Active NPI 1801814108 Individual Practitioner Male Practitioner

Dr. Michael A Bergom , MD

Surgery • Shiloh, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Bergom, MD is a certified Surgery practicing in Shiloh, IL. With approximately 25 years of clinical experience since graduating from University Of North Dakota School Of Medicine in 2001, Dr. Bergom delivers high-quality medical care to the local community at 1414 CROSS STREET.

Dr. Bergom is affiliated with Lincoln Surgical Associates, Ltd. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, biopsy of breast and placement of locating device using ultrasound, first growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1414 Cross Street
Suite 330

Shiloh, IL 622692998

Telephone 6182777400

Fax 6182777422

Associated Practice Facility / Clinic

🏢 Lincoln Surgical Group Facility NPI 1700962271

Medicare Profile & Education

Medical School

University Of North Dakota School Of Medicine

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Shiloh, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +3.9 yrs vs City Avg

City Avg: 21.1 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

11 Specialists

Practicing in Shiloh, IL (1624 Statewide)

Telehealth Adoption Rate

18.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bergom (25 Years) 25 Yrs

Shiloh Specialty Average (21.1 Years) 21.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	183	139	$145.00	$54.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$445.00	$162.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	46	$340.00	$123.30
99213 Established patient office or other outpatient visit, typically 15 minutes	50	49	$240.00	$88.29
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	49	48	$1650.00	$148.82
99231 Follow-up hospital inpatient care per day, typically 15 minutes	48	31	$100.00	$49.37
19301 Partial removal of breast	28	24	$1900.00	$682.45
38900 Lymph node imaging during surgery	18	18	$400.00	$139.28
19081 Biopsy of breast accessed through the skin with stereotactic guidance	17	16	$1700.00	$161.29
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$370.00	$130.02
99221 Initial hospital inpatient care per day, typically 30 minutes	12	11	$280.00	$83.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	122	88	$240.00	$85.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	83	68	$145.00	$53.70
99231 Follow-up hospital inpatient care per day, typically 15 minutes	73	42	$100.00	$48.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$403.89	$159.96
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	55	54	$1650.00	$145.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	39	$340.00	$119.51
19301 Partial removal of breast	25	23	$1900.00	$674.95
19081 Biopsy of breast accessed through the skin with stereotactic guidance	17	17	$1700.00	$159.95
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$280.00	$81.69
38900 Lymph node imaging during surgery	15	15	$400.00	$141.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$280.00	$107.35
38500 Biopsy or removal of lymph nodes, open procedure	11	11	$950.00	$129.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	165	61	$100.00	$39.36
99213 Established patient office or other outpatient visit, typically 15 minutes	82	74	$240.00	$90.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	72	62	$145.00	$55.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$356.54	$167.89
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	37	37	$1650.00	$154.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	31	$370.00	$136.86
99221 Initial hospital inpatient care per day, typically 30 minutes	30	30	$280.00	$102.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$340.00	$123.87
19301 Partial removal of breast	18	17	$1900.00	$717.33
19081 Biopsy of breast accessed through the skin with stereotactic guidance	14	14	$1700.00	$169.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$240.00	$113.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	233	89	$100.00	$38.00
99221 Initial hospital inpatient care per day, typically 30 minutes	73	69	$280.00	$105.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$350.00	$170.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	33	$126.34	$56.24
99213 Established patient office or other outpatient visit, typically 15 minutes	37	32	$201.08	$92.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$240.00	$115.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	17	$370.00	$140.62
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	17	17	$1650.00	$165.61
19081 Biopsy of breast accessed through the skin with stereotactic guidance	11	11	$1700.00	$174.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	41	33	$275.10	$72.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	34	14	$315.00	$68.60
99231 Follow-up hospital inpatient care per day, typically 15 minutes	33	11	$100.00	$41.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$351.33	$104.67
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$454.00	$129.94
99221 Initial hospital inpatient care per day, typically 30 minutes	15	14	$324.33	$103.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	90	42	$307.00	$68.51
99291 Critical care, first 30-74 minutes	62	30	$2160.00	$214.72
99213 Established patient office or other outpatient visit, typically 15 minutes	46	39	$265.00	$71.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$389.00	$104.19
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	26	25	$256.00	$5.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$393.00	$105.55
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$488.00	$132.39
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$463.23	$179.61
19301 Partial removal of breast	13	13	$3058.46	$636.44
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$2480.00	$181.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	78	37	$292.00	$69.85
99291 Critical care, first 30-74 minutes	47	22	$2120.00	$212.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$370.00	$102.44
99213 Established patient office or other outpatient visit, typically 15 minutes	40	37	$252.00	$70.00
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	24	24	$241.00	$5.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$465.00	$130.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	79	36	$278.00	$69.44
99291 Critical care, first 30-74 minutes	45	22	$2019.00	$213.49
99213 Established patient office or other outpatient visit, typically 15 minutes	44	37	$240.00	$68.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$352.00	$99.13
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	23	23	$225.00	$4.99
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$443.93	$131.14

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036153202

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License WI 45795

Hospital & Practice Group Affiliations

Lincoln Surgical Associates, Ltd.

1414 Cross St, Shiloh, IL 622692941

Phone: 6182777400

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

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Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location March 20, 2024

Registered at 1414 CROSS STREET, SUITE 330, SHILOH, IL 622692998 (Tel: 6182777400)

📍

Updated Business Mailing Address March 20, 2024

Registered at 1414 CROSS STREET, SUITE 330, SHILOH, IL 622692998 (Tel: 6182777400)

✅

NPI Profile Active August 31, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location August 31, 2012

Registered at 36500 AURORA DR, SUMMIT, WI 530664899 (Tel: 2624345000)

📍

Updated Business Mailing Address August 31, 2012

Registered at 1037 MILWAUKEE ST, DELAFIELD, WI 530181626 (Tel: 2625106482)

👤

Provider Name / Credentials Updated August 31, 2012

Recorded as MICHAEL BERGOM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2012

Surgery (License #45795 in WI)

🟢

Initial NPI Registration & Enumeration July 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1801814108

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 17, 2006

Last Update: March 20, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1414 Cross Street, Suite 330

Shiloh, IL 622692998

Phone: 6182777400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.