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Dr. Sara Cummings Bertoch , PhD

Psychologist • Jacksonville, FL

Active NPI 1033461611 Individual Practitioner Female Practitioner
Practice location in NPPES

5059 Ortega Forest Dr
Jacksonville, FL 322108162

Call 9047809365 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5059 Ortega Forest Dr

Jacksonville, FL 322108162

Telephone 9047809365
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Jacksonville, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare patients

24 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $1,698 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $1,374 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Can order Medicare-covered services

CMS lists Dr. Bertoch as eligible to order or refer durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Jacksonville and Florida

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 95% of clinicians listed under Psychologist in Florida (2024, 272 clinicians with data). Median for this group: 346. Middle half: 167 to 632.

Too few clinicians listed under Psychologist in Jacksonville have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A lower Medicare-allowed amount than 95% of clinicians listed under Psychologist in Florida (2024, 272 clinicians with data). Median for this group: $38,926. Middle half: $19,553 to $76,855.

Too few clinicians listed under Psychologist in Jacksonville have Medicare Part B data for 2024 to compare.

Paid by Medicare

A lower Medicare payment amount than 95% of clinicians listed under Psychologist in Florida (2024, 272 clinicians with data). Median for this group: $30,355. Middle half: $14,542 to $60,009.

Too few clinicians listed under Psychologist in Jacksonville have Medicare Part B data for 2024 to compare.

89 active clinicians are listed under Psychologist with a practice address in Jacksonville, FL (2,225 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jacksonville

3.4% of these 89 clinicians have the CMS telehealth indicator.

11.2% of these 89 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
90791 Psychiatric diagnostic evaluation
12 12 $408.50 $141.48

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-01-28
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES FL PY9046

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Psychologist - Clinical

NUCC Taxonomy Code: 103TC0700X

License # reported to NPPES FL PY9046

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Not Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

820 Prudential Dr Ste 510

Jacksonville, FL 322078207

Phone: 9043763800

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
📍
Updated Practice Location January 28, 2025

Registered at 5059 ORTEGA FOREST DR, JACKSONVILLE, FL 322108162 (Tel: 9047809365)

📍
Updated Business Mailing Address January 28, 2025

Registered at 5059 ORTEGA FOREST DR, JACKSONVILLE, FL 322108162 (Tel: 9047809365)

🏢
Secondary Practice Location Registered January 28, 2025

Additional practice office at 820 Prudential Dr Ste 510, Jacksonville, FL 322078207

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2025

Psychologist (license number reported to NPPES: FL PY9046)

📍
Updated Business Mailing Address May 13, 2022

Registered at PO BOX 748519, ATLANTA, GA 303748519 (Tel: 9043763800)

📍
Updated Practice Location September 16, 2019

Registered at 820 PRUDENTIAL DR STE 510, JACKSONVILLE, FL 322078207 (Tel: 9043763800)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2019

Psychologist (license number reported to NPPES: FL PY9046)

📍
Updated Business Mailing Address August 12, 2019

Registered at PO BOX 44230, JACKSONVILLE, FL 322314230 (Tel: 9043763800)

✅
NPI Profile Active May 19, 2014

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) May 19, 2014

Registered at 3599 UNIVERSITY BLVD S, JACKSONVILLE, FL 322164252 (Tel: 9043456819)

📍
Business Mailing Address (Initial Record) May 19, 2014

Registered at 3599 UNIVERSITY BLVD S., JACKSONVILLE, FL 32216

👤
Provider Name / Credentials (Initial Record) May 19, 2014

Recorded as SARA BERTOCH, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2014

Psychologist

🟢
Initial NPI Registration & Enumeration October 08, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1033461611
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 08, 2012
Last Update: January 28, 2025
Sole Proprietor: Yes

Other Psychologists in Jacksonville

All Psychologists in Jacksonville

More public profiles in Florida

Directory navigation, in NPI number order.

Mailing Address

5059 Ortega Forest Dr

Jacksonville, FL 322108162

Phone: 9047809365

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.