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2026 NPPES data Advanced Heart Failure and Transplant Cardiology Physician NPI 1376606251 M.D.
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James Bergin, M.D.

Advanced Heart Failure and Transplant Cardiology Physician in Charlottesville, Virginia.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 566 in Advanced Heart Failure and Transplant Cardiology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
7K
Medicare Part D claims · 584 beneficiaries · Advanced Heart Failure and Transplant Cardiology Physician avg: 2K
MIPS score
79.4/100
▼ 4 pts below national avg 83.5 · Above neutral
Industry payments
$114.13
1 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

James Bergin, M.D. reported a CMS MIPS final score of 79.4/100 - below the 83.5 national average - and filed 6,621 Medicare Part D claims in 2024.

79.4/100
MIPS score · -4 vs avg
7K
Part D claims, 2024
Likely
board-certified (heuristic)
≥26th
pct among measured MIPS (lower-bound band)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Federal trust snapshot

What official records show about James Bergin, M.D.

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1376606251), first enumerated 12/19/2006.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 6,621 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 79.4/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $114.13 in reported industry payments (1 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1376606251 · Advanced Heart Failure and Transplant Cardiology Physician

NPI-10 · ENUM-LEGACY · TAX-NARROW · MIPS-BELOW · RX-MID · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1376606251
  • ENUM-LEGACY 2006
  • TAX-NARROW 566
  • MIPS-BELOW 79.4/100
  • RX-MID 6,621
  • BOOK-THIN 16 in Virginia
  • PHOTO-FINISH Sula Mazimba · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

James Bergin, M.D.'s MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

79 ≥ 26th percentile 26% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). This entry sits in this band. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where James Bergin, M.D. sits

This provider among advanced heart failure and transplant cardiology physician peers

Across the 235 advanced heart failure and transplant cardiology physician providers who report both Medicare Part D prescribing and a MIPS quality score, James Bergin, M.D. writes more Part D claims than 94% of them and scores higher on MIPS quality than 27% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.448.873.297.7Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 17James Bergin, M.D., Part D claim volume, percentile in specialty: 94 · MIPS quality, percentile: 27
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one advanced heart failure and transplant cardiology physician peer from a representative sample of 60; the gold marker is James Bergin, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

James Bergin, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about James Bergin, M.D.?

Near national average

NPI registry status

Active

Issued 12/19/2006

NPI 1376606251

Primary specialty

Advanced Heart Failure and Transplant Cardiology Physician

Niche

566 US NPIs in this specialty

Medicare Part D claims

6,621 246% vs specialty avg

2024 prescription claims

Specialty avg: 1,916

MIPS final score

79.4/100 4.1 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in Virginia

How Advanced Heart Failure and Transplant Cardiology Physician compares to other specialties among Virginia providers

Virginia providers
Behavior Technician5.5%Clinical Social Worker5.2%Student in an Organized Heal…4.7%Physical Therapist4.6%Pharmacist4.4%Professional Counselor4%Advanced Heart Failure and T…0%
Largest specialties in Virginia (% of in-state providers)

Medicare quality performance, MIPS

James Bergin, M.D.'s 2023 MIPS final score plotted against the Advanced Heart Failure and Transplant Cardiology Physician national average

Near national average
MIPS Final Score
79.4/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%79.4%
MIPS final score (Advanced Heart Failure and Transplant Cardiology Physician) - 79.4/100 vs national avg 83.5
How MIPS and board certification work

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Practice Address

500 RAY C HUNT DR
Charlottesville, VA 22903
(434) 243-1000

Provider Details

NPI 1376606251
Specialty Advanced Heart Failure and Transplant Cardiology Physician
Credentials M.D.
Gender Male
NPI Issued 12/19/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

79.3949
Final Score
Measured-score avg: 83.5
73.6607
Quality
57.6556
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where James Bergin, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

University OF Virginia Physicians Group
Charlottesville, VA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) - CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for James Bergin, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$114

Largest payer

Abbott Laboratories

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

6,621
Total Claims
$2.4M
Total Drug Cost
584
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
17,072.033
Total Day Supply
507,857
Generic Drug Cost
$180K
Antibiotic Claims
29

Patient Demographics

Average Patient Age
72.6 years
Avg HCC Risk Score
2.19
Gender Split
42% female / 58% male
Age Distribution
<65: 99, 65-74: 213, 75-84: 197, 85+: 75

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What James Bergin, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Metoprolol Succinate
 573
Furosemide
 429
Eliquis
Apixaban
415
Carvedilol
 409
Spironolactone
 372
Entresto
Sacubitril/Valsartan
336
Atorvastatin Calcium
 327
Losartan Potassium
 268
Lisinopril
 260
Farxiga
Dapagliflozin Propanediol
187

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

More Advanced Heart Failure and Transplant Cardiology Physician in VA → All providers in Virginia → Compare specialties →

Advanced Heart Failure and Transplant Cardiology Physician Overview

How James Bergin, M.D. fits within the Advanced Heart Failure and Transplant Cardiology Physician landscape nationally.

566
Advanced Heart Failure and Transplant Cardiology Physician Providers in US
48
States with Advanced Heart Failure and Transplant Cardiology Physician
1,916
Avg Claims per Provider

James Bergin, M.D.'s 6,621 claims are above the specialty average of 1,916.

Nationwide Advanced Heart Failure and Transplant Cardiology Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Bergin, both outside Virginia so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (79.4 here).

Sula Mazimba 79.4 FL Aaron Kelkhoff 79.4 OK Phillip Cuculich 79.3 MO Kory Lavine 79.3 MO

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Stephanie Dunlap Cincinnati, OH Brooks Edwards Rochester, MN Joann Lindenfeld Nashville, TN Heeraimangalore Manjunath Fargo, ND

Nearby Advanced Heart Failure and Transplant Cardiology Physician Providers in Virginia

Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as Bergin.

One of 16 Advanced Heart Failure and Transplant Cardiology Physician providers enrolled in Virginia, 5 are shown here.

Dr. Mohammad Abuannadi
M.D.
Charlottesville, VA
Vanessa Blumer
Falls Church, VA
Dr. Shashank Desai
MD
Falls Church, VA
Dr. Kelli Fox
DO
Richmond, VA
Dr. Jason Goldberg
M.D.
Fairfax, VA

Compare Advanced Heart Failure and Transplant Cardiology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is James Bergin, M.D.'s specialty? ▼
James Bergin, M.D. specializes in Advanced Heart Failure and Transplant Cardiology Physician and practices in Charlottesville, Virginia. Credentials: M.D..
How much does James Bergin, M.D. prescribe under Medicare Part D? ▼
In 2024, James Bergin, M.D. wrote 6,621 Medicare Part D claims totaling $2.4M in drug costs for 584 beneficiaries.
What is James Bergin, M.D.'s Medicare quality score? ▼
James Bergin, M.D. has a CMS MIPS Final Score of 79.4/100 (Quality: 73.7, Cost: 57.7). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is James Bergin, M.D. located? ▼
James Bergin, M.D. is located at 500 RAY C HUNT DR, Charlottesville, VA, 22903. Phone: (434) 243-1000.
What is James Bergin, M.D.'s NPI number? ▼
James Bergin, M.D.'s National Provider Identifier (NPI) is 1376606251, issued on 12/19/2006.
How many Advanced Heart Failure and Transplant Cardiology Physician providers are there in the US? ▼
There are 566 Advanced Heart Failure and Transplant Cardiology Physician providers across 48 states in the US. The average Advanced Heart Failure and Transplant Cardiology Physician provider writes 1,916 Medicare Part D claims per year.
What drugs does James Bergin, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, James Bergin, M.D.'s most frequently prescribed drugs include Metoprolol Succinate, Furosemide, Eliquis. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Bergin, M.D. accept Medicare? ▼
James Bergin, M.D. appears in CMS Medicare data with 6,621 Part D claims and 584 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Bergin, M.D.'s credentials? ▼
James Bergin, M.D.'s NPI is 1376606251 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

View source datasets and methodology notes
Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Compiled from official public sources by the editorial process.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.