NPI registry status
Active
2026 NPPES data Gynecology Physician NPI 1396727814 M.D.
Verify on CMS → Joan Bergstrom, M.D.
Gynecology Physician in Arlington, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 3,912 in Gynecology 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
2K
Medicare Part D claims · 393 beneficiaries · Gynecology Physician avg: 319
MIPS score
81.6/100
▼ 2 pts below national avg 83.5 · Above neutral
Industry payments
$64.45
3 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Joan Bergstrom, M.D. reported a CMS MIPS final score of 81.6/100 - below the 83.5 national average - and filed 1,661 Medicare Part D claims in 2024.
- 81.6/100
- MIPS score · -2 vs avg
- 2K
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥32nd
- 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 Joan Bergstrom, 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 1396727814), first enumerated 11/18/2005.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 1,661 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 81.6/100 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.
- 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
$64.45 in reported industry payments (3 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
Texas statewide board action statistics are published annually — these figures describe aggregate state activity, not Joan Bergstrom, M.D.'s individual license status. Verify directly with the state medical board.
Source: TMB annual report 2023
- 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 1396727814 · Gynecology Physician
NPI-10 · ENUM-LEGACY · TAX-NARROW · MIPS-INLINE · RX-MID · BOOK-THIN · PHOTO-FINISH
- NPI-10 1396727814
- ENUM-LEGACY 2005
- TAX-NARROW 3,912
- MIPS-INLINE 81.6/100
- RX-MID 1,661
- BOOK-THIN 227 in Texas
- PHOTO-FINISH Surbhi Jain, MD · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Bergstrom · this…
Bergstrom · this provider
81.6 MIPS pts
- Mary McLennan, M…
Mary McLennan, MD
81.6 MIPS pts
- Surbhi Jain, MD …
Surbhi Jain, MD
81.6 MIPS pts
- Fah Che Leong, M…
Fah Che Leong, MD
81.6 MIPS pts
- Leslie McCloskey…
Leslie McCloskey, M.D.
81.6 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Joan Bergstrom, 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.
82 ≥ 32nd percentile 32% of 454,083 measured providers are in lower value bands
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 Joan Bergstrom, M.D. sits
This provider among gynecology physician peers
Across the 538 gynecology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Joan Bergstrom, M.D. writes more Part D claims than 97% of them and scores higher on MIPS quality than 33% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one gynecology physician peer from a representative sample of 60; the gold marker is Joan Bergstrom, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Joan Bergstrom, 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 Joan Bergstrom, M.D.?
Near national averagePrimary specialty
Gynecology Physician
Medicare Part D claims
1,661 5× vs specialty avg
MIPS final score
81.6/100 1.9 pts vs avg
Specialty distribution in Texas
How Gynecology Physician compares to other specialties among Texas providers
Medicare quality performance, MIPS
Joan Bergstrom, M.D.'s 2023 MIPS final score plotted against the Gynecology Physician national average
- MIPS Final Score
- 81.6/100
- vs 83.5 national avg · 2023 performance year
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
Provider Details
| NPI | 1396727814 |
|---|---|
| Specialty | Gynecology Physician |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 11/18/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
81.5706
Final Score
Measured-score avg: 83.5
85.0577
Quality
53.511
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Joan Bergstrom, 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.
Unified Womens Healthcare OF Texas PLLC
Arlington, TX
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 Joan Bergstrom, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$64
Largest payer
Hologic Sales and Service, LLC
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.
License & disciplinary context - Texas TMB 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 - they are NOT specific to Joan Bergstrom, M.D.. To verify Joan Bergstrom, M.D.'s current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases
TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
1,661
Total Claims
$88K
Total Drug Cost
393
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 3,837.4
- Total Day Supply
- 111,916
- Generic Drug Cost
- $51K
- Antibiotic Claims
- 62
Patient Demographics
- Average Patient Age
- 73.0 years
- Avg HCC Risk Score
- 0.80
- Gender Split
- 100% female / 0% male
- Age Distribution
- <65: 11, 65-74: 222, 75-84: 144, 85+: 16
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Joan Bergstrom, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2024
- Estradiol
Estradiol
573 claims
- Estradiol-Norethin… 102
Estradiol-Norethindrone Acetat
102 claims
- Zolpidem Tartrate 89
Zolpidem Tartrate
89 claims
- Fluconazole 83
Fluconazole
83 claims
- Estradiol (Once We… 62
Estradiol (Once Weekly)
62 claims
- Medroxyprogesteron… 58
Medroxyprogesterone Acetate
58 claims
- Premarin 54
Premarin
54 claims
- Alprazolam 52
Alprazolam
52 claims
| Drug | Claims |
|---|---|
| Estradiol | 573 |
| Estradiol-Norethindrone Acetat Estradiol/Norethindrone Acet | 102 |
| Zolpidem Tartrate | 89 |
| Fluconazole | 83 |
| Estradiol (Once Weekly) Estradiol | 62 |
| Medroxyprogesterone Acetate | 58 |
| Premarin Estrogens, Conjugated | 54 |
| Alprazolam | 52 |
| Valacyclovir Valacyclovir Hcl | 47 |
| Levothyroxine Sodium | 41 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Gynecology Physician Overview
How Joan Bergstrom, M.D. fits within the Gynecology Physician landscape nationally.
3,912
Gynecology Physician Providers in US
53
States with Gynecology Physician
319
Avg Claims per Provider
Joan Bergstrom, M.D.'s 1,661 claims are above the specialty average of 319.
Nationwide Gynecology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Bergstrom, both outside Texas so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (81.6 here).
Same NPPES enumeration year (2005)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Gynecology Physician Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Bergstrom.
One of 227 Gynecology Physician providers enrolled in Texas, 5 are shown here.
Dr. Nabil Aboukhair
M.D.
Cleburne, TX
Dr. Robert Adams
DO
Fort Worth, TX
Dr. Connie Agnew Brien
M.D.
Houston, TX
Dr. Bruce Akright
M.D.
Schertz, TX
Dr. Mesk Alrais
MD
Houston, TX
Compare Gynecology Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Joan Bergstrom, M.D.'s specialty? ▼
Joan Bergstrom, M.D. specializes in Gynecology Physician and practices in Arlington, Texas. Credentials: M.D..
How much does Joan Bergstrom, M.D. prescribe under Medicare Part D? ▼
In 2024, Joan Bergstrom, M.D. wrote 1,661 Medicare Part D claims totaling $88K in drug costs for 393 beneficiaries.
What is Joan Bergstrom, M.D.'s Medicare quality score? ▼
Joan Bergstrom, M.D. has a CMS MIPS Final Score of 81.6/100 (Quality: 85.1, Cost: 53.5). 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 Joan Bergstrom, M.D. located? ▼
Joan Bergstrom, M.D. is located at 1001 N WALDROP DR, Arlington, TX, 76012. Phone: (817) 277-9415.
What is Joan Bergstrom, M.D.'s NPI number? ▼
Joan Bergstrom, M.D.'s National Provider Identifier (NPI) is 1396727814, issued on 11/18/2005.
How many Gynecology Physician providers are there in the US? ▼
There are 3,912 Gynecology Physician providers across 53 states in the US. The average Gynecology Physician provider writes 319 Medicare Part D claims per year.
What drugs does Joan Bergstrom, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Joan Bergstrom, M.D.'s most frequently prescribed drugs include Estradiol, Estradiol-Norethindrone Acetat, Zolpidem Tartrate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Joan Bergstrom, M.D. accept Medicare? ▼
Joan Bergstrom, M.D. appears in CMS Medicare data with 1,661 Part D claims and 393 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Joan Bergstrom, M.D.'s credentials? ▼
Joan Bergstrom, M.D.'s NPI is 1396727814 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
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.