Active NPI 1003228925 Individual Practitioner Female Practitioner

Tabetha Emily Bergeron , PA-C

Physician Assistant • Grand Rapids, MI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Tabetha Bergeron, PA-C is a certified Physician Assistant practicing in Grand Rapids, MI. With approximately 12 years of clinical experience since completing medical education in 2014, Tabetha Bergeron delivers high-quality medical care to the local community at 4069 LAKE DR SE.

Tabetha Bergeron is affiliated with Spectrum Health Primary Care Partners and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, assessment of emotional or behavioral problems. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4069 Lake Dr Se

Grand Rapids, MI 495468816

Telephone 6162677469

Associated Practice Facility / Clinic

🏢 Spectrum Health Facility NPI 1811983000

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Grand Rapids, MI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs +0.6 yrs vs City Avg

City Avg: 11.4 Yrs

State Avg: 12.2 Yrs

Regional Practice Density

920 Specialists

Practicing in Grand Rapids, MI (7057 Statewide)

Telehealth Adoption Rate

17.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

2.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bergeron (12 Years) 12 Yrs

Grand Rapids Specialty Average (11.4 Years) 11.4 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
99213 Established patient office or other outpatient visit, typically 15 minutes	50	47	$47.24	$46.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	249	178	$224.55	$79.13
99213 Established patient office or other outpatient visit, typically 15 minutes	46	46	$119.13	$60.33
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	39	39	$234.00	$37.93
96127 Assessment of emotional or behavioral problems	24	13	$18.00	$4.39
83036 Hemoglobin A1C level	21	17	$24.00	$9.52
G0008 Administration of influenza virus vaccine	21	21	$40.00	$29.39
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	18	18	$92.00	$74.88
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	15	$299.00	$83.71
81003 Automated urinalysis test	14	14	$14.00	$2.20
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	12	11	$33.00	$5.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	153	130	$222.00	$78.50
99213 Established patient office or other outpatient visit, typically 15 minutes	65	58	$152.00	$70.35
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	26	26	$230.00	$40.57
96127 Assessment of emotional or behavioral problems	26	16	$17.00	$4.28
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	14	$294.00	$100.26
G0008 Administration of influenza virus vaccine	13	13	$35.00	$27.92
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	12	12	$75.00	$69.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	269	185	$219.90	$77.01
99213 Established patient office or other outpatient visit, typically 15 minutes	92	80	$150.86	$52.32
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	43	43	$227.67	$110.20
96127 Assessment of emotional or behavioral problems	22	12	$15.50	$4.52
G0008 Administration of influenza virus vaccine	21	20	$35.00	$16.13
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	17	17	$30.41	$6.11
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	16	16	$75.00	$66.43
81003 Automated urinalysis test	15	13	$12.00	$2.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	330	253	$216.19	$83.31
99213 Established patient office or other outpatient visit, typically 15 minutes	87	77	$147.34	$58.58
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	47	47	$225.06	$96.89
G0008 Administration of influenza virus vaccine	42	42	$35.00	$15.71
90662 Influenza vaccine split virus, preservative free	31	31	$67.00	$59.01
96127 Assessment of emotional or behavioral problems	29	16	$14.59	$4.52
36415 Insertion of needle into vein for collection of blood sample	18	18	$15.00	$2.94
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	18	18	$29.67	$8.05
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	14	14	$33.00	$16.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	337	224	$211.33	$87.70
99213 Established patient office or other outpatient visit, typically 15 minutes	222	177	$144.27	$59.80
36415 Insertion of needle into vein for collection of blood sample	89	65	$15.00	$2.87
G0008 Administration of influenza virus vaccine	48	48	$35.00	$15.78
81002 Urinalysis, manual test	46	40	$15.00	$3.35
90662 Influenza vaccine split virus, preservative free	41	41	$59.85	$54.83
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	39	39	$220.31	$94.43
96127 Assessment of emotional or behavioral problems	34	23	$13.38	$4.79
G0009 Administration of pneumococcal vaccine	32	32	$35.00	$15.78
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	19	19	$121.00	$110.60
69209 Removal of impacted ear wax by washing	19	17	$30.00	$12.35
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	15	15	$28.53	$7.87
90670 Pneumococcal vaccine for injection into muscle	14	14	$238.00	$193.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	281	214	$142.00	$59.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	198	136	$208.00	$88.23
36415 Insertion of needle into vein for collection of blood sample	106	85	$15.00	$2.94
G0008 Administration of influenza virus vaccine	44	44	$35.00	$19.33
90662 Influenza vaccine split virus, preservative free	38	38	$53.61	$51.96
81002 Urinalysis, manual test	34	30	$15.00	$3.41
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	31	31	$216.00	$95.13
G0009 Administration of pneumococcal vaccine	29	29	$35.00	$19.33
96127 Assessment of emotional or behavioral problems	21	16	$13.00	$5.61
90670 Pneumococcal vaccine for injection into muscle	19	19	$238.00	$199.72
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	16	16	$28.00	$7.86
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	14	11	$57.00	$15.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	318	237	$136.49	$57.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	212	155	$194.62	$82.28
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	150	17	$3.00	$1.82
36415 Insertion of needle into vein for collection of blood sample	85	75	$15.00	$2.94
G0008 Administration of influenza virus vaccine	33	33	$35.00	$23.79
81002 Urinalysis, manual test	32	28	$15.00	$3.43
90662 Influenza vaccine split virus, preservative free	29	29	$49.00	$48.02
G0009 Administration of pneumococcal vaccine	28	28	$35.00	$23.79
90670 Pneumococcal vaccine for injection into muscle	27	27	$237.74	$188.79
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	21	18	$56.52	$19.34
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	15	15	$214.13	$93.99

Medical Specialties & State Licenses

CMS Verified: 2024-06-12

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MI 5601006952

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Spectrum Health Primary Care Partners

4069 Lake Dr Se, Grand Rapids, MI 495468816

Spectrum Health Primary Care Partners

4444 Kalamazoo Ave Se, Kentwood, MI 495084600

Phone: 6163915600

Practice Associates & Co-Workers

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

20 Associated Practitioners

Sarah Parker , NP

Nurse Practitioner - Family

NPI 1013479765

Nurse Practitioner

Savannah Molner , PA

Physician Assistant

NPI 1043806466

Physician Assistant

Amelia Ashcraft , PA-C

Physician Assistant

NPI 1053821033

Physician Assistant (Certified)

Melissa Hustak , PA-C

Physician Assistant

NPI 1063582146

Physician Assistant (Certified)

Alyssa Galganski , PA

Physician Assistant

NPI 1104256239

Physician Assistant

Dr. Justin Voorhees , MD

Internal Medicine - Hospice and Palliative Medicine

NPI 1154634764

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

16 Historical Events

👤

Provider Name / Credentials Updated June 12, 2024

Recorded as TABETHA BERGERON, PA-C

📍

Updated Practice Location November 20, 2023

Registered at 4069 LAKE DR SE, GRAND RAPIDS, MI 495468816 (Tel: 6162677469)

📍

Updated Practice Location May 20, 2020

Registered at 2009 HOLTON RD, MUSKEGON, MI 494451578 (Tel: 2312918399)

✅

NPI Profile Active March 03, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location March 03, 2017

Registered at 427 SEMINOLE RD, SUITE 200, NORTON SHORES, MI 494443747 (Tel: 2317396000)

📍

Updated Business Mailing Address March 03, 2017

Registered at 100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 495032560 (Tel: 6164866790)

👤

Provider Name / Credentials Updated March 03, 2017

Recorded as TABETHA TENNEY, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2017

Physician Assistant (License #5601006952 in MI)

📍

Updated Practice Location February 13, 2017

Registered at 427 SEMINOLE RD, SUITE 100, NORTON SHORES, MI 494443747 (Tel: 2317396000)

📍

Updated Business Mailing Address February 13, 2017

Registered at 100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 495032560

✅

NPI Profile Active May 27, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location May 27, 2014

Registered at 1090 GENTIAN DR SE, KENTWOOD, MI 495088608 (Tel: 6166480538)

📍

Updated Business Mailing Address May 27, 2014

Registered at 1090 GENTIAN DR SE, KENTWOOD, MI 495088608 (Tel: 6166480538)

👤

Provider Name / Credentials Updated May 27, 2014

Recorded as TABETHA TENNEY, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2014

Physician Assistant (License #5601006952 in MI)

🟢

Initial NPI Registration & Enumeration May 27, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1003228925

Entity Type:

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

Enumeration Date: May 27, 2014

Last Update: June 12, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

100 Michigan St Ne, Mc 845

Grand Rapids, MI 495032560

Phone: 6164866790

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.