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JOHN BERTINI DO
NPI 1225267982
Internal Medicine in Endwell, NY

Active since July 02, 2009PECOS EnrolledAccepts Medicare Assignment
84.63/100
CMS Quality Rating
800 HOOPER RD, ENDWELL, NY 13760(607) 757-0444(607) 748-8984 Get Directions Write a Review

NPPES record last updated: June 13, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John Bertini Do NPPES

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

JOHN BERTINI DO (NPI 1225267982) is an individual internal medicine provider in Endwell, New York, licensed in New York (263736) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2009).

NPPES Registry Identity

NPI1225267982
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOHN BERTINICredential: DO
Location Address800 HOOPER RDEndwell, NY 13760-1560
Mailing Address346 Grand AveJohnson City, NY 13790-2580 · (607) 729-8156 · Fax (607) 729-3982
Phone(607) 757-0444
Fax(607) 748-8984
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2009
Enumeration DateJuly 2, 2009
Last NPPES UpdateJune 13, 2012
✔ NPI 1225267982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 263736
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
800 HOOPER RD, Endwell, NY 13760
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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

John Bertini Do 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 ID7113183120
PECOS Enrollment IDI20120719000085
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 9

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
569 services298 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
248 services248 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
40 services27 patients
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.
24 services24 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
23 services18 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
20 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Our Lady Of Lourdes Memorial Hospital, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330011
Location169 Riverside DriveBinghamton, NY 13905 · Broome County
Emergency services Birthing friendly

United Health Services Hospitals, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330394
Location10-42 Mitchell AvenueBinghamton, NY 13903 · Broome County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13760 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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.

84.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.96
Promoting Interoperability100
Improvement Activities40
Cost54.42

Reported Quality Measures

Depression Utilization of the PHQ-9 Tool
The percentage of patients age 18 and older with the diagnosis of major depression or dysthymia who have a completed PHQ-9 during each applicable 4 month period in which there was a qualifying visit
Patients 4MonthsOfEnd: 38% · 80 patients
Patients 4MonthsOfStart: 29% · 65 patients
29%70 patients
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%3,190 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
97%612 patients4/55-star benchmark: 99%
Medication Reconciliation Post-Discharge
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…
100%20 patients
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
80%612 patients4/55-star benchmark: 90%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
97%1,155 patients5/55-star benchmark: 96%
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.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
17 suppliers49 claims106 services$6.11 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers15 claims16 services$0.93 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers17 claims17 services$5.32 avg. paid by Medicare
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955
DME-Wheelchairs · category DD021N
2 suppliers23 claims23 services$11.90 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
2 suppliers23 claims23 services$11.78 avg. paid by Medicare
Manual adult size wheelchair, includes tilt in space E1161
DME-Wheelchairs · category DD000N
2 suppliers23 claims23 services$174.31 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

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

MARIAN GOLDSMITH M.S., AUDIOLOGY
Audiologist
800 HOOPER RD, SUITE 370
ENDWELL, NY 13760
Broome County (607) 786-5130
DARRELL GEORGE HUNINK PT
Physical Medicine & Rehabilitation
800 HOOPER RD, SUITE 330
ENDWELL, NY 13760
Broome County (607) 748-7890
MR. LAWRENCE GARDNER SANFORD
Pharmacist
800 HOOPER RD, SUITE 500
ENDWELL, NY 13760
Broome County (607) 757-2638
DR. RABIA MEHERWAN MISTRY D.O.
Internal Medicine
800 HOOPER RD
ENDWELL, NY 13760
Broome County (607) 757-0444
CVS ALBANY LLC
Pharmacy
800 HOOPER RD, SUITE 500
ENDWELL, NY 13760
Broome County (607) 757-2618
ERIC PHELAN
Physician Assistant
800 HOOPER RD
ENDWELL, NY 13760
Broome County (607) 757-0444
RHIANNON BARTLESON FOSTER NP
Nurse Practitioner (Family)
800 HOOPER RD
ENDWELL, NY 13760
Broome County (607) 757-0444
BENJAMIN ROBINSON PT
Physical Medicine & Rehabilitation (Pain Medicine)
800 HOOPER RD, SUITE 330
ENDWELL, NY 13760
Broome County (607) 748-7890

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 Bertini's NPI number?

The NPI number for John Bertini is 1225267982. It was assigned to this individual provider in the NPPES registry on July 2, 2009.

Where is John Bertini located?

John Bertini practices at 800 Hooper Rd, Endwell, NY 13760. The listed phone number is (607) 757-0444.

What is John Bertini's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is John Bertini enrolled in Medicare?

Yes. John Bertini 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.

Is John Bertini affiliated with any hospitals?

According to CMS data, John Bertini is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc and United Health Services Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for John Bertini was last updated on June 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.