DR. JOHN BERTELSON M.D.
NPI 1215959697
Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry in Austin, TX
About Dr. John Bertelson M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN BERTELSON M.D. (NPI 1215959697) is an individual behavioral neurology & neuropsychiatry provider in Austin, Texas, licensed in Texas (L7311) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with St David's Medical Center, and is a graduate of University Of Texas Medical School At Houston (1998).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. John Bertelson M.d. 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.
Medicare Billing Reassignments
5Medicare enrollment records show John Bertelson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Austin, TX 78712
- Reassigned Medicare billing, Texas enrollment
- 1,188 clinicians in this Medicare group
Austin, TX 78712
- Reassigned Medicare billing, Texas enrollment
- 294 clinicians in this Medicare group
Austin, TX 78712
- Reassigned Medicare billing, Texas enrollment
- 208 clinicians in this Medicare group
Austin, TX 78757
- Reassigned Medicare billing, Texas enrollment
- 11 clinicians in this Medicare group
Lubbock, TX 79430
- Reassigned Medicare billing, Texas enrollment
- 685 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St David's Medical Center
Acute Care Hospitals · Austin, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78731 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AUSTIN, TX 78731
AUSTIN, TX 78731
AUSTIN, TX 78731
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 John Bertelson's NPI number?
The NPI number for John Bertelson is 1215959697. It was assigned to this individual provider in the NPPES registry on July 24, 2006.
Where is John Bertelson located?
John Bertelson practices at 1600 W 38th St Suite 308, Austin, TX 78731. The listed phone number is (512) 324-3540.
What is John Bertelson's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Behavioral Neurology & Neuropsychiatry, with taxonomy code 2084B0040X.
Is John Bertelson enrolled in Medicare?
Yes. John Bertelson 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.
Which organizations bill Medicare for John Bertelson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Bertelson reassigns Medicare benefits to 5 organizations: Seton Family Of Doctors (Austin, TX), The University Of Texas At Austin (Austin, TX), University Of Texas At Austin Dell Medical School (Austin, TX), Senior Adults Specialty Healthcare PA (Austin, TX) and Texas Tech University Health Sciences Center Lubbock (Lubbock, TX). Each 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 John Bertelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Bertelson accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 7 other insurers list John Bertelson 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 John Bertelson affiliated with any hospitals?
According to CMS data, John Bertelson is affiliated with St David's Medical Center.
When was this NPI record last updated?
The NPPES record for John Bertelson was last updated on December 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Dr. John Bertelson, M.D. · NPI 1215959697
Behavioral Neurology & Neuropsychiatry physician in Austin, Texas. Individual provider, active in the CMS NPPES registry since July 24, 2006.
## Identity
- **NPI:** 1215959697 (Entity type: Individual)
- **Enumerated:** July 24, 2006
- **Primary specialty:** Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry · taxonomy 2084B0040X
- **State license:** L7311 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1600 W 38TH ST, SUITE 308, Austin, TX 78731-6400
- **Phone:** (512) 324-3540 · **Fax:** (512) 324-3541
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Seton Family Of Doctors (NPI 1588997233, Austin, TX); The University Of Texas At Austin (NPI 1073032546, Austin, TX); University Of Texas At Austin Dell Medical School (NPI 1073066239, Austin, TX); Senior Adults Specialty Healthcare PA (NPI 1639170541, Austin, TX); Texas Tech University Health Sciences Center Lubbock (NPI 1063461358, Lubbock, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Texas Medical School At Houston, class of 1998
## Record status
- **NPPES last updated:** December 19, 2023
- **Other identifiers:** Medicaid 160104904 (TX); Medicaid 160104905 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1215959697) · Data from the CMS NPPES public registry.