AMBER ALICIA BERTOGLIO PA-C
NPI 1528506557
Physician Assistant in Ballwin, MO

Active since February 09, 2017PECOS EnrolledAccepts Medicare Assignment
54.72/100
CMS Quality Rating
13861 MANCHESTER RD, BALLWIN, MO 63011(618) 615-1193 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 20, 2025, May 6, 2025, Feb 9, 2017 (3 updates tracked since 2017).

About Amber Alicia Bertoglio Pa-c NPPES

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

AMBER ALICIA BERTOGLIO PA-C (NPI 1528506557) is an individual physician assistant in Ballwin, Missouri, licensed in Missouri (1142077) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1528506557
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAMBER ALICIA BERTOGLIOCredential: PA-C
Location Address13861 MANCHESTER RDBallwin, MO 63011-4503
Mailing Address7029 S Rock Hill RdAffton, MO 63123-3103 · (618) 615-1193
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 9, 2017
Last NPPES UpdateMay 20, 20253 updates tracked since enumeration
NPPES CertifiedMay 20, 2025
NPI 1528506557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MO · 1142077
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
13861 MANCHESTER RD, Ballwin, MO 63011

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

Amber Alicia Bertoglio Pa-c 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 ID9032495189
PECOS Enrollment IDI20170404001852
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.

Areas of Expertise CMS Part B claims 32

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
1,860 services19 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
221 services50 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
103 services101 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
69 services68 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
66 services65 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
57 services56 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63011 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

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.

54.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality47.43
Promoting Interoperability0
Improvement Activities40
Cost84.97

Other Providers at the Same Location NPPES 15

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

Nurse Practitioner (Family)
13861 MANCHESTER RD
BALLWIN, MO 63011
Nurse Practitioner (Family)
13861 MANCHESTER RD
BALLWIN, MO 63011
Emergency Medicine
13861 MANCHESTER RD
BALLWIN, MO 63011
Physician Assistant
13861 MANCHESTER RD
BALLWIN, MO 63011
Clinic/Center (Urgent Care)
13861 MANCHESTER RD
BALLWIN, MO 63011
Nurse Practitioner (Family)
13861 MANCHESTER RD
MANCHESTER, MO 63011
Physician Assistant
13861 MANCHESTER RD
MANCHESTER, MO 63011
Nurse Practitioner (Family)
13861 MANCHESTER RD
BALLWIN, MO 63011

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 Amber Bertoglio's NPI number?

The NPI number for Amber Bertoglio is 1528506557. It was assigned to this individual provider in the NPPES registry on February 9, 2017.

Where is Amber Bertoglio located?

Amber Bertoglio practices at 13861 Manchester Rd, Ballwin, MO 63011. The listed phone number is (618) 615-1193.

What is Amber Bertoglio's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Amber Bertoglio enrolled in Medicare?

Yes. Amber Bertoglio 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 Amber Bertoglio accept?

Health plans from Anthem Blue Cross and Blue Shield list Amber Bertoglio 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 Amber Bertoglio was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.