Derek Berglund
Surgery Physician · Somerset, NJ
Derek Berglund is a surgery physician with a practice address in Somerset, New Jersey, and NPI 1235526591, issued on Apr 23, 2015. Check the license (New Jersey 25MA11864000, as entered in NPPES) on the New Jersey State Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Derek Berglund
- Primary taxonomy
- Surgery Physician 208600000X
- License numbers
- 25MA11864000 NJ
142708 MT
Self-reported in NPPES; status is on the state search - Practice location
- 81 Veronica Ave Ste 205, Somerset, NJ 08873
- Phone
- (732) 640-5316
- Enumerated
- Apr 23, 2015
- Record last updated
- Jun 27, 2024
- Fax
- (800) 689-2361
- Medicare enrollment
- Enrolled (PECOS I20240723001452); accepts Medicare assignment
- Medical or professional school
- Saint Louis University School Of Medicine, 2015
- Entity
- Type 1 · individual
8 nearest surgery physician records → All 737 in New Jersey → Look up another NPI →
Also registered at 81 Veronica Ave Ste 205
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Heath Antoine, M.D.Surgery Physician1265728638
- Michael Donaire, MDSurgery Physician1952740185
- Ashley Farhat-Sabet, MDSurgery Physician1427686195
- Keith KingSurgery Physician1275932766
- Siddharth Kudav, M.D.Surgery Physician1720373855
- Jennifer Pan, MDSurgery Physician1184207862
Verify Derek Berglund in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNew Jersey State Board of Medical Examiners
Search for license 25MA11864000Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
76% fewer Medicare Part D claims than the average surgery physician in 2024
36 Medicare Part D claims for 21 beneficiaries, against an average of 147 among the 20,115 providers of this specialty who prescribed in Part D. 15 claims were for opioids.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $8,655.79
14 payments; by number, the most common kind was food and beverage; the largest payer was Intuitive Surgical, Inc. The 17,103 providers of this specialty with any payment received $3,513.80 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Kalispell Regional Medical Center IncKalispell, MT
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Derek Berglund among 737 surgery physician records in New Jersey
Derek Berglund is one of 737 surgery physician records with a practice address in New Jersey. 72% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2015, is newer than 83% of them.
- NPI issued2015 · 83% of these records are older, 14% newer
- In a Medicare fileYes · 72% of these records are
- In the CMS Doctors and Clinicians fileYes · 61% of these records are
- Graduated2015 · median 2005 among the 445 with a school on file
- Record last updated2024 · 61% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208600000X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
13 surgery physician records list a practice address in Somerset
They are 13 of the 1,061 NPPES records with a practice address in Somerset, and 737 surgery physician records in New Jersey.
All 737 in New Jersey → Every provider in Somerset → Surgery Physician nationwide →
The 8 surgery physician records with the nearest ZIP codes
- Heath Antoine, M.D.Somerset, NJ 088731265728638
- Andrew Camerota, MDSomerset, NJ 088731568460459
- Michael Donaire, MDSomerset, NJ 088731952740185
- Ashley Farhat-Sabet, MDSomerset, NJ 088731427686195
- Keith KingSomerset, NJ 088731275932766
- Siddharth Kudav, M.D.Somerset, NJ 088731720373855
- Lora Melman, MDSomerset, NJ 088731689792525
- Jennifer Pan, MDSomerset, NJ 088731184207862
Common questions
What is Derek Berglund's NPI number?
Derek Berglund's National Provider Identifier (NPI) is 1235526591, issued on Apr 23, 2015. An NPI identifies a provider in billing; it is not a license.
Where is Derek Berglund located?
The NPPES record lists a practice address at 81 Veronica Ave Ste 205, Somerset, NJ, 08873. Phone: (732) 640-5316. Providers update this record themselves, so call before visiting.
How can I verify Derek Berglund's license?
NPPES lists New Jersey license number 25MA11864000, as entered by the provider. Search the New Jersey State Board of Medical Examiners at https://newjersey.mylicense.com/verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Derek Berglund prescribe under Medicare Part D?
In 2024, Derek Berglund had 36 Medicare Part D claims for 21 beneficiaries; the average among surgery physician prescribers was 147. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.