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DEREK BERTA
NPI 1114572716
Physician Assistant in Idaho Falls, ID

Active since August 09, 2019PECOS EnrolledAccepts Medicare Assignment
2860 CHANNING WAY STE 220, IDAHO FALLS, ID 83404(208) 800-6155(208) 800-6158 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2026, Jun 6, 2022, Aug 9, 2019 (3 updates tracked since 2019).

About Derek Berta NPPES

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

DEREK BERTA (NPI 1114572716) is an individual physician assistant in Idaho Falls, Idaho, licensed in Idaho (3371894) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS, is affiliated with Eastern Idaho Regional Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1114572716
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDEREK BERTA
Location Address2860 CHANNING WAY STE 220Idaho Falls, ID 83404-7541
Mailing AddressPo Box 277381Atlanta, GA 30384-7381
Phone(208) 800-6155
Fax(208) 800-6158
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 9, 2019
Last NPPES UpdateMarch 17, 20263 updates tracked since enumeration
NPPES CertifiedMarch 17, 2026
✔ NPI 1114572716 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 ID · 3371894
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.
2860 CHANNING WAY STE 220, Idaho Falls, ID 83404
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina 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

Derek Berta 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 ID5597174664
PECOS Enrollment IDI20220526002382, I20260410001870
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.

Hospital Affiliations CMS Care Compare 2

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

Eastern Idaho Regional Medical Center

Acute Care Hospitals · Idaho Falls, ID
3/5 CMS rating
OwnershipProprietary
CMS Certification Number130018
Location3100 Channing WayIdaho Falls, ID 83404 · Bonneville County
Emergency services Birthing friendly

Musc Health Columbia Medical Center Downtown

Acute Care Hospitals · Columbia, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420026
Location2435 Forest DriveColumbia, SC 29204 · Richland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83404 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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.

Other Providers at the Same Location NPPES 2

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

LAURIE M KUESTNER M.D.
Surgery (Vascular Surgery)
2860 CHANNING WAY STE 220
IDAHO FALLS, ID 83404
Bonneville County (208) 800-6155
MELISSA P CHEERS MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2860 CHANNING WAY STE 220
IDAHO FALLS, ID 83404
Bonneville County (208) 600-6155

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 Derek Berta's NPI number?

The NPI number for Derek Berta is 1114572716. It was assigned to this individual provider in the NPPES registry on August 9, 2019.

Where is Derek Berta located?

Derek Berta practices at 2860 Channing Way Ste 220, Idaho Falls, ID 83404. The listed phone number is (208) 800-6155.

What is Derek Berta's specialty?

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

Is Derek Berta enrolled in Medicare?

Yes. Derek Berta 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 Derek Berta accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, Imperial Insurance Companies, Inc. and Molina Healthcare and 1 other insurer list Derek Berta 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 Derek Berta affiliated with any hospitals?

According to CMS data, Derek Berta is affiliated with Eastern Idaho Regional Medical Center and Musc Health Columbia Medical Center Downtown.

When was this NPI record last updated?

The NPPES record for Derek Berta was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.