2026 NPPES data Pediatric Infectious Diseases Physician NPI 1316025497 MD
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RANDY BERGEN, MD

Pediatric Infectious Diseases Physician in WALNUT CREEK, California. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
32
Medicare Part D claims · 29 beneficiaries · Pediatric Infectious Diseases Physician avg: 244
Generic prescribing
0%
generic claims · 100% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: RANDY BERGEN, MD is a Pediatric Infectious Diseases Physician ([object Object]) practicing in WALNUT CREEK, California with a Medicare Part D prescribing footprint of 32 claims across 29 beneficiaries — 100% brand-name prescribing .

What stands out: RANDY BERGEN, MD filed 32 Medicare Part D claims in 2023 across WALNUT CREEK, California. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

RANDY BERGEN, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

RANDY BERGEN, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 11/02/2006

NPI 1316025497

Primary specialty

Pediatric Infectious Diseases Physician

Niche

1,066 US NPIs in this specialty

Medicare Part D claims

32 87% vs specialty avg

2023 prescription claims

Specialty avg: 244

Specialty distribution in California

How Pediatric Infectious Diseases Physician compares to other specialties among California providers

California providers

Pediatric Infectious Diseases Physician share within California

1. Pediatric Infectious Diseases Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Infectious Diseases Physician share within California

Specialty board-certification context

Estimated specialty board-certified rate — Pediatric Infectious Diseases Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pediatric Infectious Diseases Physician ABMS/AOA estimate

Est. board-certified rate (Pediatric Infectious Diseases Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pediatric Infectious Diseases Physician) — ABMS / AOA estimate

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).

RANDY BERGEN, MD is a Pediatric Infectious Diseases Physician provider practicing in WALNUT CREEK, California, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1316025497. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

RANDY BERGEN, MD appears in the CMS NPPES registry as a Pediatric Infectious Diseases Physician provider holding MD credentials at 1425 S MAIN ST, WALNUT CREEK, CA, 94596, with a listed phone of (925) 295-4000. NPI 1316025497 was issued on 11/02/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BERGEN most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 32 prescription claims written by this provider, covering 29 Medicare beneficiaries and totaling roughly $3K in drug spend, split 100% brand-name and 0% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Pediatric Infectious Diseases Physician is a narrow specialty nationwide, with 1,066 enrolled providers across 50 states and an average of 244 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1425 S MAIN ST
WALNUT CREEK, CA 94596

Provider Details

NPI 1316025497
Specialty Pediatric Infectious Diseases Physician
Credentials MD
Gender Male
NPI Issued 11/02/2006

License & disciplinary context — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to RANDY BERGEN, MD. To verify RANDY BERGEN, MD's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

RANDY BERGEN, MD — brand share 100.0%
Specialty average (est.)

100% brand-name claims vs 0% generic, on 32 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

32
Total Claims
$3K
Total Drug Cost
29
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
32
Total Day Supply
32
Brand vs Generic
100% brand / 0% generic
Brand Drug Cost
$3K
Generic Drug Cost
$0

Patient Demographics

Average Patient Age
72.2 years
Avg HCC Risk Score
0.71
Gender Split
38% female / 62% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Typhim Vi
Typhoid Vi Polysacch Vaccine
19

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

Pediatric Infectious Diseases Physician Overview

How RANDY BERGEN, MD fits within the Pediatric Infectious Diseases Physician landscape nationally.

1,066
Pediatric Infectious Diseases Physician Providers in US
50
States with Pediatric Infectious Diseases Physician
244
Avg Claims per Provider

RANDY BERGEN, MD's 32 claims are below the specialty average of 244.

Nearby Pediatric Infectious Diseases Physician Providers in California

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

Compare Pediatric Infectious Diseases Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RANDY BERGEN, MD's specialty?
RANDY BERGEN, MD specializes in Pediatric Infectious Diseases Physician and practices in WALNUT CREEK, California. Credentials: MD.
How much does RANDY BERGEN, MD prescribe under Medicare Part D?
In 2023, RANDY BERGEN, MD wrote 32 Medicare Part D claims totaling $3K in drug costs for 29 beneficiaries.
Where is RANDY BERGEN, MD located?
RANDY BERGEN, MD is located at 1425 S MAIN ST, WALNUT CREEK, CA, 94596. Phone: (925) 295-4000.
What is RANDY BERGEN, MD's NPI number?
RANDY BERGEN, MD's National Provider Identifier (NPI) is 1316025497, issued on 11/02/2006.
Does RANDY BERGEN, MD prescribe more brand-name or generic drugs?
RANDY BERGEN, MD's prescribing is 100% brand-name and 0% generic drugs by claim count, with $3K in brand drug costs.
How many Pediatric Infectious Diseases Physician providers are there in the US?
There are 1,066 Pediatric Infectious Diseases Physician providers across 50 states in the US. The average Pediatric Infectious Diseases Physician provider writes 244 Medicare Part D claims per year.
What drugs does RANDY BERGEN, MD prescribe most often?
Based on 2023 Medicare Part D data, RANDY BERGEN, MD's most frequently prescribed drugs include Typhim Vi. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RANDY BERGEN, MD accept Medicare?
RANDY BERGEN, MD appears in CMS Medicare data with 32 Part D claims and 29 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RANDY BERGEN, MD's credentials?
RANDY BERGEN, MD's NPI is 1316025497 with credentials MD. 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

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 (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
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 April 2026 (NPPES) / 2023 (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