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DR. NICHOLAS JOSEPH BERTONI M.D.
NPI 1801180922
Emergency Medicine in York, PA

Active since June 06, 2011PECOS EnrolledAccepts Medicare Assignment
36.85/100
CMS Quality Rating
1001 S GEORGE ST, YORK, PA 17403(717) 851-2450(717) 851-3469 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 23, 2025, Apr 11, 2025, Nov 18, 2020 (3 updates tracked since 2020).

About Dr. Nicholas Joseph Bertoni M.d. NPPES

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

DR. NICHOLAS JOSEPH BERTONI M.D. (NPI 1801180922) is an individual emergency medicine provider in York, Pennsylvania, licensed in Pennsylvania (MD450883) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Wellspan Ephrata Community Hospital, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1801180922
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. NICHOLAS JOSEPH BERTONICredential: M.D.
Location Address1001 S GEORGE STYork, PA 17403-3676
Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405
Phone(717) 851-2450
Fax(717) 851-3469
Sole ProprietorYes
Medical School CMSDrexel University College Of MedicineGraduated 2011
Enumeration DateJune 6, 2011
Last NPPES UpdateDecember 23, 20253 updates tracked since enumeration
NPPES CertifiedDecember 23, 2025
✔ NPI 1801180922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in PA · MD450883
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1001 S GEORGE ST, York, PA 17403
Open in Google Maps ↗

Secondary Practice Locations 5

Location 136 Robinhood DrEtters, PA 17319-9528 · Phone (717) 388-7300
Location 21201 Letort Springs WayCarlisle, PA 17015-8011 · Phone (717) 674-7600
Location 3252 S 4th StLebanon, PA 17042-6111 · Phone (717) 270-7688
Location 4169 Martin AveEphrata, PA 17522-1734 · Phone (717) 738-6420
Location 514781 Wolfe RdNew Freedom, PA 17349-9571 · Phone (717) 326-1880

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. Nicholas Joseph Bertoni M.d. 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 ID9234356429
PECOS Enrollment IDI20140812001686
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
207 services193 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
77 services71 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
23 services23 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Wellspan Ephrata Community Hospital

Acute Care Hospitals · Ephrata, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390225
Location169 Martin AvenueEphrata, PA 17522 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17403 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.

36.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality20.45
Improvement Activities20
Cost60.35

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.

MRS. KAREN SMAY FRY CCC-SLP
Speech-Language Pathologist
1001 S GEORGE ST
YORK, PA 17403
York County (717) 851-2601
MRS. ANURADHA SHARMA CRNP
Nurse Practitioner (Adult Health)
1001 S GEORGE ST, 3RD FLOOR
YORK, PA 17403
York County (717) 851-4005
DR. SAHIL JAIN M.D.
Family Medicine
1001 S GEORGE ST, YORK HOSPITAL
YORK, PA 17403
York County (717) 851-2521
ADRIENNE CHAKOT CRNA
Nurse Anesthetist, Certified Registered
1001 S GEORGE ST
YORK, PA 17403
York County (717) 812-7687
BRIAN DAVID HOLSINGER MD
Emergency Medicine
1001 S GEORGE ST
YORK, PA 17403
York County (717) 851-2311
NICOLE S BENZING PAC
Physician Assistant (Medical)
1001 S GEORGE ST
YORK, PA 17403
York County (717) 851-2465
JACOB RUSSELL MCKENZIE MD
Emergency Medicine
1001 S GEORGE ST
YORK, PA 17403
York County (717) 851-2311
MUSTAFA TAHIR MD
Internal Medicine
1001 S GEORGE ST
YORK, PA 17403
York County (717) 741-8003

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 Nicholas Bertoni's NPI number?

The NPI number for Nicholas Bertoni is 1801180922. It was assigned to this individual provider in the NPPES registry on June 6, 2011.

Where is Nicholas Bertoni located?

Nicholas Bertoni practices at 1001 S George St, York, PA 17403. The listed phone number is (717) 851-2450.

What is Nicholas Bertoni's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Nicholas Bertoni enrolled in Medicare?

Yes. Nicholas Bertoni 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 Nicholas Bertoni affiliated with any hospitals?

According to CMS data, Nicholas Bertoni is affiliated with Wellspan Ephrata Community Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Bertoni was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.