DON ALEXANDER BERTOLOTTI
NPI 1275950560
Emergency Medicine in Owensboro, KY

Active since March 25, 2014PECOS EnrolledAccepts Medicare Assignment
79.71/100
CMS Quality Rating
1201 PLEASANT VALLEY RD, OWENSBORO, KY 42303(270) 417-2000 Get Directions Write a Review

NPPES record last updated: September 18, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 18, 2018, Mar 17, 2018, Jun 20, 2017 and 1 more (4 updates tracked since 2017).

About Don Alexander Bertolotti NPPES

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

DON ALEXANDER BERTOLOTTI (NPI 1275950560) is an individual emergency medicine provider in Owensboro, Kentucky, licensed in Ohio (35.134887) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, is affiliated with Mount Carmel St Ann's, and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1275950560
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDON ALEXANDER BERTOLOTTI
Location Address1201 PLEASANT VALLEY RDOwensboro, KY 42303-9811
Mailing Address3128 Derby ChaseOwensboro, KY 42303-4402 · (304) 982-2669
Sole ProprietorNo
Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 2014
Enumeration DateMarch 25, 2014
Last NPPES UpdateSeptember 18, 20184 updates tracked since enumeration
NPI 1275950560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in OH · 35.134887 Licensed in KY · TP946 Licensed in KY · R3429 Licensed in KY · 50178
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1201 PLEASANT VALLEY RD, Owensboro, KY 42303

Secondary Practice Location 1

Location 1550 S Jackson St # C1H17Louisville, KY 40202-1622 · Phone (502) 852-1273

Accepted 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

Don Alexander Bertolotti 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 ID1951616457
PECOS Enrollment IDI20181002002987
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 4

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
196 services186 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
192 services191 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
65 services65 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
47 services45 patients

Hospital Affiliations CMS Care Compare 2

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

Mount Carmel St Ann's

Acute Care Hospitals · Westerville, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360012
Location500 South Cleveland AvenueWesterville, OH 43081 · Franklin County
Emergency services Birthing friendly

Memorial Hospital

Acute Care Hospitals · Marysville, OH
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number360092
Location500 London AvenueMarysville, OH 43040 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42303 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

79.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.67
Improvement Activities40

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.

Emergency Medicine
1201 PLEASANT VALLEY RD
OWENSBORO, KY 42303
Emergency Medicine
1201 PLEASANT VALLEY RD
OWENSBORO, KY 42303
Psychiatry & Neurology (Psychiatry)
1201 PLEASANT VALLEY RD
OWENSBORO, KY 42303
Physician Assistant
1201 PLEASANT VALLEY RD
OWENSBORO, KY 42303
Internal Medicine
1201 PLEASANT VALLEY RD
OWENSBORO, KY 42303
Emergency Medicine
1201 PLEASANT VALLEY RD
OWENSBORO, KY 42303
Internal Medicine (Cardiovascular Disease)
1201 PLEASANT VALLEY RD
OWENSBORO, KY 42303
Nurse Practitioner (Family)
1201 PLEASANT VALLEY RD
OWENSBORO, KY 42303

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 Don Bertolotti's NPI number?

The NPI number for Don Bertolotti is 1275950560. It was assigned to this individual provider in the NPPES registry on March 25, 2014.

Where is Don Bertolotti located?

Don Bertolotti practices at 1201 Pleasant Valley Rd, Owensboro, KY 42303. The listed phone number is (270) 417-2000.

What is Don Bertolotti's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Don Bertolotti enrolled in Medicare?

Yes. Don Bertolotti 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 Don Bertolotti accept?

Health plans from Oscar Health Insurance, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Don Bertolotti 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 Don Bertolotti affiliated with any hospitals?

According to CMS data, Don Bertolotti is affiliated with Mount Carmel St Ann's and Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Don Bertolotti was last updated on September 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.