Active NPI 1013944024 Individual Practitioner Female Practitioner

Autumn Lynn Bertholdi , PA-C

Physician Assistant • Springfield, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Autumn Bertholdi, PA-C is a certified Physician Assistant practicing in Springfield, MO. With approximately 21 years of clinical experience since completing medical education in 2005, Autumn Bertholdi delivers high-quality medical care to the local community at 3850 S NATIONAL AVE STE 705.

Autumn Bertholdi maintains professional affiliations with Forefront Dermatology Sc, Mike Swann, Md, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, destruction of up to 14 skin growths, destruction of precancer skin growth, 2-14 growths. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3850 S National Ave Ste 705

Springfield, MO 658075239

Telephone 4179003407

Fax 4178890476

Associated Practice Facility / Clinic

🏢 Craig Naugle, Md Llc Facility NPI 1386678522

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Springfield, MO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs +11.2 yrs vs City Avg

City Avg: 9.8 Yrs

State Avg: 10.3 Yrs

Regional Practice Density

235 Specialists

Practicing in Springfield, MO (1802 Statewide)

Telehealth Adoption Rate

11.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bertholdi (21 Years) 21 Yrs

Springfield Specialty Average (9.8 Years) 9.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	18	18	$140.80	$70.60
17110 Destruction of up to 14 skin growths	11	11	$174.39	$84.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	85	16	$8.99	$5.10
99213 Established patient office or other outpatient visit, typically 15 minutes	23	23	$126.29	$71.67
17000 Destruction of skin growth	19	19	$92.00	$43.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$179.19	$101.68
11102 Tangential biopsy of single skin lesion	11	11	$137.58	$78.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	6,400	27	$2.13	$1.58
17003 Destruction of precancer skin growth, 2-14 growths	504	89	$9.14	$5.17
99213 Established patient office or other outpatient visit, typically 15 minutes	142	136	$127.92	$71.89
17000 Destruction of skin growth	117	113	$92.92	$39.28
11102 Tangential biopsy of single skin lesion	87	85	$139.99	$71.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	68	$180.07	$101.74
17110 Destruction of up to 14 skin growths	55	54	$154.07	$87.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	37	$78.92	$44.32
17004 Destruction of precancer skin growth, 15 or more growths	23	22	$231.96	$130.55
11103 Biopsy of related skin growth, each additional growth	21	17	$70.02	$39.46
96574 Application of light with debridement to destroy precancer skin growth	18	15	$384.00	$217.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,157	193	$10.07	$5.02
99213 Established patient office or other outpatient visit, typically 15 minutes	409	355	$145.07	$72.99
17000 Destruction of skin growth	282	250	$103.39	$38.51
11102 Tangential biopsy of single skin lesion	193	173	$162.80	$73.34
17110 Destruction of up to 14 skin growths	95	94	$174.94	$86.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	66	$206.40	$104.16
11103 Biopsy of related skin growth, each additional growth	68	50	$83.09	$41.17
17004 Destruction of precancer skin growth, 15 or more growths	44	40	$245.20	$129.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$191.74	$88.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	32	$82.74	$44.59
69100 Biopsy of ear	20	20	$159.25	$56.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$291.69	$135.04
11200 Removal of skin tag, 1-15 skin tags	13	13	$139.77	$48.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,091	212	$10.79	$4.67
99213 Established patient office or other outpatient visit, typically 15 minutes	323	284	$138.90	$60.21
17000 Destruction of skin growth	312	279	$120.10	$38.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	215	208	$202.83	$87.72
11102 Tangential biopsy of single skin lesion	196	190	$182.00	$72.85
17110 Destruction of up to 14 skin growths	127	116	$202.05	$86.88
11103 Biopsy of related skin growth, each additional growth	75	52	$97.00	$41.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$200.07	$86.74
17004 Destruction of precancer skin growth, 15 or more growths	33	31	$288.33	$125.06
99202 New patient office or other outpatient visit, typically 20 minutes	26	26	$140.85	$60.92
11200 Removal of skin tag, 1-15 skin tags	20	19	$163.20	$54.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,129	331	$10.43	$4.43
17000 Destruction of skin growth	503	421	$122.00	$40.80
99213 Established patient office or other outpatient visit, typically 15 minutes	481	383	$139.93	$59.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	368	338	$205.95	$87.21
11102 Tangential biopsy of single skin lesion	330	294	$182.00	$71.46
11103 Biopsy of related skin growth, each additional growth	170	103	$98.03	$41.66
17110 Destruction of up to 14 skin growths	116	109	$201.97	$85.22
17004 Destruction of precancer skin growth, 15 or more growths	106	86	$282.75	$120.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	83	83	$204.95	$86.63
99202 New patient office or other outpatient visit, typically 20 minutes	38	38	$144.00	$61.00
69100 Biopsy of ear	18	17	$183.00	$75.35
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	13	11	$748.00	$317.48
11200 Removal of skin tag, 1-15 skin tags	13	13	$165.00	$56.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,343	355	$9.71	$4.11
99213 Established patient office or other outpatient visit, typically 15 minutes	574	435	$136.00	$57.74
17000 Destruction of skin growth	548	442	$122.01	$37.80
11100 Biopsy of single growth of skin and/or tissue	450	392	$192.99	$73.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	398	356	$200.00	$85.38
11101 Biopsy of each additional growth of skin and/or tissue	218	129	$61.08	$26.12
17110 Destruction of up to 14 skin growths	202	175	$202.98	$86.02
17004 Destruction of precancer skin growth, 15 or more growths	104	91	$267.00	$113.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	81	81	$201.02	$85.94
99202 New patient office or other outpatient visit, typically 20 minutes	39	39	$139.00	$59.55
69100 Biopsy of ear	27	25	$185.00	$56.59
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	17	16	$730.00	$309.56
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	16	13	$459.00	$103.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$81.00	$34.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,534	291	$10.33	$4.31
17000 Destruction of skin growth	445	365	$123.00	$36.94
99213 Established patient office or other outpatient visit, typically 15 minutes	366	302	$136.99	$57.44
11100 Biopsy of single growth of skin and/or tissue	331	289	$189.00	$70.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	302	273	$202.00	$84.77
17110 Destruction of up to 14 skin growths	224	202	$201.00	$83.65
11101 Biopsy of each additional growth of skin and/or tissue	140	95	$61.99	$25.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	111	111	$203.00	$84.86
17004 Destruction of precancer skin growth, 15 or more growths	88	79	$277.00	$116.24
99202 New patient office or other outpatient visit, typically 20 minutes	41	41	$140.00	$58.79
69100 Biopsy of ear	24	21	$185.00	$54.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$81.00	$33.89

Medical Specialties & State Licenses

CMS Verified: 2026-02-26

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MO 2006010979

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.

Hospital & Practice Group Affiliations

Mike Swann, Md, Llc

3850 S National, Springfield, MO 658075239

Mike Swann, Md, Llc

1240 E Independence St, Springfield, MO 658044386

Phone: 4178880858

Forefront Dermatology Sc

3850 S National Ave, Springfield, MO 658075239

Phone: 4179003407

Mike Swann, Md, Llc

3850 S National Ave, Springfield, MO 658075239

Phone: 4178880858

Secondary Practice Locations

109 Pinehurst Dr

Branson, MO 656162796

Phone: 4178880858

590 Birch Rd Ste 2c

Hollister, MO 656729607

Phone: 4178156737

331 Hospital Dr Ste C

Lebanon, MO 655369251

Phone: 4173347200

2200 E Cleveland St

Monett, MO 657086149

Phone: 4179003407

1240 E Independence St Ste 200

Springfield, MO 658044201

Phone: 4179003407

1240 E Independence St Ste 100

Springfield, MO 658044201

Phone: 4179003407

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners

Brooklyn Fort , NP-C

Nurse Practitioner

NPI 1114655214

Nurse Practitioner (Certified)

Michael Kremer

Dermatology

NPI 1255968327

Lori Miller , NP-C

Nurse Practitioner

NPI 1508419979

Nurse Practitioner (Certified)

Dr. Elizabeth Spenceri , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1588665509

Doctor of Medicine (M.D.)

Hannah Lee , NP-C

Nurse Practitioner

NPI 1609508746

Nurse Practitioner (Certified)

Lauren Copp , PA-C

Physician Assistant

NPI 1720328248

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Business Mailing Address February 26, 2026

Registered at 801 YORK ST, MANITOWOC, WI 542204630 (Tel: 9206639008)

👤

Provider Name / Credentials Updated February 26, 2026

Recorded as AUTUMN BERTHOLDI, PA-C

👤

Provider Name / Credentials Updated July 05, 2023

Recorded as AUTUMN BERTHOLDI, P.A.

✅

NPI Profile Active April 28, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location April 28, 2015

Registered at 3850 S NATIONAL AVE STE 705, SPRINGFIELD, MO 658075239 (Tel: 4178880858)

📍

Updated Business Mailing Address April 28, 2015

Registered at 3850 S NATIONAL AVE STE 705, SPRINGFIELD, MO 658075239 (Tel: 4178880858)

👤

Provider Name / Credentials Updated April 28, 2015

Recorded as AUTUMN COURTNEY, P.A.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 28, 2015

Physician Assistant (License #2006010979 in MO)

🟢

Initial NPI Registration & Enumeration June 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013944024

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 26, 2006

Last Update: February 26, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

801 York St

Manitowoc, WI 542204630

Phone: 9206639008

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.