2026 NPPES data Emergency Medicine Physician NPI 1275950560
Verify on CMS →

DON BERTOLOTTI

Emergency Medicine Physician in OWENSBORO, Kentucky. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
271
Medicare Part D claims · 178 beneficiaries · Emergency Medicine Physician avg: 352
MIPS score
79.7139/100
▼ 3 pts below national avg 83.1 · [object Object]
What the federal data reveals: DON BERTOLOTTI is a Emergency Medicine Physician ([object Object]) practicing in OWENSBORO, Kentucky with a Medicare Part D prescribing footprint of 271 claims across 178 beneficiaries . Their CMS MIPS Final Score of 79.7139/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: DON BERTOLOTTI reported a CMS MIPS final score of 79.7139 out of 100, below the 83.1 national average, and filed 271 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

DON BERTOLOTTI practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

DON BERTOLOTTI at a glance

Near national average

NPI registry status

Active

Issued 03/25/2014

NPI 1275950560

Primary specialty

Emergency Medicine Physician

High-volume

64,398 US NPIs in this specialty

Medicare Part D claims

271 23% vs specialty avg

2023 prescription claims

Specialty avg: 352

MIPS final score

79.7139/100 3.386099999999999% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Kentucky

How Emergency Medicine Physician compares to other specialties among Kentucky providers

Kentucky providers

Emergency Medicine Physician share within Kentucky

1. Emergency Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Emergency Medicine Physician share within Kentucky

Medicare quality performance — MIPS

DON BERTOLOTTI's 2023 MIPS final score plotted against the Emergency Medicine Physician national average

Near national average
MIPS Final Score
79.7139/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Emergency Medicine Physician) — 79.7139/100 vs national avg 83.1

0%100%National avg83%79.7%
MIPS final score (Emergency Medicine Physician) — 79.7139/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

DON BERTOLOTTI is a Emergency Medicine Physician provider practicing in OWENSBORO, Kentucky, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1275950560. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

DON BERTOLOTTI appears in the CMS NPPES registry as a Emergency Medicine Physician provider at 1201 PLEASANT VALLEY RD, OWENSBORO, KY, 42303, with a listed phone of (270) 417-2000. NPI 1275950560 was issued on 03/25/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BERTOLOTTI most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 271 prescription claims written by this provider, covering 178 Medicare beneficiaries and totaling roughly $5K in drug spend, with an opioid prescribing rate of 6.3%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 79.7139/100 for the 2023 performance year (Quality 71.6717), compared with the national average of 83.1.

Emergency Medicine Physician is a high-volume specialty nationwide, with 64,398 enrolled providers across 56 states and an average of 352 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1201 PLEASANT VALLEY RD
OWENSBORO, KY 42303

Provider Details

NPI 1275950560
Specialty Emergency Medicine Physician
Gender Male
NPI Issued 03/25/2014

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

79.7139
Final Score
Avg: 83.1
71.6717
Quality

Reporting: Group practice

Hospital and facility affiliations

Facilities where DON BERTOLOTTI bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

CEP AMERICA - OHIO LLC
WESTERVILLE, OH

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

271
Total Claims
$5K
Total Drug Cost
178
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
274
Total Day Supply
2,431
Generic Drug Cost
$2K
Opioid Claims
17 (6.3% rate)
Antibiotic Claims
101

Patient Demographics

Average Patient Age
71.2 years
Avg HCC Risk Score
2.17
Gender Split
63% female / 37% male
Age Distribution
<65: 36, 65-74: 64, 75-84: 55, 85+: 23

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Cephalexin
41
Ondansetron Odt
Ondansetron
32
Prednisone
23
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
16
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
15
Ibuprofen
15
Azithromycin
14

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Emergency Medicine Physician Overview

How DON BERTOLOTTI fits within the Emergency Medicine Physician landscape nationally.

64,398
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider

DON BERTOLOTTI's 271 claims are below the specialty average of 352.

Nearby Emergency Medicine Physician Providers in Kentucky

Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as BERTOLOTTI.

Compare Emergency Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is DON BERTOLOTTI's specialty?
DON BERTOLOTTI specializes in Emergency Medicine Physician and practices in OWENSBORO, Kentucky.
How much does DON BERTOLOTTI prescribe under Medicare Part D?
In 2023, DON BERTOLOTTI wrote 271 Medicare Part D claims totaling $5K in drug costs for 178 beneficiaries.
What is DON BERTOLOTTI's Medicare quality score?
DON BERTOLOTTI has a CMS MIPS Final Score of 79.7139/100 (Quality: 71.6717). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is DON BERTOLOTTI located?
DON BERTOLOTTI is located at 1201 PLEASANT VALLEY RD, OWENSBORO, KY, 42303. Phone: (270) 417-2000.
What is DON BERTOLOTTI's NPI number?
DON BERTOLOTTI's National Provider Identifier (NPI) is 1275950560, issued on 03/25/2014.
Does DON BERTOLOTTI prescribe opioids?
Yes, DON BERTOLOTTI had 17 opioid claims in 2023 with an opioid prescribing rate of 6.3%.
How many Emergency Medicine Physician providers are there in the US?
There are 64,398 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does DON BERTOLOTTI prescribe most often?
Based on 2023 Medicare Part D data, DON BERTOLOTTI's most frequently prescribed drugs include Cephalexin, Ondansetron Odt, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DON BERTOLOTTI accept Medicare?
DON BERTOLOTTI appears in CMS Medicare data with 271 Part D claims and 178 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DON BERTOLOTTI's credentials?
DON BERTOLOTTI's NPI is 1275950560. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology