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Active NPI 1417525544 Individual Practitioner Male Practitioner

Samuel Mark Bertoch , FNP-C

Nurse Practitioner • Roosevelt, UT

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Samuel Bertoch, FNP-C is a certified Nurse Practitioner practicing in Roosevelt, UT. With approximately 5 years of clinical experience since completing medical education in 2021, Samuel Bertoch delivers high-quality medical care to the local community at 2750 NORTH 2762 WEST.

Samuel Bertoch maintains professional affiliations with Northeastern Utah Medical Group, Uintah Basin Medical Center and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, injection, dexamethasone sodium phosphate, 1 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2750 North 2762 West

Roosevelt, UT 84066

Telephone 4357229250

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Roosevelt, UT

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -10.5 yrs vs City Avg
City Avg: 15.5 Yrs
State Avg: 8.4 Yrs
Regional Practice Density
5 Specialists

Practicing in Roosevelt, UT (1143 Statewide)

Telehealth Adoption Rate
20.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
58.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bertoch (5 Years) 5 Yrs
Roosevelt Specialty Average (15.5 Years) 15.5 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
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
540 47 $6.00 $0.98
99213 Established patient office or other outpatient visit, typically 15 minutes
201 80 $120.05 $74.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
133 64 $180.16 $105.39
J1100 Injection, dexamethasone sodium phosphate, 1 mg
104 25 $3.00 $0.11
20610 Aspiration and/or injection of fluid from large joint
70 46 $220.57 $66.27
20553 Injection of trigger points, 3 or more muscles
16 13 $152.50 $39.90
20552 Injections of trigger points in 1 or 2 muscles
15 13 $135.13 $36.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
14 14 $286.86 $140.07

Medical Specialties & State Licenses

CMS Verified: 2021-04-02
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License UT 327174-4405

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Uintah Basin Medical Center

250 W 300, Roosevelt, UT 840662336

Phone: 4357224691

Northeastern Utah Medical Group

250 W 300, Roosevelt, UT 840662336

Northeastern Utah Medical Group

379 N 500, Vernal, UT 840781956

Phone: 4357812030

Northeastern Utah Medical Group

210 W 300, Roosevelt, UT 840662336

Phone: 4357224691

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 15, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 15, 2021

Registered at 2750 NORTH 2762 WEST, ROOSEVELT, UT 84066 (Tel: 4357229250)

📍
Updated Business Mailing Address June 15, 2021

Registered at 2750 NORTH 2762 WEST, ROOSEVELT, UT 84066 (Tel: 4357229250)

👤
Provider Name / Credentials Updated June 15, 2021

Recorded as SAMUEL BERTOCH, FNP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2021

Nurse Practitioner (License #327174-4405 in UT)

🟢
Initial NPI Registration & Enumeration June 15, 2021

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: 1417525544
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2021
Last Update: June 15, 2021
Sole Proprietor: Yes

Mailing Address

2750 North 2762 West

Roosevelt, UT 84066

Phone: 4357229250

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.