Individual provider Active NPI

Tobias Nikolaus Von Bergen, M.D.

  • Orthopaedic Hand Surgery Physician
  • Stockbridge, GA
National Provider Identifier
1861807414
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
86346 Issued in GA
Practice address
1240 Eagles Landing Pkwy Ste 300
Stockbridge, GA 30281-5173
Phone
(770) 506-4350
Fax
(770) 506-9860
NPI assigned
Jun 23, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 86346 GA
Orthopaedic Surgery Physician 207X00000X 2019-00768 NC
Orthopaedic Hand Surgery Physician 207XS0106X 86346 GA Primary

Addresses

Primary practice location

1240 Eagles Landing Pkwy Ste 300
Stockbridge, GA 30281-5173

Mailing address

900 Circle 75 Pkwy SE Ste 1700
Atlanta, GA 30339-3087
Phone (770) 953-6929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, GA2 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

Enrollment IDStateProvider typePAC IDDetails
I20190625002030 NC Practitioner - Orthopedic Surgery 4082948062 Reassigns benefits to 2 organizations
I20200826003788 GA Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 4082948062 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
Emory University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Orthopedics, LLCGroup PAC ID 4385963172, 191 clinicians

Practice addresses (Care Compare)

1240 Eagles Landing Pkwy
Suite 300
Stockbridge, GA 30281-5173
Phone (770) 953-6929

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
86346GAMDOrthopaedic Surgery Physician
2019-00768NCMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Medical Center Current Accepting new patients
Carolinas Medical Center Orthopaedic Surgery CurrentSince Sep 15, 2019 Accepting new patients
Orthocarolina Orthopaedic Surgery Current Accepting new patients
Orthoatlanta, LLC Orthopaedic Surgery CurrentSince Sep 14, 2020 Accepting new patients
Carolinas Medical Center CurrentSince Sep 15, 2019 Accepting new patients
Orthocarolina Orthopaedic Surgery CurrentSince May 24, 2019 Accepting new patients
Orthoatlanta, LLC Orthopaedic Surgery Current Accepting new patients
Orthocarolina Orthopaedic Surgery CurrentSince May 24, 2019 Accepting new patients
Orthoatlanta, LLC Orthopaedic Surgery CurrentSince Sep 14, 2020 Accepting new patients
Piedmont Orthopedics, LLC Orthopaedic Surgery CurrentSince Sep 1, 2020 Accepting new patients
Orthoatlanta, LLC Orthopaedic Surgery Past Accepting new patients
Orthoatlanta, LLC Orthopaedic Surgery Past Accepting new patients

Locations (25 of 30)

1800 Howell Mill Rd NW
Ste 200
Atlanta, GA 30318
Phone (404) 352-1015

900 Circle 75 Pkwy SE
Ste 1700
Atlanta, GA 30339
Phone (770) 953-6929

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

3672 Marathon Cir
Ste 200
Austell, GA 30106
Phone (770) 944-3303

3672 Marathon Cir
Ste 120
Austell, GA 30106
Phone (678) 945-8551

3672 Marathon Cir
Ste 100
Austell, GA 30106
Phone (678) 945-8525

1265 Highway 54 W
Ste 200
Fayetteville, GA 30214
Phone (404) 785-8785

1255 Highway 54 W
Fayetteville, GA 30214
Phone (770) 719-6911

1265 Highway 54 W
Ste 308
Fayetteville, GA 30214
Phone (678) 216-0771

6300 Hospital Pkwy
Ste 475
Johns Creek, GA 30097
Phone (678) 205-4298

6300 Hospital Pkwy
Ste 400
Johns Creek, GA 30097
Phone (678) 205-4261

771 Old Norcross Rd
Ste 390
Lawrenceville, GA 30046
Phone (678) 957-0757

771 Old Norcross Rd
Ste 155
Lawrenceville, GA 30046
Phone (678) 957-0757

440 Charter Blvd
Ste 3302
Macon, GA 31210
Phone (478) 405-7977

620 Cherokee St NE
Ste 300
Marietta, GA 30060
Phone (770) 635-1812

101 Regency Park Dr
Ste 120
McDonough, GA 30253
Phone (678) 214-6111

354 Newnan Crossing Byp
Ste 200
Newnan, GA 30265
Phone (770) 460-1900

2201 Newnan Crossing Blvd E
Ste 100
Newnan, GA 30265
Phone (770) 460-4747

2785 Highway 54
Peachtree City, GA 30269
Phone (404) 357-0456

4441 Atlanta Rd SE
Ste 215
Smyrna, GA 30080
Phone (470) 956-4165

1700 Tree Ln
Ste 300
Snellville, GA 30078
Phone (678) 205-4299

1700 Tree Ln
Ste 140
Snellville, GA 30078
Phone (678) 829-4377

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

1240 Eagles Landing Pkwy
Ste 320
Stockbridge, GA 30281
Phone (404) 357-0456

1240 Eagles Landing Pkwy
Ste 340
Stockbridge, GA 30281
Phone (678) 216-1838

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/327/brand/1/csg/21/fhir/r4
  • Direct secure messaging: tobias.vonbergen.p48@direct.tenet.nextgenshare.com
  • Direct secure messaging: tobias.vonbergen.p47@direct.tenet.nextgenshare.com

Organizations & group practices 12

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

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1861807414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CIRCLE 75 PKWY SE STE 1700",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393087",
            "telephone_number": "770-953-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 EAGLES LANDING PKWY STE 300",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815173",
            "telephone_number": "770-506-4350",
            "fax_number": "770-506-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VON BERGEN",
        "first_name": "TOBIAS",
        "middle_name": "NIKOLAUS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-23",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "86346",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "2019-00768",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "GA",
            "license": "86346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.