MR. MARK EDWARD BERTSCH FNP
NPI 1649005620
Nurse Practitioner - Family in Port Jefferson, NY

Q: What is Mark Bertsch's NPI number?

The NPI number for Mark Bertsch is 1649005620. It was assigned to this individual provider in the NPPES registry on September 7, 2024.

Q: What is Mark Bertsch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Bertsch was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since September 07, 2024PECOS EnrolledAccepts Medicare Assignment

200 BELLE TERRE RD, PORT JEFFERSON, NY 11777(631) 474-6000 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 9, 2024, Sep 7, 2024 (2 updates tracked since 2024).

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About Mr. Mark Edward Bertsch Fnp NPPES

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

MR. MARK EDWARD BERTSCH FNP (NPI 1649005620) is an individual family provider in Port Jefferson, New York, licensed in New York (354320) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS, is affiliated with St Charles Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1649005620

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. MARK EDWARD BERTSCHCredential: FNP

Location Address200 BELLE TERRE RDPort Jefferson, NY 11777-1928

Mailing Address3 Niagara StMiller Place, NY 11764-2508 · (631) 356-3241

Phone(631) 474-6000

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateSeptember 7, 2024

Last NPPES UpdateSeptember 9, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 9, 2024

✔ NPI 1649005620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 354320

200 BELLE TERRE RD, Port Jefferson, NY 11777

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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

Mr. Mark Edward Bertsch Fnp 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 ID4880128842

PECOS Enrollment IDI20241113001988

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 2

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.

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.

20 services20 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

St Charles Hospital

Acute Care Hospitals · Port Jefferson, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330246

Location200 Belle Terre RoadPort Jefferson, NY 11777 · Suffolk County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11777 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

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.

ANTHONY BRIAN KWAN MD

Emergency Medicine