1. Home
  2. Directory
  3. California
  4. Laytonville
  5. Family Medicine
  6. NPI Profile

THOMAS A. BERTOLLI M.D.
NPI 1811089717
Family Medicine in Laytonville, CA

Active since September 28, 2006PECOS Enrolled
73.79/100
CMS Quality Rating
50 BRANSCOMB ROAD, LAYTONVILLE, CA 95454(707) 984-6131(707) 984-7337 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Mar 1, 2018 (2 updates tracked since 2018).

About Thomas A. Bertolli M.d. NPPES

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

THOMAS A. BERTOLLI M.D. (NPI 1811089717) is an individual family medicine provider in Laytonville, California, licensed in California (A38824) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Gualala, and is a graduate of George Washington University School Of Medicine (1981).

NPPES Registry Identity

NPI1811089717
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHOMAS A. BERTOLLICredential: M.D.
Location Address50 BRANSCOMB ROADLaytonville, CA 95454
Mailing AddressPo Box 870Laytonville, CA 95454-0870 · (707) 984-6131 · Fax (707) 984-7337
Phone(707) 984-6131
Fax(707) 984-7337
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 1981
Enumeration DateSeptember 28, 2006
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1811089717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A38824
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.
50 BRANSCOMB ROAD, Laytonville, CA 95454
Open in Google Maps ↗

Secondary Practice Location 1

Location 146900 Ocean DrGualala, CA 95445-8353 · Phone (707) 884-4005 · Fax (707) 884-9728

Other Identifiers 1

MedicaidFHC03906FCA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas A. Bertolli M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385799568
PECOS Enrollment IDI20090911000627
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 5

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
59 services43 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
49 services39 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.
16 services15 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test 85027
A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.
13 services12 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95454 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

73.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.87
Promoting Interoperability92
Improvement Activities40
Cost36.93

Referred Medical Equipment & Supplies CMS DME claims 4

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
3 suppliers13 claims54 services$5.26 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers13 claims25 services$0.87 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier12 claims2,160 services$1.41 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers13 claims13 services$187.54 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 4

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

LONG VALLEY HEALTH CENTER
Clinic/Center
50 BRANSCOMB ROAD
LAYTONVILLE, CA 95454
Mendocino County (707) 984-6131
MARLIN PRESS L. AC.
Acupuncturist
50 BRANSCOMB ROAD
LAYTONVILLE, CA 95454
Mendocino County (707) 984-6131
CARRIE ALICE GUILFOYLE ANP-C
Nurse Practitioner (Primary Care)
50 BRANSCOMB ROAD
LAYTONVILLE, CA 95454
Mendocino County (707) 984-6131
CANDY MUZIO NCAC II, CADC II
Counselor (Addiction (Substance Use Disorder))
50 BRANSCOMB ROAD
LAYTONVILLE, CA 95454
Mendocino County (707) 984-6131

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 Thomas Bertolli's NPI number?

The NPI number for Thomas Bertolli is 1811089717. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Thomas Bertolli located?

Thomas Bertolli practices at 50 Branscomb Road, Laytonville, CA 95454. The listed phone number is (707) 984-6131.

What is Thomas Bertolli's specialty?

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

Is Thomas Bertolli enrolled in Medicare?

Yes. Thomas Bertolli is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thomas Bertolli was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.