Derek Scott Bergeson, MD
NPI 1164641387ActiveIndividual· Radiology, Diagnostic Radiology· Provo, UT
Radiology, Diagnostic Radiology (MD) in Provo, Utah, trained at Baylor College of Medicine (class of 2001). Medicare paid $191,661 for services to 1,145 patients in 2024.
Overview
| NPI | 1164641387 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 25, 2007 |
| Last updated in NPPES | Mar 4, 2025 |
| Certified by provider | Mar 4, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | 12767278-1205 | UT |
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 - Diagnostic Radiology (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,145 |
|---|---|
| Services billed | 21,847 across 165 procedure codes |
| Paid by Medicare | $191,661 |
Education and affiliations
| Medical school | Baylor College of Medicine |
|---|---|
| Graduation year | 2001 |
| Medicare specialty | Diagnostic Radiology |
Medical group
- Revere Health PCProvo, UT · 410 clinicians
Hospital affiliations
- Castleview HospitalPrice, UT
- Central Valley Medical Center - CahNephi, UT
- Holy Cross Hospital-Jordan ValleyWest Jordan, UT
- Timpanogos Regional HospitalOrem, UT
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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