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DR. JOSHUA BERTOLLO M.D.
NPI 1184329708
Family Medicine in Port Charlotte, FL

Active since April 03, 2023PECOS Enrolled
4130 TAMIAMI TRL UNIT 102, PORT CHARLOTTE, FL 33952(941) 787-7100 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 15, 2026, Apr 3, 2023 (2 updates tracked since 2023).

About Dr. Joshua Bertollo M.d. NPPES

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

DR. JOSHUA BERTOLLO M.D. (NPI 1184329708) is an individual family medicine provider in Port Charlotte, Florida, licensed in Florida (ME178384) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, is affiliated with Winter Haven Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1184329708
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOSHUA BERTOLLOCredential: M.D.
Location Address4130 TAMIAMI TRL UNIT 102Port Charlotte, FL 33952-9207
Mailing Address2675 Winkler Ave Ste 200Fort Myers, FL 33901-9328
Phone(941) 787-7100
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 3, 2023
Last NPPES UpdateJuly 15, 20262 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
✔ NPI 1184329708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME178384
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4130 TAMIAMI TRL UNIT 102, Port Charlotte, FL 33952
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Joshua Bertollo M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567928781
PECOS Enrollment IDI20260728005283
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.

Medicare Billing Reassignment

Medicare enrollment records show Joshua Bertollo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Millennium Physician Group LLC
32 mi
Family Medicine
6321 DANIELS PKWY
Fort Myers, FL 33912
  • Reassigned Medicare billing, Florida enrollment
  • 1,278 clinicians in this Medicare group
NPI 1811122880 (877) 856-3774

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Winter Haven Hospital

Acute Care Hospitals · Winter Haven, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100052
Location200 Ave F NEWinter Haven, FL 33881 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33952 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
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

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

MS. MADELYN GRACE TIU PA-C
Physician Assistant
4130 TAMIAMI TRL UNIT 102
PORT CHARLOTTE, FL 33952
Charlotte County (941) 787-7100

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 Joshua Bertollo's NPI number?

The NPI number for Joshua Bertollo is 1184329708. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Joshua Bertollo located?

Joshua Bertollo practices at 4130 Tamiami Trl Unit 102, Port Charlotte, FL 33952. The listed phone number is (941) 787-7100.

What is Joshua Bertollo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Joshua Bertollo enrolled in Medicare?

Yes. Joshua Bertollo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Joshua Bertollo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joshua Bertollo reassigns Medicare benefits to Millennium Physician Group LLC (Fort Myers, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joshua Bertollo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joshua Bertollo accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Joshua Bertollo 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 Joshua Bertollo affiliated with any hospitals?

According to CMS data, Joshua Bertollo is affiliated with Winter Haven Hospital.

When was this NPI record last updated?

The NPPES record for Joshua Bertollo was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.