JACK M BERT MD
NPI 1457310542
Orthopaedic Surgery in Woodbury, MN

Active since March 20, 2006PECOS EnrolledAccepts Medicare Assignment
5829 WOODLANE BAY, WOODBURY, MN 55129(651) 491-9303 Get Directions Write a Review

NPPES record last updated: December 5, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 5, 2018, Aug 15, 2018 (2 updates tracked since 2018).

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

NPI1457310542
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJACK M BERTCredential: MD
Location Address5829 WOODLANE BAYWoodbury, MN 55129
Mailing Address2025 Woodlane DrWoodbury, MN 55125-2987 · (651) 491-9303
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1973
Enumeration DateMarch 20, 2006
Last NPPES UpdateDecember 5, 20182 updates tracked since enumeration
NPI 1457310542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in MN · 21554
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
5829 WOODLANE BAY, Woodbury, MN 55129

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

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.

PECOS PAC ID9931132016
PECOS Enrollment IDI20100331001174
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.

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.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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 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.

What insurance does Jack Bert accept?

Health plans from Medica list Jack Bert 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.

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.