_code": "US",
            "telephone_number": "095-582-1549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGMAN",
        "first_name": "CORY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-21",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "60841848",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A141899",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WY",
            "license": "13306A",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NE",
            "license": "33318",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CO",
            "license": "TL.0005316",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SD",
            "license": "12382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Benusis, DMD
• Zachary Joe Berbos, MD
• Birgen Berg
• Paula D Berg, CNP
• Nodia Berglund
• Tyler Bergstrom
• Gail Bernard
• Carey L Berndt, P.T.
• Shana S Bernhard, MD
• Ashley Bernhardt

• Ophthalmology Physician in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Ophthalmology Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.