DR. CHARLES JOSEPH BERTUCH JR. M.D.
NPI 1316056013
Independent Medical Examiner in Fort Collins, CO

Q: What is Charles Bertuch's NPI number?

The NPI number for Charles Bertuch is 1316056013. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Q: What is Charles Bertuch's specialty?

The primary specialty registered for this NPI is Independent Medical Examiner with taxonomy code 202C00000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Bertuch was last updated on May 3, 2019. 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.

Active since August 29, 2006PECOS Enrolled

1120 E ELIZABETH STREET, FORT COLLINS, CO 80524(970) 493-9193(970) 639-4475 Get Directions Write a Review

NPPES record last updated: May 3, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 3, 2019, Apr 18, 2019 (2 updates tracked since 2019).

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About Dr. Charles Joseph Bertuch Jr. M.d. NPPES

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

DR. CHARLES JOSEPH BERTUCH JR. M.D. (NPI 1316056013) is an individual independent medical examiner provider in Fort Collins, Colorado, licensed in New York (099426) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316056013

Entity TypeIndividualMale

Primary Taxonomy202C00000X

Provider Legal NameDR. CHARLES JOSEPH BERTUCH JR.Credential: M.D.

Location Address1120 E ELIZABETH STREETFort Collins, CO 80524

Mailing Address1120 E Elizabeth StreetFort Collins, CO 80524 · (970) 493-9193 · Fax (970) 639-4475

Phone(970) 493-9193

Fax(970) 639-4475

Sole ProprietorYes

Enumeration DateAugust 29, 2006

Last NPPES UpdateMay 3, 20192 updates tracked since enumeration

✔ NPI 1316056013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyIndependent Medical ExaminerAllopathic & Osteopathic Physicians

Taxonomy Code202C00000X

License✔ Licensed in NY · 099426

Definition

A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues.

Also ListedSpecialistTaxonomy 174400000X · License 99421-1 (NY)

Also ListedPreventive Medicine · Addiction MedicineTaxonomy 2083A0300X · License DR.0052261 (CO)

1120 E ELIZABETH STREET, Fort Collins, CO 80524

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Other Identifiers 4

Other0000CM0523Railroad Medicare

Other000405418002NY · Bsh Ne Ny

Medicaid00553493NY

Other18111NY · Mvp Healthplan

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Charles Joseph Bertuch Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Charles Bertuch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Skilled Facility Health Care Solutions Inc

864 mi

Surgery

5455 S CENTINELA AVE
Los Angeles, CA 90066

Reassigned Medicare billing, Colorado enrollment
7 clinicians in this Medicare group

NPI 1104018423 (310) 445-5999

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

Other Providers at the Same Location NPPES

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

DR. JAMES BRUCE TROXELL DDS, MS

Dentist (Oral and Maxillofacial Surgery)

1120 E ELIZABETH STREET, G#3
FORT COLLINS, CO 80524

Larimer County (970) 482-6811

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 Charles Bertuch's NPI number?

The NPI number for Charles Bertuch is 1316056013. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Charles Bertuch located?

Charles Bertuch practices at 1120 E Elizabeth Street, Fort Collins, CO 80524. The listed phone number is (970) 493-9193.

What is Charles Bertuch's specialty?

The primary specialty registered for this NPI is Independent Medical Examiner with taxonomy code 202C00000X.

Is Charles Bertuch enrolled in Medicare?

Yes. Charles Bertuch is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Charles Bertuch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Bertuch reassigns Medicare benefits to Skilled Facility Health Care Solutions Inc (Los Angeles, CA). 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 Charles Bertuch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Charles Bertuch was last updated on May 3, 2019. 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.