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MRS. AUTUMN LYNN BERTHOLDI PA-C
NPI 1013944024
Physician Assistant in Springfield, MO

Active since June 26, 2006PECOS EnrolledAccepts Medicare Assignment
98.97/100
CMS Quality Rating
3850 S NATIONAL AVE STE 705, SPRINGFIELD, MO 65807(417) 900-3407(417) 889-0476 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 5, 2023, Jul 12, 2019 (2 updates tracked since 2019).

About Mrs. Autumn Lynn Bertholdi Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. AUTUMN LYNN BERTHOLDI PA-C (NPI 1013944024) is an individual physician assistant in Springfield, Missouri, licensed in Missouri (2006010979) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Cox Medical Centers, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1013944024
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. AUTUMN LYNN BERTHOLDICredential: PA-C
Location Address3850 S NATIONAL AVE STE 705Springfield, MO 65807-5239
Mailing Address801 York StManitowoc, WI 54220-4630 · (920) 663-9008 · Fax (920) 684-1439
Phone(417) 900-3407
Fax(417) 889-0476
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJune 26, 2006
Last NPPES UpdateFebruary 26, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2026
✔ NPI 1013944024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MO · 2006010979
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3850 S NATIONAL AVE STE 705, Springfield, MO 65807
Open in Google Maps ↗

Secondary Practice Locations 6

Location 11240 E INDEPENDENCE ST STE 200SPRINGFIELD, MO 65804-4201 · Phone (417) 900-3407 · Fax (417) 889-0476
Location 21240 E INDEPENDENCE ST STE 100SPRINGFIELD, MO 65804-4201 · Phone (417) 900-3407 · Fax (417) 889-0476
Location 32200 E CLEVELAND STMONETT, MO 65708-6149 · Phone (417) 900-3407 · Fax (417) 889-0476
Location 4331 HOSPITAL DR STE CLEBANON, MO 65536-9251 · Phone (417) 334-7200 · Fax (417) 334-7299
Location 5590 BIRCH RD STE 2CHOLLISTER, MO 65672-9607 · Phone (417) 815-6737 · Fax (417) 690-3862
Location 6109 PINEHURST DRBRANSON, MO 65616-2796 · Phone (417) 888-0858 · Fax (417) 889-0476

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Autumn Lynn Bertholdi Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759393242
PECOS Enrollment IDI20060627000313
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services18 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cox Medical Centers

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260040
Location3801 South National AvenueSpringfield, MO 65807 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65807 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.81
Promoting Interoperability100
Improvement Activities40
Cost98.76

Reported Quality Measures

Biopsy Follow-Up
Percentage of new patients whose biopsy results have been reviewed and communicated to the primary care/referring physician and patient by the performing physician
100%277 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%1,778 patients4/55-star benchmark: 100%
Patient-Centered Surgical Risk Assessment and Communication
Percentage of patients who underwent a non-emergency surgery who had their personalized risks of postoperative complications assessed by their surgical team prior to surgery using a clinical data-based, patient-specific risk calculator and who received…
100%117 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
96%2,482 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
95%2,482 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%2,482 patients1/55-star benchmark: 79%
Tobacco Use and Help with Quitting Among Adolescents
The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user
96%113 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BROOKLYN RAE FORT NP-C
Nurse Practitioner
3850 S NATIONAL AVE STE 705
SPRINGFIELD, MO 65807
Greene County (417) 900-3407
MICHAEL KREMER
Dermatology
3850 S NATIONAL AVE STE 705
SPRINGFIELD, MO 65807
Greene County (417) 888-0858
FOREFRONT DERMATOLOGY, S.C.
Dermatology
3850 S NATIONAL AVE STE 705
SPRINGFIELD, MO 65807
Greene County (417) 900-3407
CRAIG NAUGLE, MD LLC
Dermatology
3850 S NATIONAL AVE STE 705
SPRINGFIELD, MO 65807
Greene County (417) 889-3332
LORI RENEE MILLER NP-C
Nurse Practitioner
3850 S NATIONAL AVE STE 705
SPRINGFIELD, MO 65807
Greene County (417) 900-3407
HANNAH ANOUSH LEE NP-C
Nurse Practitioner
3850 S NATIONAL AVE STE 705
SPRINGFIELD, MO 65807
Greene County (417) 900-3407
BRETT NEILL MD
Dermatology (MOHS-Micrographic Surgery)
3850 S NATIONAL AVE STE 705
SPRINGFIELD, MO 65807
Greene County (417) 888-0858

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Autumn Bertholdi's NPI number?

The NPI number for Autumn Bertholdi is 1013944024. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is Autumn Bertholdi located?

Autumn Bertholdi practices at 3850 S National Ave Ste 705, Springfield, MO 65807. The listed phone number is (417) 900-3407.

What is Autumn Bertholdi's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Autumn Bertholdi enrolled in Medicare?

Yes. Autumn Bertholdi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Autumn Bertholdi accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Autumn Bertholdi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Autumn Bertholdi affiliated with any hospitals?

According to CMS data, Autumn Bertholdi is affiliated with Cox Medical Centers.

When was this NPI record last updated?

The NPPES record for Autumn Bertholdi was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.