Justin Berthold
NPI 1558681585 · Physical Medicine & Rehabilitation Physician · Pittsburgh, PA
Enrolled with Medicare as Practitioner - Physical Medicine and Rehabilitation · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Justin Berthold is a Physical Medicine & Rehabilitation Physician provider in Pittsburgh, PA (NPI 1558681585).
Provider details
- NPI number
- 1558681585
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- OT013673 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
16 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,035 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 478 | $75 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 186 | $86 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 120 | $121 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 66 | $112 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 65 | $124 |
| Osteopathic Manipulative Treatment, 1-2 Body Regions |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Gabapentin | 178 | 43 |
| Duloxetine Hcl | 89 | 29 |
| Celecoxib | 71 | 17 |
| Baclofen | 45 | 18 |
| Meloxicam | 44 | 25 |
| Methylprednisolone | 30 | 28 |
| Naltrexone Hcl | 23 | — |
| Pregabalin |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$13 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-06-01
- Last updated
- 2010-06-01
Frequently asked questions
- What is Justin Berthold's NPI number?
- Justin Berthold's National Provider Identifier (NPI) is 1558681585, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Justin Berthold's specialty?
- Justin Berthold is listed in the NPPES registry with a primary specialty of Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Justin Berthold located?
- Justin Berthold's practice location on file with NPPES is 3471 5th Ave, Pittsburgh, PA 15213-3215.
- What is Justin Berthold's phone number?
- The practice phone number listed in the NPPES registry for Justin Berthold is (412) 648-6848.
- Does Justin Berthold accept Medicare?
- Justin Berthold is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Justin Berthold's NPI active?
- Yes — Justin Berthold's NPI (1558681585) is active in the NPPES registry as of the last update on 2010-06-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.