Doctor profile · Federal record
Dr. Charles Bergstrom, M.D.
Family Medicine Physician · Specialist · Fayetteville, GA
- NPI 1104886662
- 20 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
108 North Park Dr.
Fayetteville, GA 30214
(770) 461-3466
fax (770) 461-3884 - Mailing address
-
108 N Park Dr
Fayetteville, GA 302141645
Credentials & registration
- NPI registered
- March 2006 — 20 yrs on file
- Profile last updated
- December 30, 2021
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- Georgia #033030
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1104886662. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
182
Distinct HCPCS
3
Medicare allowed
$19,970
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99309 |
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 153 | 91 | $103 | |
99306 |
Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 16 | 16 | $178 | |
99309 |
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 13 | 13 | $104 |
In context: peer comparison
Among 9 peers in this city , average services per provider: 115. This provider delivers 1.6× the peer median.Open Payments
Industry payments received
All-time total
$60
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Boston Scientific Corporation | 1 | $59.90 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
47
Patients
41
Total drug cost
$553
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Levothyroxine Sodium | Generic | 19 | 18 | $274 |
| Amlodipine Besylate | Generic | 15 | 12 | $79 |
| Atorvastatin Calcium | Generic | 13 | 11 | $200 |
Frequently asked questions
What is Dr. Charles Bergstrom's medical specialty?
Dr. Charles Bergstrom practices Family Medicine Physician in Fayetteville, GA.
Where does Dr. Charles Bergstrom practice?
Dr. Charles Bergstrom practices at 108 North Park Dr., Fayetteville, GA 30214. Office phone: 7704613466.
What is Dr. Charles Bergstrom's NPI?
Dr. Charles Bergstrom's National Provider Identifier (NPI) is 1104886662, issued by NPPES.
What procedures does Dr. Charles Bergstrom commonly perform?
Top Medicare-reported procedures in 2023: Subsequent nursing facility care with moderate level of medical decision making (HCPCS 99309); Initial nursing facility care with high level of medical decision making (HCPCS 99306); Subsequent nursing facility care with moderate level of medical decision making (HCPCS 99309). Source: CMS Medicare Physician & Other Practitioners file.