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DR. JERRY RUSSELL BARTLESON M.D.
NPI 1386686376
Emergency Medicine in Tully, NY

Active since June 12, 2006PECOS Enrolled
7434 SONG LAKE RD, TULLY, NY 13159(315) 569-6329(315) 696-5539 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 26, 2026, Jan 19, 2026 (2 updates tracked since 2026).

About Dr. Jerry Russell Bartleson M.d. NPPES

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

DR. JERRY RUSSELL BARTLESON M.D. (NPI 1386686376) is an individual emergency medicine provider in Tully, New York, licensed in New York (163749) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Lakewood Health Center, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1386686376
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JERRY RUSSELL BARTLESONCredential: M.D.
Location Address7434 SONG LAKE RDTully, NY 13159-9211
Mailing Address7434 Song Lake RdTully, NY 13159-9211 · (315) 569-6329 · Fax (315) 696-5539
Phone(315) 569-6329
Fax(315) 696-5539
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateJune 12, 2006
Last NPPES UpdateJanuary 26, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2026
✔ NPI 1386686376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in NY · 163749✔ Licensed in MN · 31435✔ Licensed in WI · 28860✔ Licensed in PA · MD446096
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.
7434 SONG LAKE RD, Tully, NY 13159
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Other Identifiers 3

Medicaid981088900MN
Medicaid31522700WI
Medicaid163749NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jerry Russell Bartleson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42102667
PECOS Enrollment IDI20040625000032
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.

Hospital Affiliations CMS Care Compare 3

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

Lakewood Health Center

Critical Access Hospitals · Baudette, MN
OwnershipVoluntary non-profit - Church
CMS Certification Number241301
Location600 Main Ave SBaudette, MN 56623 · Lake Of Woods County
Emergency services

North Shore Health

Critical Access Hospitals · Grand Marais, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number241317
Location515 5th Ave WestGrand Marais, MN 55604 · Cook County
Emergency services

Bucktail Medical Center

Critical Access Hospitals · Renovo, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number391304
Location1001 Pine StreetRenovo, PA 17764 · Clinton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13159 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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.

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 Jerry Bartleson's NPI number?

The NPI number for Jerry Bartleson is 1386686376. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Jerry Bartleson located?

Jerry Bartleson practices at 7434 Song Lake Rd, Tully, NY 13159. The listed phone number is (315) 569-6329.

What is Jerry Bartleson's specialty?

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

Is Jerry Bartleson enrolled in Medicare?

Yes. Jerry Bartleson is registered in the Medicare PECOS enrollment system.

What insurance does Jerry Bartleson accept?

Health plans from Medica list Jerry Bartleson 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 Jerry Bartleson affiliated with any hospitals?

According to CMS data, Jerry Bartleson is affiliated with Lakewood Health Center, North Shore Health and Bucktail Medical Center.

When was this NPI record last updated?

The NPPES record for Jerry Bartleson was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.