Jack M. Bergstein, M.D.
NPI 1154366300ActiveIndividual· Surgery· Marysville, WA
Surgery (M.D.) in Marysville, Washington, trained at University of Minnesota Medical School (class of 1982). Enrolled in Medicare as practitioner - general surgery and practitioner - general surgery.
Overview
| NPI | 1154366300 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Jun 19, 2006 |
| Last updated in NPPES | Mar 17, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | MD60641501 | WA |
| Specialist | 174400000X | MD422547 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Surgery (PA); Practitioner - General Surgery (WA) |
|---|
Education and affiliations
| Medical school | University of Minnesota Medical School |
|---|---|
| Graduation year | 1982 |
| Medicare specialty | General Surgery |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records