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MARK BERTOLONE
NPI 1528634185
Physician Assistant in Rochester, NY

Active since June 03, 2021PECOS EnrolledAccepts Medicare Assignment
89.44/100
CMS Quality Rating
1000 SOUTH AVE, ROCHESTER, NY 14620(585) 473-2200 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 17, 2023, Jun 3, 2021 (2 updates tracked since 2021).

About Mark Bertolone NPPES

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

MARK BERTOLONE (NPI 1528634185) is an individual physician assistant in Rochester, New York and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, is affiliated with Highland Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1528634185
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMARK BERTOLONE
Location Address1000 SOUTH AVERochester, NY 14620-2733
Mailing Address6481 Cedar Creek WayFarmington, NY 14425-9557 · (585) 802-1868
Phone(585) 473-2200
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJune 3, 2021
Last NPPES UpdateJuly 17, 20232 updates tracked since enumeration
NPPES CertifiedOctober 29, 2021
✔ NPI 1528634185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 27706 (NY)
1000 SOUTH AVE, Rochester, NY 14620
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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

Mark Bertolone 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 ID42601270
PECOS Enrollment IDI20211227000038
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

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

Highland Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330164
Location1000 South AvenueRochester, NY 14617 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14620 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
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

89.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.46
Promoting Interoperability100
Improvement Activities40
Cost79.42

Other Providers at the Same Location NPPES 20

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

ZAHIR ABU-BAKER B.S.
Pharmacist
1000 SOUTH AVE
ROCHESTER, NY 14620
Monroe County (585) 341-6790
PIERA CARUBIA RD
Dietitian, Registered
1000 SOUTH AVE, BOX 95
ROCHESTER, NY 14620
Monroe County (585) 341-0695
DR. ALEXIS PLATEK MD
Obstetrics & Gynecology
1000 SOUTH AVE
ROCHESTER, NY 14620
Monroe County (585) 341-0598
MISS LINDA MARIE SIRIANNI RD CDE CDN
Dietitian, Registered
1000 SOUTH AVE
ROCHESTER, NY 14620
Monroe County (585) 341-6807
AMY OSGANIAN NP
Nurse Practitioner (Gerontology)
1000 SOUTH AVE
ROCHESTER, NY 14620
Monroe County (585) 341-0963
BRIAN MAGOVNEY MD
Internal Medicine
1000 SOUTH AVE
ROCHESTER, NY 14620
Monroe County (585) 473-2200
DR. TULSI DASS
Specialist
1000 SOUTH AVE, # 95
ROCHESTER, NY 14620
Monroe County (585) 442-3115
RICHARD ALLEN CRNA
Nurse Anesthetist, Certified Registered
1000 SOUTH AVE
ROCHESTER, NY 14620
Monroe County (585) 341-6267

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 Mark Bertolone's NPI number?

The NPI number for Mark Bertolone is 1528634185. It was assigned to this individual provider in the NPPES registry on June 3, 2021.

Where is Mark Bertolone located?

Mark Bertolone practices at 1000 South Ave, Rochester, NY 14620. The listed phone number is (585) 473-2200.

What is Mark Bertolone's specialty?

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

Is Mark Bertolone enrolled in Medicare?

Yes. Mark Bertolone 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.

Is Mark Bertolone affiliated with any hospitals?

According to CMS data, Mark Bertolone is affiliated with Highland Hospital.

When was this NPI record last updated?

The NPPES record for Mark Bertolone was last updated on July 17, 2023. 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.