LISA BERGSMA D.O.
NPI 1396004842
Emergency Medicine in Rochester, NY
NPI Status: Active since May 03, 2012
Contact Information
601 ELMWOOD AVE
BOX 655
ROCHESTER, NY
ZIP 14642
Phone: (585) 463-2940
- Individual
- Female
- Emergency Medicine
- Accepts Insurance
- PECOS Enrolled
About LISA BERGSMA
This page provides the complete NPI Profile along with additional information for Lisa Bergsma, a provider established in Rochester, New York with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1396004842 assigned on May 2012. The practitioner's primary taxonomy code is 207P00000X with license number 5101023718 (MI). The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1396004842
- Provider Name
- LISA BERGSMA D.O.
- Other Name
- LISA CLARK
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 601 ELMWOOD AVE BOX 655 ROCHESTER, NY 14642
- Location Phone
- (585) 463-2940
- Mailing Address
- 4100 EMBASSY DR SE STE 400 GRAND RAPIDS, MI 49546
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-03-2012
- Last Update Date
- 08-28-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 5101023718
- License State
- MI
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Select HMO Bronze Saver HSA - HMO
- Blue Cross� Select HMO Bronze Secure - HMO
- Blue Cross� Select HMO Silver - HMO
- Blue Cross� Select HMO Silver Extra - HMO
- Blue Cross� Select HMO Silver Saver - HMO
- Blue Cross� Select HMO Value - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
- MyPriority Balanced Silver - HMO
- MyPriority Premier Silver - HMO
- MyPriority Standard Bronze - HMO
- MyPriority Standard Bronze - Travel - HMO
- MyPriority Standard Gold - HMO
- MyPriority Standard Silver - HMO
- MyPriority Standard Silver - Travel - HMO
- MyPriority Value Bronze - HMO
- MyPriority Value Bronze HSA - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Lisa Bergsma is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Emergency department visit for life threatening or functioning severity
Emergency department visit for problem of high severity
Emergency department visit for problem of moderate severity
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
This service was performed 102 times for 100 patientsAn emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
This service was performed 39 times for 38 patientsAn emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
This service was performed 21 times for 21 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 14642 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.93
- Minimum New Patient Price $54.87
- Maximum New Patient Price $166.88
- Average New Patient Copayment $21.23
- Minimum New Patient Copayment $13.71
- Maximum New Patient Copayment $41.72
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $97.08
- Minimum Established Patient Price $17.54
- Maximum Established Patient Price $136.14
- Average Established Patient Copayment $24.27
- Minimum Established Patient Copayment $4.38
- Maximum Established Patient Copayment $34.03
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for LISA BERGSMA D.O.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 9 | 6 | 0 | 0 | 4 | 8 | 4 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 18 | 6 | 0 | 0 | 8 | 8 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 8 + 6 + 0 + 0 + 8 + 8 + 8 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1396004842 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1821091950 | LURA L DEVEAU ANP Individual | Nurse Practitioner (Adult Health) | 601 ELMWOOD AVE BOX MED ROCHESTER, NY 14642 (585) 275-7424 |
| 1245227776 | DUNCAN D WORMER MD Individual | Internal Medicine (Cardiovascular Disease) | 601 ELMWOOD AVE ROCHESTER, NY 14642 (585) 275-6168 |
| 1770569584 | ELIZABETH A POWLEY NP Individual | Nurse Practitioner (Family) | 601 ELMWOOD AVE ROCHESTER, NY 14642 (585) 273-3760 |
| 1407834310 | LAURA ANN CUSHMAN PHD Individual | Clinical Neuropsychologist | 601 ELMWOOD AVE ROCHESTER, NY 14642 (585) 275-3271 |
| 1154390508 | DR. MARC S LAMPELL M.D. Individual | Emergency Medicine (Pediatric Emergency Medicine) | 601 ELMWOOD AVE BOX 655 ROCHESTER, NY 14642 (585) 341-3015 |
| 1710940788 | WARREN C HAMMERT MD Individual | Plastic Surgery | 601 ELMWOOD AVE ROCHESTER, NY 14642 (585) 275-5117 |
| 1881651339 | DR. DEANNA LYNN GOHIL PHARM D Individual | Pharmacist | 601 ELMWOOD AVE ROCHESTER, NY 14642 (585) 275-1028 |
| 1851358303 | MR. NILESH UTTAMRAM GOHIL RPH Individual | Pharmacist | 601 ELMWOOD AVE ROCHESTER, NY 14642 (585) 275-1028 |
| 1538113816 | SHIRLEY S MANDEVILLE FNP Individual | Nurse Practitioner (Family) | 601 ELMWOOD AVE BOX SURG ROCHESTER, NY 14642 (585) 276-3332 |
| 1487600490 | KAY L RUST NP Individual | Nurse Practitioner (Family) | 601 ELMWOOD AVE ROCHESTER, NY 14642 (585) 275-5282 |
| 1770539330 | KRYSTOF JUNEK NEUMANN MD Individual | Anesthesiology | 601 ELMWOOD AVE ROCHESTER, NY 14642 (585) 275-2141 |
| 1023064565 | ERDAL S ERTURK MD Individual | Urology | 601 ELMWOOD AVE ROCHESTER, NY 14642 (585) 275-3690 |
| 1972540151 | CLELIA NEGRINI MD Individual | Hospitalist | 601 ELMWOOD AVE BOX MED ROCHESTER, NY 14642 (585) 275-3461 |
| 1952349458 | DANIEL L TRIMBERGER II MD Individual | Emergency Medicine | 601 ELMWOOD AVE BOX 655 ROCHESTER, NY 14642 (585) 341-3015 |
| 1104865278 | DR. JAMES DAUBERT MD Individual | Internal Medicine (Cardiovascular Disease) | 601 ELMWOOD AVE BOX 679B ROCHESTER, NY 14642 (585) 275-4751 |
| 1356380604 | WILLIAM C HULBERT M.D. Individual | Urology (Pediatric Urology) | 601 ELMWOOD AVE ROCHESTER, NY 14642 (585) 275-5282 |
| 1063451318 | ROBERT S. DAVIS M.D. Individual | Urology | 601 ELMWOOD AVE ROCHESTER, NY 14642 (585) 275-5282 |
| 1053350314 | MAUREEN E KIERNAN NP Individual | Nurse Practitioner (Adult Health) | 601 ELMWOOD AVE ROCHESTER, NY 14642 (585) 275-5282 |
| 1457390726 | CHERYL KLINE NP Individual | Nurse Practitioner (Pediatrics) | 601 ELMWOOD AVE ROCHESTER, NY 14642 (585) 275-5282 |
| 1174562441 | JEANNE O'BRIEN MD Individual | Urology | 601 ELMWOOD AVE ROCHESTER, NY 14642 (585) 275-5282 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396004842, enumerated in the NPI registry as an "individual" on May 03, 2012
The provider is located at 601 Elmwood Ave Box 655 Rochester, Ny 14642 and the phone number is (585) 463-2940
The provider's speciality is Emergency Medicine with taxonomy code 207P00000X
The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $84.93 with an average copayment of $21.23 for new patient appointments. Established patients should expect a typical charge of $97.08 and an average copayment of 24.27. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Emergency department visit for life threatening or functioning severity, Emergency department visit for problem of high severity and Emergency department visit for problem of moderate severity.
This NPI record was last updated on May 03, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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