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Mark Bertolone

Physician Assistant β€’ Rochester, NY

Active NPI 1528634185 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1000 South Ave
Rochester, NY 146202733

Call 5854732200 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

1000 South Ave

Rochester, NY 146202733

Telephone 5854732200
Organization at the Same NPPES Address or Phone
Highland Hospital Of Rochester Facility NPI 1740220698

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: University Urology Associates. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

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

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2021

30-day fills

20 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$71 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

5 years (graduated 2021)

CMS Doctors and Clinicians data list 2021 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2021

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

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; Medicare.gov, β€œDoes 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.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Mark Bertolone has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

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

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Mark Bertolone as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services 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 Rochester and New York

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

Fewer Part D prescriptions than 85% of clinicians listed under Physician Assistant in Rochester, NY (2024, 302 clinicians with data). Median for this group: 192. Middle half: 48 to 628.

Fewer Part D prescriptions than 85% of clinicians listed under Physician Assistant in New York (2024, 6,800 clinicians with data). Median for this group: 172. Middle half: 46 to 640.

Part D drug cost

A lower Part D drug cost than 90% of clinicians listed under Physician Assistant in Rochester, NY (2024, 302 clinicians with data). Median for this group: $3,206. Middle half: $374 to $49,961.

A lower Part D drug cost than 90% of clinicians listed under Physician Assistant in New York (2024, 6,800 clinicians with data). Median for this group: $2,860. Middle half: $381 to $63,975.

630 active clinicians are listed under Physician Assistant with a practice address in Rochester, NY (15,558 in New York).

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

Telehealth indicator in Rochester

12.4% of these 630 clinicians have the CMS telehealth indicator.

66.8% of these 630 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D Β· Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Oxycodone Hcl Oxycodone Hcl 20 90 $70.90 20

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-10-29
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

License # reported to NPPES NY 27706
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: New York Office of the Professions.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20211227000038

Enrollment State Jurisdiction

NY

PECOS Control ID

0042601270

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

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

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

University Urology Associates

601 Elmwood Ave, Rochester, NY 146420001

Phone: 5852754507

University Urology Associates

1000 S Ave, Rochester, NY 146202733

Phone: 5852752838

University Urology Associates

601 Elmwood Ave Box, Rochester, NY 146420001

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

39 listed
Sierra Beaty , PA-C

Physician Assistant

NPI 1275203341

Physician Assistant (Certified)

NPI 1386678563

Doctor of Medicine (M.D.)

David Boguta , PA-C

Physician Assistant

NPI 1285234088

Physician Assistant (Certified)

Dr. Mac Chamberlin , MD

Emergency Medicine

NPI 1881085439

Doctor of Medicine (M.D.)

Shannon Daino , PA-C

Physician Assistant

NPI 1164105243

Physician Assistant (Certified)

Megan Dierks , FNP

Nurse Practitioner - Family

NPI 1467853275

Family Nurse Practitioner

Career & Practice History Timeline

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

10 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2023

Physician Assistant (license number reported to NPPES: NY 27706)

πŸ“
Updated Practice Location October 29, 2021

Registered at 1000 SOUTH AVE, ROCHESTER, NY 146202733 (Tel: 5854732200)

πŸ“
Updated Business Mailing Address October 29, 2021

Registered at 6481 CEDAR CREEK WAY, FARMINGTON, NY 144259557 (Tel: 5858021868)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2021

Physician Assistant

βœ…
NPI Profile Active June 03, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 03, 2021

Registered at 196 PARKLANDS DR, ROCHESTER, NY 146162048 (Tel: 5858021868)

πŸ“
Business Mailing Address (Initial Record) June 03, 2021

Registered at 196 PARKLANDS DR, ROCHESTER, NY 146162048 (Tel: 5858021868)

πŸ‘€
Provider Name / Credentials (Initial Record) June 03, 2021

Recorded as MARK BERTOLONE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2021

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration June 03, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1528634185
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 03, 2021
Last Update: July 17, 2023
Sole Proprietor: Yes

Other Physician Assistants in Rochester

All Physician Assistants in Rochester

Mailing Address

6481 Cedar Creek Way

Farmington, NY 144259557

Phone: 5858021868

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.