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HEATHER A. BERTELSON MD
NPI 1457693624
Hospitalist in Arvada, CO

Active since March 26, 2013PECOS EnrolledAccepts Medicare Assignment
88.22/100
CMS Quality Rating
13825 W 85TH DR STE 100, ARVADA, CO 80005(720) 821-6242(303) 502-1054 Get Directions Write a Review

NPPES record last updated: November 2, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 2, 2022, Jul 21, 2022, Jul 11, 2017 and 1 more (4 updates tracked since 2016).

About Heather A. Bertelson Md NPPES

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

HEATHER A. BERTELSON MD (NPI 1457693624) is an individual hospitalist provider in Arvada, Colorado, licensed in Colorado (CDRH.0057171) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, is affiliated with Grays Harbor Community Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1457693624
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameHEATHER A. BERTELSONCredential: MD
Location Address13825 W 85TH DR STE 100Arvada, CO 80005-1331
Mailing Address13825 W 85th Dr Ste 100Arvada, CO 80005-1331 · (720) 821-6242 · Fax (303) 502-1054
Phone(720) 821-6242
Fax(303) 502-1054
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 26, 2013
Last NPPES UpdateNovember 2, 20224 updates tracked since enumeration
NPPES CertifiedNovember 2, 2022
✔ NPI 1457693624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in CO · CDRH.0057171
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License DR.057171 (CO)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
13825 W 85TH DR STE 100, Arvada, CO 80005
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11707 Cole Blvd., #100Golden, CO 80401 · Phone (303) 716-8018 · Fax (303) 763-5495
Location 2100 Health Park DrLouisville, CO 80027-9583 · Phone (303) 673-1000 · Fax (303) 673-1204

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

Heather A. Bertelson 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 ID446548663
PECOS Enrollment IDI20200131000016
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 Reassignments

3

Medicare enrollment records show Heather Bertelson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Catholic Health Initiatives Colorado
2.9 mi
Sports Medicine
16280 W 64TH AVE
Arvada, CO 80007
  • Reassigned Medicare billing, Colorado enrollment
  • 1,193 clinicians in this Medicare group
NPI 1851799837 (720) 898-1110
Grays Harbor Community Hospital
1,039 mi
Rehabilitation Unit
575 E MAIN ST, BUILDING 1 SUIET A
Elma, WA 98541
  • Reassigned Medicare billing, Washington enrollment
  • 190 clinicians in this Medicare group
NPI 1073763314 (360) 537-6116
Pines Health Services
1,906 mi
Federally Qualified Health Center (FQHC)
1260 MAIN STREET
Washburn, ME 04786
  • Reassigned Medicare billing, Maine enrollment
  • 91 clinicians in this Medicare group
NPI 1922449834 (207) 455-4750

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

Areas of Expertise CMS Part B claims 3

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
44 services44 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
28 services24 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Grays Harbor Community Hospital

Acute Care Hospitals · Aberdeen, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500031
Location915 Anderson DriveAberdeen, WA 98520 · Grays Harbor County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80005 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

88.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.96
Promoting Interoperability81
Improvement Activities40

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 Heather Bertelson's NPI number?

The NPI number for Heather Bertelson is 1457693624. It was assigned to this individual provider in the NPPES registry on March 26, 2013.

Where is Heather Bertelson located?

Heather Bertelson practices at 13825 W 85th Dr Ste 100, Arvada, CO 80005. The listed phone number is (720) 821-6242.

What is Heather Bertelson's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Heather Bertelson enrolled in Medicare?

Yes. Heather Bertelson 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 organizations bill Medicare for Heather Bertelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Bertelson reassigns Medicare benefits to 3 organizations: Catholic Health Initiatives Colorado (Arvada, CO), Grays Harbor Community Hospital (Elma, WA) and Pines Health Services (Washburn, ME). Each 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 Heather Bertelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Heather Bertelson affiliated with any hospitals?

According to CMS data, Heather Bertelson is affiliated with Grays Harbor Community Hospital.

When was this NPI record last updated?

The NPPES record for Heather Bertelson was last updated on November 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.