ENT

Dr. Jeffrey Mark Bergeron Jr., MD

Ear, nose and throat doctor in Houston, TX

Practice: Texas Ear, Nose and Throat Specialists

NPI 1790217149 · NPI registry · Baylor College of Medicine · graduated 2017

Patient experience

What reviews mention

  • Communication96% positive among mentions (23 mentions)
  • Staff and front office75% positive among mentions (8 mentions)
  • Explained treatment100% positive among mentions (6 mentions)

MedBridge analysis of 25 reviews on Healthgrades · checked Nov 2026. We count what reviewers say about each topic and never copy their words.

Accepting new patients, according to Healthgrades (checked Nov 2026). Call the office to confirm.

Board certification

  • Otolaryngology-Head and Neck Surgery · American Board of Otolaryngology - Head and Neck Surgery

Source: Listed on Healthgrades · checked Nov 2026

Procedure experience

  • Nasal endoscopy (camera exam of the nose): 84 times for Medicare patients
  • Ear wax removal: 65 times for Medicare patients
  • Voice box exam (camera exam of the throat): 53 times for Medicare patientsMore than 60% of Houston ENTs who do this
  • Hearing test: 24 times for Medicare patients

Source: CMS Medicare Physician & Other Practitioners, 2024. Medicare patients only; CMS hides counts under 11 · checked Nov 2026

Hospitals

  • Memorial Hermann Hospital System · 3 of 5 CMS stars

Source: CMS Facility Affiliation and Hospital General Information · checked Nov 2026

Texas medical license

License T8489 · Active · expires Aug 2027

Disciplinary status: None

Source: Texas Medical Board · checked Nov 2026

Medicare quality score

95.8 out of 100 (reported by the doctor's group)

Source: CMS Merit-based Incentive Payment System, 2024 · checked Nov 2026

Payments from drug and device companies (2025)

$1,240 across 36 payments

  • Inspire Medical Systems, Inc.: $426
  • Integra LifeSciences Corporation: $206
  • Neurent Medical Limited: $164

Many of these payments are small, such as meals. A payment does not mean wrongdoing.

Source: CMS Open Payments, 2025 · checked Nov 2026

Insurance

Plans in the insurers’ own directories

Medicare Advantage, Medicaid, CHIP and Marketplace plans from public directories run by the insurers. Employer plans are not listed here yet.

Ambetter from Superior HealthPlan · 1 plan

Marketplace (ACA)

  • Ambetter Marketplace plansNetwork: Exchange TXLast checked Nov 1, 2026 · confirm with the office.

Ambetter from Superior HealthPlan last updated these listings Oct 23, 2026.

Source: Ambetter provider directory (Centene) · checked Nov 2026

Blue Cross and Blue Shield of Texas · 19 plans

Marketplace (ACA)

  • Blue Advantage Bronze HMO 204Network: Blue Advantage HMOLast checked Nov 1, 2026 · confirm with the office.
  • Blue Advantage Bronze HMO 301Network: Blue Advantage HMOLast checked Nov 1, 2026 · confirm with the office.
  • Blue Advantage Bronze HMO StandardNetwork: Blue Advantage HMOLast checked Nov 1, 2026 · confirm with the office.
  • Blue Advantage Gold HMO 206Network: Blue Advantage HMOLast checked Nov 1, 2026 · confirm with the office.
  • Blue Advantage Gold HMO 603Network: Blue Advantage HMOLast checked Nov 1, 2026 · confirm with the office.
  • Blue Advantage Gold HMO StandardNetwork: Blue Advantage HMOLast checked Nov 1, 2026 · confirm with the office.
  • Blue Advantage Plus Bronze 303Network: Blue Advantage HMOLast checked Nov 1, 2026 · confirm with the office.
  • Blue Advantage Plus Bronze 305Network: Blue Advantage HMOLast checked Nov 1, 2026 · confirm with the office.
  • Blue Advantage Plus Bronze StandardNetwork: Blue Advantage HMOLast checked Nov 1, 2026 · confirm with the office.
  • Blue Advantage Plus Gold 203Network: Blue Advantage HMOLast checked Nov 1, 2026 · confirm with the office.
  • Blue Advantage Plus Gold 803Network: Blue Advantage HMOLast checked Nov 1, 2026 · confirm with the office.
  • Blue Advantage Plus Gold StandardNetwork: Blue Advantage HMOLast checked Nov 1, 2026 · confirm with the office.
  • Blue Advantage Plus Silver 202Network: Blue Advantage HMOLast checked Nov 1, 2026 · confirm with the office.
  • Blue Advantage Plus Silver 605Network: Blue Advantage HMOLast checked Nov 1, 2026 · confirm with the office.
  • Blue Advantage Plus Silver StandardNetwork: Blue Advantage HMOLast checked Nov 1, 2026 · confirm with the office.
  • Blue Advantage Security HMO 200Network: Blue Advantage HMOLast checked Nov 1, 2026 · confirm with the office.
  • Blue Advantage Silver HMO 205Network: Blue Advantage HMOLast checked Nov 1, 2026 · confirm with the office.
  • Blue Advantage Silver HMO 801Network: Blue Advantage HMOLast checked Nov 1, 2026 · confirm with the office.
  • Blue Advantage Silver HMO StandardNetwork: Blue Advantage HMOLast checked Nov 1, 2026 · confirm with the office.

Blue Cross and Blue Shield of Texas last updated these listings Oct 16, 2026.

Source: Blue Cross and Blue Shield of Texas Marketplace provider file · checked Nov 2026

Superior HealthPlan · 7 plans

Medicaid and CHIP

  • CHIPNetwork: TX CHIPLast checked Nov 1, 2026 · confirm with the office.
  • CHIP PerinateNetwork: TX CHIP PerinateLast checked Nov 1, 2026 · confirm with the office.
  • CHIP, rural service areaNetwork: TX CHIP RSALast checked Nov 1, 2026 · confirm with the office.
  • STARNetwork: TX Star MedicaidLast checked Nov 1, 2026 · confirm with the office.
  • STAR Health (foster care)Network: TX Star Health Foster CareLast checked Nov 1, 2026 · confirm with the office.
  • STAR KidsNetwork: TX STAR KIDSLast checked Nov 1, 2026 · confirm with the office.
  • STAR+PLUSNetwork: TX Star PlusLast checked Nov 1, 2026 · confirm with the office.

Superior HealthPlan last updated these listings Oct 24, 2026.

Source: Superior HealthPlan provider directory (Centene) · checked Nov 2026

UnitedHealthcare · 16 plans

Medicare Advantage

  • AARP Medicare Advantage from UHC TX-0006 (PPO)Last checked Oct 5, 2026 · confirm with the office.
  • AARP Medicare Advantage from UHC TX-0009 (HMO-POS)Last checked Oct 5, 2026 · confirm with the office.
  • AARP Medicare Advantage from UHC TX-0015 (HMO-POS)Last checked Oct 5, 2026 · confirm with the office.
  • AARP Medicare Advantage from UHC TX-001P (HMO-POS)Last checked Oct 5, 2026 · confirm with the office.
  • AARP Medicare Advantage from UHC TX-4P (HMO-POS)Last checked Oct 5, 2026 · confirm with the office.
  • AARP Medicare Advantage Giveback from UHC TX-31 (PPO)Last checked Oct 5, 2026 · confirm with the office.
  • AARP Medicare Advantage Patriot No Rx TX-MA01 (HMO-POS)Last checked Oct 5, 2026 · confirm with the office.
  • AARP Medicare Advantage Patriot No Rx TX-MA05 (PPO)Last checked Oct 5, 2026 · confirm with the office.
  • UHC Complete Care Support TX-1A (Regional PPO C-SNP)Last checked Oct 5, 2026 · confirm with the office.
  • UHC Complete Care TX-29 (Regional PPO C-SNP)Last checked Oct 5, 2026 · confirm with the office.
  • UHC Complete Care TX-2P (HMO-POS C-SNP)Last checked Oct 5, 2026 · confirm with the office.
  • UHC Dual Complete TX-D01P (HMO-POS D-SNP)Last checked Oct 5, 2026 · confirm with the office.
  • UHC Dual Complete TX-S001 (Regional PPO D-SNP)Last checked Oct 5, 2026 · confirm with the office.
  • UHC Dual Complete TX-V01P (HMO-POS D-SNP)Last checked Oct 5, 2026 · confirm with the office.
  • UHC Medicare Advantage TX-0030 (Regional PPO)Last checked Oct 5, 2026 · confirm with the office.
  • UHC Nursing Home Plan TX-F001 (PPO I-SNP)Last checked Oct 5, 2026 · confirm with the office.

Source: UnitedHealthcare provider directory · checked Oct 2026

Wellcare · 2 plans

Medicare Advantage

  • Wellcare Medicare Advantage plansNetwork: MAPD TX, Medicare TXLast checked Nov 1, 2026 · confirm with the office.
  • Wellcare special needs plans (SNP)Network: TX SNP, TX SNP Non - AIPLast checked Nov 1, 2026 · confirm with the office.

Wellcare last updated these listings Oct 24, 2026.

Source: Wellcare provider directory (Centene) · checked Nov 2026

Insurance companies listed on Healthgrades

Listed on Healthgrades, confirm with the office.

  • AetnaManaged Choice (Open Access) POS, Managed Choice (Open Access), Open Choice, Choice Plus POS II, Premier Care Network Plus - Innovation Health, Open Choice PPO, Elect Choice (Open Access) EPO
  • Baylor Scott & White Health PlanBaylor Scott & White Health Plan PPO, BSW Access PPO
  • Blue Cross and Blue Shield of TexasBestChoice PPO, Blue Essentials HMO
  • Blue Cross Blue ShieldBlue Advantage, Blue Card High Performance Network HPN, Blue Advantage HMO, Blue Card, Blue Card PPO
  • ChoiceCare NetworkChoice Care (Humana)
  • CurativeCurative PPO Plus, Curative EPO, Curative PPO
  • EmblemHealthPreferred
  • First HealthFirst Health (Coventry Health Care), First Health (Coventry Health Care) PPO
  • HealthSmartNational
  • HumanaChoice Care PPO, Preferred PPO, Choice Care Network PPO, Choice POS, HMO Premier HMO, National POS
  • MAPFRE Life Insurance Company of Puerto RicoChoice
  • UnitedHealthCareChoice Plus, Nexus Open Access, Navigate HMO, Navigate POS, Medica Choice, Options PPO, Navigate, Choice Plus POS, Options

Source: Listed on Healthgrades, confirm with the office · checked Nov 2026

Where this doctor practices

Map of this doctor’s offices

White pins with an orange ring are approximate: we could not place that address exactly, so the pin sits at the center of its zip code. The full addresses are at the top of this page.

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