Active NPI 1194764837 Individual Practitioner Female Practitioner

Dr. Kendra Gail Bergstrom , MD

Dermatology • Seattle, WA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Kendra Bergstrom, MD is a certified Dermatology practicing in Seattle, WA. With approximately 23 years of clinical experience since graduating from Stanford University School Of Medicine in 2003, Dr. Bergstrom delivers high-quality medical care to the local community at 4225 ROOSEVELT WAY NE FL 4.

Dr. Bergstrom is affiliated with The Association Of University Physicians and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4225 Roosevelt Way Ne Fl 4

Seattle, WA 981056099

Telephone 2065984067

Medicare Profile & Education

Medical School

Stanford University School Of Medicine

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Seattle, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs +3.3 yrs vs City Avg

City Avg: 19.7 Yrs

State Avg: 19.7 Yrs

Regional Practice Density

126 Specialists

Practicing in Seattle, WA (397 Statewide)

Telehealth Adoption Rate

27.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

68.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bergstrom (23 Years) 23 Yrs

Seattle Specialty Average (19.7 Years) 19.7 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
17003 Destruction of precancer skin growth, 2-14 growths	577	143	$6.25	$2.25
99213 Established patient office or other outpatient visit, typically 15 minutes	433	301	$203.42	$72.01
17000 Destruction of skin growth	290	200	$171.05	$60.55
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	178	150	$51.24	$18.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	167	131	$300.16	$106.27
11102 Tangential biopsy of single skin lesion	130	115	$116.31	$32.74
17110 Destruction of up to 14 skin growths	61	51	$210.82	$79.31
11103 Biopsy of related skin growth, each additional growth	40	31	$66.65	$24.21
11104 Punch biopsy, first skin growth	27	25	$143.84	$43.91
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	21	20	$590.44	$213.11
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	18	15	$496.40	$91.91
11200 Removal of skin tag, 1-15 skin tags	12	12	$239.78	$90.18
11900 Injection into skin growth, 1-7 growths	12	11	$91.38	$24.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	626	159	$6.52	$2.22
99213 Established patient office or other outpatient visit, typically 15 minutes	434	316	$171.20	$70.41
17000 Destruction of skin growth	309	231	$174.78	$57.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	145	115	$265.48	$103.18
11102 Tangential biopsy of single skin lesion	126	111	$118.61	$30.23
17110 Destruction of up to 14 skin growths	80	74	$212.00	$74.19
11103 Biopsy of related skin growth, each additional growth	52	38	$68.80	$23.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	37	23	$362.23	$153.85
11104 Punch biopsy, first skin growth	34	31	$148.68	$42.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$229.39	$88.54
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	13	11	$601.42	$187.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$383.95	$142.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	557	130	$6.65	$2.25
99213 Established patient office or other outpatient visit, typically 15 minutes	402	283	$142.16	$71.63
17000 Destruction of skin growth	251	181	$176.40	$57.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	128	98	$218.48	$102.09
11102 Tangential biopsy of single skin lesion	114	99	$121.69	$30.04
17110 Destruction of up to 14 skin growths	65	55	$213.64	$73.78
11103 Biopsy of related skin growth, each additional growth	57	33	$70.90	$23.76
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	38	24	$307.37	$157.17
11104 Punch biopsy, first skin growth	31	30	$153.38	$45.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$211.85	$89.21
11900 Injection into skin growth, 1-7 growths	17	13	$95.93	$25.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	678	151	$6.50	$2.28
99213 Established patient office or other outpatient visit, typically 15 minutes	317	246	$139.20	$72.86
17000 Destruction of skin growth	260	194	$168.41	$56.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	128	99	$214.10	$107.79
11102 Tangential biopsy of single skin lesion	115	103	$120.23	$31.72
17110 Destruction of up to 14 skin growths	76	68	$208.20	$74.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	70	67	$70.10	$38.90
11103 Biopsy of related skin growth, each additional growth	50	33	$70.33	$24.09
11104 Punch biopsy, first skin growth	38	33	$151.67	$46.04
99202 New patient office or other outpatient visit, typically 20 minutes	30	30	$137.30	$52.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	18	$302.40	$158.81
11900 Injection into skin growth, 1-7 growths	26	21	$94.80	$27.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$205.40	$90.20
11105 Punch biopsy, each additional skin growth	20	13	$82.35	$28.17
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	19	17	$596.66	$178.46
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	13	$507.22	$89.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	649	118	$6.82	$2.35
99213 Established patient office or other outpatient visit, typically 15 minutes	237	181	$128.69	$55.72
17000 Destruction of skin growth	201	162	$166.80	$57.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	111	91	$198.92	$85.85
11102 Tangential biopsy of single skin lesion	97	83	$123.05	$32.55
17110 Destruction of up to 14 skin growths	48	44	$209.21	$74.61
99202 New patient office or other outpatient visit, typically 20 minutes	43	43	$126.55	$55.14
11103 Biopsy of related skin growth, each additional growth	43	26	$71.23	$25.24
11104 Punch biopsy, first skin growth	33	31	$154.60	$46.91
11105 Punch biopsy, each additional skin growth	18	14	$84.76	$29.46
11900 Injection into skin growth, 1-7 growths	18	14	$96.27	$28.22
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	12	$269.65	$121.52
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	14	12	$604.46	$215.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	746	162	$7.60	$2.63
99213 Established patient office or other outpatient visit, typically 15 minutes	445	312	$111.27	$54.43
17000 Destruction of skin growth	305	217	$165.78	$54.04
11102 Tangential biopsy of single skin lesion	168	143	$124.30	$31.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	133	107	$170.90	$83.53
17110 Destruction of up to 14 skin growths	84	72	$215.43	$75.32
99202 New patient office or other outpatient visit, typically 20 minutes	55	55	$110.10	$54.39
11103 Biopsy of related skin growth, each additional growth	53	34	$71.90	$25.21
11104 Punch biopsy, first skin growth	42	38	$155.90	$48.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$166.41	$81.53
11900 Injection into skin growth, 1-7 growths	28	20	$98.10	$28.23
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	24	24	$609.85	$207.42
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	11	11	$512.80	$99.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	484	104	$7.60	$2.59
99213 Established patient office or other outpatient visit, typically 15 minutes	258	184	$111.34	$54.01
17000 Destruction of skin growth	187	151	$165.06	$54.66
11100 Biopsy of single growth of skin and/or tissue	103	91	$153.70	$42.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	59	$170.90	$81.54
99202 New patient office or other outpatient visit, typically 20 minutes	61	61	$110.10	$53.61
11101 Biopsy of each additional growth of skin and/or tissue	50	37	$78.50	$27.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$167.10	$81.22
17110 Destruction of up to 14 skin growths	33	29	$218.00	$76.49
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	14	12	$612.21	$206.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	323	89	$6.66	$5.11
17000 Destruction of skin growth	152	133	$93.97	$61.89
99213 Established patient office or other outpatient visit, typically 15 minutes	143	118	$92.01	$68.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	117	108	$121.25	$113.31
11100 Biopsy of single growth of skin and/or tissue	83	81	$126.99	$86.10
99202 New patient office or other outpatient visit, typically 20 minutes	28	28	$94.76	$67.87
17110 Destruction of up to 14 skin growths	28	27	$131.78	$118.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$136.76	$101.63
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	13	13	$380.57	$289.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$49.26	$43.94

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License WA MD60117060

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Dermatology

NUCC Taxonomy Code: 207N00000X

State License NY 238443

Hospital & Practice Group Affiliations

The Association Of University Physicians

1959 Ne Pacific St, Seattle, WA 981950001

Phone: 2065984333

The Association Of University Physicians

1701 Columbia Rd, Seattle, WA 981950001

Phone: 2065983100

Secondary Practice Locations

8435 Se 68th St, Suite 118

Mercer Island, WA 980405249

Phone: 2062327546

Practice Associates & Co-Workers

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

10 Associated Practitioners

Katherine Hajek , RN

Registered Nurse

NPI 1205781929

Registered Nurse

Philip Fleckman

Dermatology

NPI 1205916293

Sanford Barnes

Dermatology

NPI 1225114028

John Olerud

Dermatology - Pediatric Dermatology

NPI 1255417036

Paul Nghiem

Dermatology

NPI 1407932205

Dr. Jennifer Gardner , MD

Dermatology

NPI 1558427146

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Dermatology (License #238443 in NY)

✅

NPI Profile Active November 11, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location November 11, 2017

Registered at 4225 ROOSEVELT WAY NE FL 4, SEATTLE, WA 981056099 (Tel: 2065984067)

📍

Updated Business Mailing Address November 11, 2017

Registered at 5546 CANFIELD PL N, SEATTLE, WA 981035920 (Tel: 9175965161)

👤

Provider Name / Credentials Updated November 11, 2017

Recorded as KENDRA BERGSTROM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 11, 2017

Dermatology (License #MD60117060 in WA)

✅

NPI Profile Active August 09, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location August 09, 2013

Registered at 8435 SE 68TH ST, SUITE 118, MERCER ISLAND, WA 980405249 (Tel: 2062327546)

📍

Updated Business Mailing Address August 09, 2013

Registered at 8435 SE 68TH ST, SUITE 118, MERCER ISLAND, WA 980405249 (Tel: 2062327546)

👤

Provider Name / Credentials Updated August 09, 2013

Recorded as KENDRA BERGSTROM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2013

Dermatology (License #MD60117060 in WA)

🟢

Initial NPI Registration & Enumeration June 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1194764837

Entity Type:

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

Enumeration Date: June 06, 2006

Last Update: March 17, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5546 Canfield Pl N

Seattle, WA 981035920

Phone: 9175965161

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.