DR. MELISSA MICHELLE BERTHA D.O.
NPI 1770928947
Family Medicine in Scranton, PA

Q: What is Melissa Bertha's NPI number?

The NPI number for Melissa Bertha is 1770928947. It was assigned to this individual provider in the NPPES registry on May 1, 2013.

Q: What is Melissa Bertha's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Bertha was last updated on July 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 01, 2013PECOS EnrolledAccepts Medicare Assignment

90.34/100

CMS Quality Rating

1789 N KEYSER AVE, SCRANTON, PA 18508(570) 969-1904(570) 207-5314 Get Directions Write a Review

NPPES record last updated: July 29, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Melissa Michelle Bertha D.o. NPPES

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

DR. MELISSA MICHELLE BERTHA D.O. (NPI 1770928947) is an individual family medicine provider in Scranton, Pennsylvania, licensed in Pennsylvania (OS018206) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with Geisinger-community Medical Center, and is a graduate of Philadelphia College Of Osteopathic Medicine (2013).

NPPES Registry Identity

NPI1770928947

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MELISSA MICHELLE BERTHACredential: D.O.

Location Address1789 N KEYSER AVEScranton, PA 18508-1250

Mailing Address1789 N Keyser AveScranton, PA 18508-1250 · (570) 969-1904 · Fax (570) 207-5314

Phone(570) 969-1904

Fax(570) 207-5314

Sole ProprietorNo

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2013

Enumeration DateMay 1, 2013

Last NPPES UpdateJuly 29, 2021

NPPES CertifiedJuly 29, 2021

✔ NPI 1770928947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · OS018206

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1789 N KEYSER AVE, Scranton, PA 18508

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Dr. Melissa Michelle Bertha D.o. 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 ID3971808882

PECOS Enrollment IDI20160623000486

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 16

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, 30-39 minutes 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.

596 services298 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

156 services156 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

78 services76 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

64 services62 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

64 services64 patients

Annual alcohol misuse screening, 15 minutes G0442

An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.

51 services51 patients

Annual depression screening, 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

51 services51 patients

Pneumococcal vaccine, 23-valent 90732

The 23-valent pneumococcal vaccine is an injection that helps protect against serious infections caused by 23 types of pneumococcal bacteria. It's vital for those at risk, like older adults or people with certain health conditions, to prevent pneumonia, meningitis, and bloodstream infections.

47 services47 patients

Established patient office or other outpatient visit, 20-29 minutes 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.

35 services28 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

22 services22 patients

Telephone medical discussion with physician, 5-10 minutes 99441

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

19 services18 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

18 services13 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

16 services16 patients

Influenza vaccine, quadrivalent, 0.5 ml dosage 90688

The Influenza vaccine, quadrivalent, 0.5 ml dosage, is a flu shot to protect against four strains of the flu virus. It's given as a small injection, typically in the arm, to help your body build immunity and fight off potential flu infections.

13 services13 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

12 services12 patients

Transitional care management services for problem of moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Geisinger-Community Medical Center

Acute Care Hospitals · Scranton, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390001

Location1822 Mulberry StreetScranton, PA 18510 · Lackawanna County

Emergency services Birthing friendly

Wayne Memorial Hospital

Acute Care Hospitals · Honesdale, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390125

Location601 Park StreetHonesdale, PA 18431 · Wayne County

Emergency services Birthing friendly

Wilkes-Barre General Hospital

Acute Care Hospitals · Wilkes-Barre, PA

1/5 CMS rating

OwnershipProprietary

CMS Certification Number390137

Location575 North River StreetWilkes-Barre, PA 18764 · Luzerne County

Emergency services

Regional Hospital Of Scranton

Acute Care Hospitals · Scranton, PA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number390237

Location746 Jefferson AvenueScranton, PA 18501 · Lackawanna County

Emergency services Birthing friendly

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390270

Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18508 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

90.34/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.69

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

19 suppliers63 claims138 services$5.48 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

12 suppliers18 claims20 services$0.90 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

6 suppliers13 claims68 services$1.96 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers24 claims24 services$16.20 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers24 claims24 services$85.61 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

STEPHANIE ANNE BOYARSKY MD

Family Medicine

1789 N KEYSER AVE
SCRANTON, PA 18508

Lackawanna County (570) 969-1904

LOUIS C ADAMO MD

Internal Medicine

1789 N KEYSER AVE, MEDICAL ASSOCIATES OF NEPA
SCRANTON, PA 18508

Lackawanna County (570) 969-1904

MEDICAL ASSOCIATES OF NEPA

Internal Medicine

1789 N KEYSER AVE
SCRANTON, PA 18508

Lackawanna County (570) 969-1904

MS. VANESSA LEIGH WHITE LPC

Counselor (Professional)

1789 N KEYSER AVE, SUITE 9
SCRANTON, PA 18508

Lackawanna County (570) 558-1252

DIAGNOSTIC IMAGING CENTERS OF NEPA, LLC

Radiology (Diagnostic Radiology)

1789 N KEYSER AVE
SCRANTON, PA 18508

Lackawanna County (570) 504-2500

WILLIAM MARK BROWN DPM

Podiatrist (Foot Surgery)

1789 N KEYSER AVE
SCRANTON, PA 18508

Lackawanna County (570) 207-2030

JUDITH SCOTT SEVERSON CRNP

Nurse Practitioner (Adult Health)

1789 N KEYSER AVE
SCRANTON, PA 18508

Lackawanna County (570) 340-4864

KATHY HELEN KESSLER CRNP

Nurse Practitioner (Family)

1789 N KEYSER AVE
SCRANTON, PA 18508

Lackawanna County (570) 969-1904

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 Melissa Bertha's NPI number?

The NPI number for Melissa Bertha is 1770928947. It was assigned to this individual provider in the NPPES registry on May 1, 2013.

Where is Melissa Bertha located?

Melissa Bertha practices at 1789 N Keyser Ave, Scranton, PA 18508. The listed phone number is (570) 969-1904.

What is Melissa Bertha's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Melissa Bertha enrolled in Medicare?

Yes. Melissa Bertha 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 Melissa Bertha accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Melissa Bertha 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.

Is Melissa Bertha affiliated with any hospitals?

According to CMS data, Melissa Bertha is affiliated with Geisinger-Community Medical Center, Wayne Memorial Hospital, Wilkes-Barre General Hospital, Regional Hospital Of Scranton and Geisinger Wyoming Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Melissa Bertha was last updated on July 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.