Active NPI 1992896401 Individual Practitioner Male Practitioner

Dr. Stephen G Bergquist , MD

Internal Medicine • Jackson, TN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Bergquist, MD is a certified Internal Medicine practicing in Jackson, TN. With approximately 40 years of clinical experience since completing medical education in 1986, Dr. Bergquist delivers high-quality medical care to the local community at 620 SKYLINE DR.

Dr. Bergquist accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of skin and tissue, 20.0 sq cm or less, established patient outpatient office visit, removal of tissue from wound, 20.0 sq cm or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

620 Skyline Dr

Jackson, TN 383013923

Telephone 7314238697

Fax 7314225743

Associated Practice Facility / Clinic

🏢 Jackson Madison County General Hospital Facility NPI 1093705428

Medicare Profile & Education

Medical School

Other

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Jackson, TN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs +16.8 yrs vs City Avg

City Avg: 23.2 Yrs

State Avg: 28.4 Yrs

Regional Practice Density

67 Specialists

Practicing in Jackson, TN (2716 Statewide)

Telehealth Adoption Rate

4.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bergquist (40 Years) 40 Yrs

Jackson Specialty Average (23.2 Years) 23.2 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
11042 Removal of skin and tissue, 20.0 sq cm or less	558	144	$254.99	$56.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	356	138	$216.29	$92.25
97597 Removal of tissue from wound, 20.0 sq cm or less	160	74	$140.00	$33.97
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	129	26	$290.00	$78.08
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	111	29	$95.00	$23.60
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less	88	22	$330.00	$88.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$217.00	$77.73
97598 Removal of tissue from wound, each additional 20.0 sq cm	50	11	$150.00	$23.32
99213 Established patient office or other outpatient visit, typically 15 minutes	36	31	$147.00	$62.89
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	18	16	$499.00	$140.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	470	120	$255.00	$53.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	334	121	$217.26	$91.72
97597 Removal of tissue from wound, 20.0 sq cm or less	141	68	$140.43	$33.71
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	88	29	$290.00	$77.19
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	64	22	$95.00	$23.43
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	48	21	$501.98	$136.09
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less	38	14	$330.00	$87.21
97598 Removal of tissue from wound, each additional 20.0 sq cm	34	13	$150.00	$23.08
99213 Established patient office or other outpatient visit, typically 15 minutes	31	29	$150.94	$62.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$217.00	$77.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	24	$290.00	$135.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$88.00	$33.49

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	983	179	$216.21	$93.45
11042 Removal of skin and tissue, 20.0 sq cm or less	653	142	$255.00	$53.43
97597 Removal of tissue from wound, 20.0 sq cm or less	254	84	$139.84	$34.63
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	205	33	$95.00	$24.38
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	116	34	$290.00	$77.26
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	115	49	$499.00	$142.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	69	57	$290.00	$139.18
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less	67	20	$330.97	$89.00
97598 Removal of tissue from wound, each additional 20.0 sq cm	57	15	$150.00	$23.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$217.00	$79.07
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	35	15	$132.00	$50.17
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$147.00	$63.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	496	122	$255.00	$56.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	309	114	$216.00	$95.35
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	193	39	$95.00	$24.82
97597 Removal of tissue from wound, 20.0 sq cm or less	189	79	$140.00	$34.67
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	118	25	$290.00	$79.56
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	103	38	$499.00	$144.66
97598 Removal of tissue from wound, each additional 20.0 sq cm	97	24	$150.00	$24.13
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	73	11	$132.00	$51.45
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less	43	15	$330.00	$90.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$217.00	$75.89
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	18	$290.00	$140.76
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$147.00	$64.80

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	462	133	$216.00	$76.64
11042 Removal of skin and tissue, 20.0 sq cm or less	380	91	$255.00	$57.69
97597 Removal of tissue from wound, 20.0 sq cm or less	288	101	$140.00	$35.39
97598 Removal of tissue from wound, each additional 20.0 sq cm	222	23	$150.00	$24.56
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	164	26	$95.00	$25.68
99213 Established patient office or other outpatient visit, typically 15 minutes	94	63	$147.00	$49.60
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	72	20	$290.00	$82.46
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	55	24	$499.00	$149.91
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less	47	12	$330.00	$93.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$217.00	$73.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$331.00	$125.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	783	169	$255.00	$57.87
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	445	36	$84.62	$25.32
97597 Removal of tissue from wound, 20.0 sq cm or less	443	148	$140.00	$23.53
97598 Removal of tissue from wound, each additional 20.0 sq cm	222	33	$150.00	$11.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	189	120	$216.00	$75.62
99213 Established patient office or other outpatient visit, typically 15 minutes	163	100	$147.00	$48.93
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	71	38	$499.00	$144.34
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less	68	15	$328.32	$92.86
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	54	11	$132.00	$53.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$217.00	$72.82
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	43	13	$290.00	$80.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	1,370	275	$255.00	$58.17
97598 Removal of tissue from wound, each additional 20.0 sq cm	853	36	$150.00	$10.90
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	633	53	$74.00	$24.95
97597 Removal of tissue from wound, 20.0 sq cm or less	519	170	$140.00	$23.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	275	223	$216.00	$74.50
99213 Established patient office or other outpatient visit, typically 15 minutes	247	130	$147.00	$48.79
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	90	30	$290.00	$80.06
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	87	43	$499.00	$146.30
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less	85	26	$311.00	$91.82
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	78	20	$132.00	$52.93
11044 Removal of bone, 20.0 sq cm or less	17	16	$655.00	$217.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	1,236	268	$255.00	$57.22
97598 Removal of tissue from wound, each additional 20.0 sq cm	969	58	$150.00	$10.57
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	898	65	$74.00	$24.62
97597 Removal of tissue from wound, 20.0 sq cm or less	739	237	$140.00	$22.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	354	280	$216.00	$73.86
99213 Established patient office or other outpatient visit, typically 15 minutes	348	204	$147.00	$48.14
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	67	12	$132.00	$52.74
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	62	39	$499.00	$143.80
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	49	21	$290.00	$80.13
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less	43	14	$311.00	$91.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$88.00	$24.10

Medical Specialties & State Licenses

CMS Verified: 2022-06-06

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TN MD29631

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License TN 29315

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

3000510 (TN)

Commercial Insurance / Payer ID Rr Medicare

P00694508 (TN)

Practice Associates & Co-Workers

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

9 Associated Practitioners

Dr. Aleruchi Oleru , MD

Internal Medicine

NPI 1104893239

Doctor of Medicine (M.D.)

Matthew Luttrell , APN

Nurse Practitioner

NPI 1174157515

Advanced Practice Nurse

Dr. Evanna Proctor , MD

Internal Medicine

NPI 1275500274

Doctor of Medicine (M.D.)

Dr. Heather Perry , DO

Family Medicine

NPI 1316364680

Doctor of Osteopathic Medicine (D.O.)

Troy Adkins , APN

Nurse Practitioner

NPI 1396250940

Advanced Practice Nurse

Dr. Chelsea Mills , MD

Family Medicine

NPI 1760876163

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 30, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location December 30, 2014

Registered at 620 SKYLINE DR, JACKSON, TN 383013923 (Tel: 7314238697)

📍

Updated Business Mailing Address December 30, 2014

Registered at PO BOX 400, JACKSON, TN 383020400 (Tel: 7314238697)

👤

Provider Name / Credentials Updated December 30, 2014

Recorded as STEPHEN BERGQUIST, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2014

Emergency Medicine (License #29315 in TN)

🟢

Initial NPI Registration & Enumeration September 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992896401

Entity Type:

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

Enumeration Date: September 28, 2006

Last Update: June 06, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 400

Jackson, TN 383020400

Phone: 7314238697

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.