Shane Daniel Bergo, D.D.S., M.S.D.
NPI 1023137122ActiveIndividual· Dentist, Endodontics· Fort Collins, CO
Dentist, Endodontics (D.D.S., M.S.D.) in Fort Collins, Colorado, licensed in CO, with an NPI issued in March 2007. Part D covered 31 prescriptions written in 2024, 100% of them generic. Nusmile, Ltd. reported $31.20 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1023137122 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.D.S., M.S.D. |
| Sole proprietor | No |
| NPI issued | Mar 28, 2007 |
| Last updated in NPPES | Aug 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Endodontics Primary | 1223E0200X | 7256 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 31 · 31 30-day fills |
|---|---|
| Patients | 29 |
| Total drug cost | $112.80 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
- 2024$31.20 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Nusmile, Ltd. | $31.20 | 1 |
What the 2024 payments were for
- Food and Beverage$31.20 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 15 endodontists in Fort Collins · All endodontists in Colorado