JACK M BERT MD
NPI 1457310542
Orthopaedic Surgery in Woodbury, MN
About Jack M Bert Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACK M BERT MD (NPI 1457310542) is an individual orthopaedic surgery provider in Woodbury, Minnesota, licensed in Minnesota (21554) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (1973).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jack M Bert Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Jack Bert reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Woodbury, MN 55125
- Reassigned Medicare billing, Minnesota enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55129 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Jack Bert's NPI number?
The NPI number for Jack Bert is 1457310542. It was assigned to this individual provider in the NPPES registry on March 20, 2006.
Where is Jack Bert located?
Jack Bert practices at 5829 Woodlane Bay, Woodbury, MN 55129. The listed phone number is (651) 491-9303.
What is Jack Bert's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Jack Bert enrolled in Medicare?
Yes. Jack Bert 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.
Which organization bills Medicare for Jack Bert's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jack Bert reassigns Medicare benefits to Jack M Bert MD PA (Woodbury, MN). 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 Jack Bert'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 Jack Bert was last updated on December 5, 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.
# Jack M Bert, MD · NPI 1457310542
Orthopaedic Surgery physician in Woodbury, Minnesota. Individual provider, active in the CMS NPPES registry since March 20, 2006.
## Identity
- **NPI:** 1457310542 (Entity type: Individual)
- **Enumerated:** March 20, 2006
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** 21554 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 5829 WOODLANE BAY, Woodbury, MN 55129
- **Phone:** (651) 491-9303
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Jack M Bert MD PA (NPI 1942598016, Woodbury, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Temple University School Of Medicine, class of 1973
## Record status
- **NPPES last updated:** December 5, 2018
---
Source: [NPI Profile](https://npiprofile.com/npi/1457310542) · Data from the CMS NPPES public registry.