Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154366300 Individual Practitioner Male Practitioner

Dr. Jack M. Bergstein , MD

Surgery • Marysville, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jack Bergstein, MD is a certified Surgery practicing in Marysville, WA. With approximately 44 years of clinical experience since graduating from University Of Minnesota Medical School in 1982, Dr. Bergstein delivers high-quality medical care to the local community at 7205 54TH PL NE UNIT A.

Dr. Bergstein accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

7205 54th Pl Ne Unit A

Marysville, WA 982708932

Telephone 7248332171
Fax 3603868019

Medicare Profile & Education

Medical School

University Of Minnesota Medical School

Graduation Year

1982

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Marysville, WA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
44 Yrs Matches City Avg
City Avg: 44.0 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Marysville, WA (818 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bergstein (44 Years) 44 Yrs
Marysville Specialty Average (44.0 Years) 44.0 Yrs

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WA MD60641501

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.

Specialist

NUCC Taxonomy Code: 174400000X

State License PA MD422547

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0012111170005 (PA)
Commercial Insurance / Payer ID Blue Cross Blue Shield
1548575 (PA)
Commercial Insurance / Payer ID Unison
147447 (PA)
Commercial Insurance / Payer ID Upmc
305022 (PA)
Commercial Insurance / Payer ID Univera Healthcare
00026626302 (PA)

Secondary Practice Locations

221 Pitgas Rd

Clarksville, PA 153227367

Phone: 7248332171

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active January 10, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 10, 2018

Registered at 7205 54TH PL NE UNIT A, MARYSVILLE, WA 982708932 (Tel: 7248332171)

📍
Updated Business Mailing Address January 10, 2018

Registered at 7205 54TH PL NE UNIT A, MARYSVILLE, WA 982708932 (Tel: 7248332171)

👤
Provider Name / Credentials Updated January 10, 2018

Recorded as JACK BERGSTEIN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2018

Specialist (License #MD422547 in PA)

NPI Profile Active February 26, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location February 26, 2010

Registered at 221 PITGAS RD, CLARKSVILLE, PA 153227367 (Tel: 7248332171)

📍
Updated Business Mailing Address February 26, 2010

Registered at 221 PITGAS RD, CLARKSVILLE, PA 153227367 (Tel: 7248332171)

👤
Provider Name / Credentials Updated February 26, 2010

Recorded as JACK BERGSTEIN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2010

Specialist (License #MD422547 in PA)

🟢
Initial NPI Registration & Enumeration June 19, 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: 1154366300
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 19, 2006
Last Update: March 17, 2018
Sole Proprietor: Yes

Mailing Address

7205 54th Pl Ne Unit A

Marysville, WA 982708932

Phone: 7248332171

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.