JACK M. BERTMAN M.D.
NPI 1891777967
Emergency Medicine in San Francisco, CA
About Jack M. Bertman M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACK M. BERTMAN M.D. (NPI 1891777967) is an individual emergency medicine provider in San Francisco, California, licensed in California (G33641) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Pioneer Memorial Hospital (heppner), and is a graduate of University Of Southern California Keck School Of Medicine (1972).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jack M. Bertman 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.
Medicare Billing Reassignments
5Medicare enrollment records show Jack Bertman reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Modesto, CA 95354
- Reassigned Medicare billing, California enrollment
- 180 clinicians in this Medicare group
Willows, CA 95988
- Reassigned Medicare billing, California enrollment
- 53 clinicians in this Medicare group
Portola, CA 96122
- Reassigned Medicare billing, California enrollment
- 58 clinicians in this Medicare group
Pleasant Hill, OR 97455
- Reassigned Medicare billing, Oregon enrollment
- 190 clinicians in this Medicare group
Heppner, OR 97836
- Reassigned Medicare billing, Oregon enrollment
- 31 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Pioneer Memorial Hospital (heppner)
Critical Access Hospitals · Heppner, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94133 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAN FRANCISCO, CA 94133
SAN FRANCISCO, CA 94133
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 Jack Bertman's NPI number?
The NPI number for Jack Bertman is 1891777967. It was assigned to this individual provider in the NPPES registry on November 15, 2005.
Where is Jack Bertman located?
Jack Bertman practices at 845 Jackson St, San Francisco, CA 94133. The listed phone number is (775) 790-0463.
What is Jack Bertman's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Jack Bertman enrolled in Medicare?
Yes. Jack Bertman 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.
Which organizations bill Medicare for Jack Bertman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jack Bertman reassigns Medicare benefits to 5 organizations: American Specialty Physicians Group Inc (Modesto, CA), Glenn Medical Center, LLC (Willows, CA), Eastern Plumas Health Care District (Portola, CA), Icco LLC (Pleasant Hill, OR) and Morrow County Health District (Heppner, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jack Bertman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jack Bertman accept?
Health plans from Moda Health Plan, Inc. list Jack Bertman 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 Jack Bertman affiliated with any hospitals?
According to CMS data, Jack Bertman is affiliated with Pioneer Memorial Hospital (heppner).
When was this NPI record last updated?
The NPPES record for Jack Bertman was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Jack M. Bertman, M.D. · NPI 1891777967
Emergency Medicine physician in San Francisco, California. Individual provider, active in the CMS NPPES registry since November 15, 2005.
## Identity
- **NPI:** 1891777967 (Entity type: Individual)
- **Enumerated:** November 15, 2005
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** G33641 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 845 JACKSON ST, San Francisco, CA 94133-4851
- **Phone:** (775) 790-0463
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): American Specialty Physicians Group Inc (NPI 1164363024, Modesto, CA); Glenn Medical Center, LLC (NPI 1336187178, Willows, CA); Eastern Plumas Health Care District (NPI 1245236850, Portola, CA); Icco LLC (NPI 1063806842, Pleasant Hill, OR); Morrow County Health District (NPI 1376572099, Heppner, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Southern California Keck School Of Medicine, class of 1972
## Record status
- **NPPES last updated:** July 9, 2007
- **Other identifiers:** Medicare UPIN F19632 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1891777967) · Data from the CMS NPPES public registry.