RYAN BERGESON MD NPI 1154460152

NPI Information

  • NPI: 1154460152
  • Provider Name: RYAN BERGESON, MD
  • Classification: Orthopaedic Surgery - 207XS0117X
  • Specialization: Orthopaedic Surgery of the Spine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1520 LEANDER RD STE 101
    GEORGETOWN, TX
    ZIP 78628
  • Phone: (512) 942-2499

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NPI Details

Ryan Bergeson, MD is an orthopaedic surgery of the spine orthopaedic surgery in Georgetown, TX with 23 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. Ryan Bergeson, MD NPI is 1154460152. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduation Year:2003

The provider's business location address is:

1520 LEANDER RD STE 101
GEORGETOWN, TX
ZIP 78628-842
Phone: (512) 942-2499
Fax: (512) 943-0001

The NPI 1154460152 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Fusion of additional segment of spine (HCPCS:22614)
  • Insertion of cage or mesh device to spine bone and disc space during spine fusion (HCPCS:22853)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Fusion of spine in lower back with partial removal of spine bone and disc (HCPCS:22633)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Placement of stabilizing device to back, 3-6 spine bone segments (HCPCS:22842)
  • Spinal fusion (HCPCS:NAN02)
  • Laminectomy or laminotomy (partial removal of spine bones) (HCPCS:NAN18)

The enumeration date for this NPI number is 2/6/2007 and was last updated on 6/23/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic Surgery2003-0222NEW MEXICONo
2207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the Spine41610KENTUCKYNo
3207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineN2403TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000000586305OTHERKENTUCKYANTHEM (UNIV ORTHO ASSOC)
2219591906MEDICAIDTEXAS
3000000577128OTHERNEW YORKANTHEM (SPINE INSTITUTE)

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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