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DR. JAMES R BERTSCH D.O.
NPI 1275580532
Family Medicine in Cambridge City, IN

Active since May 30, 2006PECOS EnrolledAccepts Medicare Assignment
1154 S STATE ROAD 1 STE 1, CAMBRIDGE CITY, IN 47327(765) 478-6108(765) 478-1243 Get Directions Write a Review

NPPES record last updated: May 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 12, 2021, Nov 2, 2020, Aug 3, 2020 (3 updates tracked since 2020).

About Dr. James R Bertsch D.o. NPPES

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

DR. JAMES R BERTSCH D.O. (NPI 1275580532) is an individual family medicine provider in Cambridge City, Indiana, licensed in Indiana (02000558A) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Henry County Memorial Hospital, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (1975).

NPPES Registry Identity

NPI1275580532
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JAMES R BERTSCHCredential: D.O.
Location Address1154 S STATE ROAD 1 STE 1Cambridge City, IN 47327-9513
Mailing Address1100 Reid Pkwy, Medical Staff ServicesRichmond, IN 47374-1157 · (765) 478-6108 · Fax (765) 478-1243
Phone(765) 478-6108
Fax(765) 478-1243
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 1975
Enumeration DateMay 30, 2006
Last NPPES UpdateMay 12, 20213 updates tracked since enumeration
NPPES CertifiedMay 12, 2021
✔ NPI 1275580532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 02000558A
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.
1154 S STATE ROAD 1 STE 1, Cambridge City, IN 47327
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Other Identifiers 3

Medicaid200028660AIN
Medicaid0098242OH
Other000000833338IN · Anthem

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.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

Dr. James R Bertsch D.o. 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 ID7911925516
PECOS Enrollment IDI20100218000438
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 5

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.

Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
119 services57 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
114 services56 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
80 services13 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
70 services52 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Henry County Memorial Hospital

Acute Care Hospitals · New Castle, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150030
Location1000 N 16th StNew Castle, IN 47362 · Henry County
Emergency services Birthing friendly

Hancock Regional Hospital

Acute Care Hospitals · Greenfield, IN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150037
Location801 N State StGreenfield, IN 46140 · Hancock County
Emergency services Birthing friendly

Reid Health

Acute Care Hospitals · Richmond, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150048
Location1100 Reid PkwyRichmond, IN 47374 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47327 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Referred Medical Equipment & Supplies CMS DME claims 16

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
14 suppliers44 claims86 services$5.32 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers26 claims31 services$0.94 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers15 claims15 services$101.29 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers16 claims38 services$40.27 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
2 suppliers13 claims13 services$72.86 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers17 claims17 services$24.53 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 3

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

AUTUMN GALINDO MD
Family Medicine
1154 S STATE ROAD 1 STE 1
CAMBRIDGE CITY, IN 47327
Wayne County (765) 478-6108
REID PHYSICIAN ASSOCIATES, INC.
Clinic/Center (Rural Health)
1154 S STATE ROAD 1 STE 1
CAMBRIDGE CITY, IN 47327
Wayne County (765) 478-6108
NICOLE M PATTERSON
Nurse Practitioner (Family)
1154 S STATE ROAD 1 STE 1
CAMBRIDGE CITY, IN 47327
Wayne County (765) 478-6108

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 James Bertsch's NPI number?

The NPI number for James Bertsch is 1275580532. It was assigned to this individual provider in the NPPES registry on May 30, 2006.

Where is James Bertsch located?

James Bertsch practices at 1154 S State Road 1 Ste 1, Cambridge City, IN 47327. The listed phone number is (765) 478-6108.

What is James Bertsch's specialty?

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

Is James Bertsch enrolled in Medicare?

Yes. James Bertsch 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 James Bertsch accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list James Bertsch 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 James Bertsch affiliated with any hospitals?

According to CMS data, James Bertsch is affiliated with Henry County Memorial Hospital, Hancock Regional Hospital and Reid Health.

When was this NPI record last updated?

The NPPES record for James Bertsch was last updated on May 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.