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Tabetha Emily Bergeron, PA-C

NPI 1003228925ActiveIndividual· Physician Assistant· Grand Rapids, MI

Physician Assistant (PA-C) with Spectrum Health Primary Care Partners, practicing in Grand Rapids, Michigan. Their prescriptions cost Medicare Part D more than their services did: $78,621 for 1,026 claims, against $1,710 paid for services in 2024.

Overview

NPI1003228925
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedMay 27, 2014
Last updated in NPPESJun 12, 2024
Certified by providerJun 12, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X5601006952MI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (MI)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients58
Services billed63 across 4 procedure codes
Paid by Medicare$1,710

Part D prescriptions in 2024

Prescriptions (claims)1,026 · 2,370 30-day fills
Patients457
Total drug cost$78,621
Generic share85% of claims

Medicare sources and data years

Education and affiliations

Graduation year2014
Medicare specialtyPhysician Assistant
TelehealthOffers telehealth

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other physician assistants in Grand Rapids

All 936 physician assistants in Grand Rapids · All physician assistants in Michigan