Doctor profile · Federal record

Dr. Jack Bergman, PA-C

Physician Assistant · St Louis Park, MN

  • NPI 1043790553
  • Accepts Medicare
  • 8 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
3931 Louisiana Ave S
St Louis Park, MN 554265000
(952) 993-3230
fax (952) 993-1748
Additional location
5838 Six Forks RD Ste 100
Raleigh, NC 276093893
(919) 785-3400
fax (919) 783-7778

Credentials & registration

NPPES · NUCC
NPI registered
August 2018 — 8 yrs on file
Profile last updated
January 17, 2020
Year of graduation
2018 — 8 yrs since
Specialty taxonomy
363A00000X — NUCC code
State license (1)
Minnesota #13280

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1043790553. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
86
Distinct HCPCS
4
Medicare allowed
$7,885
HCPCS Description Services Patients Avg allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 42 41 $104
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 17 16 $64
99213 Established patient office or other outpatient visit, 20-29 minutes 14 14 $75
99214 Established patient office or other outpatient visit, 30-39 minutes 13 13 $106

In context: peer comparison

Among 42 peers in this city , average services per provider: 55. This provider delivers 1.6× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
116
Patients
89
Total drug cost
$962
Drug Type Claims Patients Total cost
Oxycodone Hcl Generic 44 34 $321
Methocarbamol Generic 42 31 $248
Gabapentin Generic 15 12 $304
Hydromorphone Hcl Generic 15 12 $88

Frequently asked questions

Auto-generated from federal data
What is Dr. Jack Bergman's medical specialty?
Dr. Jack Bergman practices Physician Assistant in St Louis Park, MN.
Where does Dr. Jack Bergman practice?
Dr. Jack Bergman practices at 3931 Louisiana Ave S, St Louis Park, MN 554265000. Office phone: 9529933230.
What is Dr. Jack Bergman's NPI?
Dr. Jack Bergman's National Provider Identifier (NPI) is 1043790553, issued by NPPES.
Does Dr. Jack Bergman accept Medicare assignment?
Yes. Dr. Jack Bergman accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jack Bergman commonly perform?
Top Medicare-reported procedures in 2023: Initial hospital care with straightforward or low-level medical decision making (HCPCS 99222); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.