Justin Berthold
Physical Medicine & Rehabilitation Physician · Pittsburgh, PA
Justin Berthold is a physical medicine & rehabilitation physician with a practice address in Pittsburgh, Pennsylvania, and NPI 1558681585, issued on Jun 1, 2010. Check the license (Pennsylvania OT013673, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.
- Name
- Justin Berthold
- Primary taxonomy
- Physical Medicine & Rehabilitation Physician 208100000X
- License number
- OT013673 PA
Self-reported in NPPES; status is on the state search - Practice location
- 3471 5TH Ave, Pittsburgh, PA 15213
- Phone
- (412) 648-6848
- Enumerated
- Jun 1, 2010
- Record last updated
- Jun 1, 2010 (not updated in 16 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20140819000431); accepts Medicare assignment
- Medical or professional school
- Lake Erie College Of Osteopathic Medicine, Erie, 2010
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest physical medicine & rehabilitation physician records → All 875 in Pennsylvania → Look up another NPI →
Also registered at 3471 5TH Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Sharvani Alajpur, MDStudent in an Organized Health Care Education/Training Program1740960913
- Kelley Anderson, DOSports Medicine (Family Medicine) Physician1528212271
- Margaret Andrzejewski, PA-CPhysician Assistant1578840468
- Mark BackerisAnesthesiology Physician1649407503
- Anto Bagic, MDEpilepsy Physician1851363170
Verify Justin Berthold in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
Search for license OT013673Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
23% fewer Medicare Part D claims than the average physical medicine & rehabilitation physician in 2024
562 Medicare Part D claims for 154 beneficiaries, against an average of 727 among the 7,448 providers of this specialty who prescribed in Part D.
Most prescribed
- Gabapentin178 claims
- Duloxetine Hcl89 claims
- Celecoxib71 claims
- Baclofen45 claims
- Meloxicam44 claims
- Methylprednisolone30 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 77.5 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $13.38
1 payment: food and beverage; the largest payer was Abbvie Inc. The 3,895 providers of this specialty with any payment received $1,237.86 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 4 group practices
- Djb Med LLCPittsburgh, PA
- Keystone Rehabilitation Systems IncSeven Fields, PA
- Mrs Physical TherapyErie, PA
- University OF Pittsburgh PhysiciansMonroeville, PA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Justin Berthold among 875 physical medicine & rehabilitation physician records in Pennsylvania
Justin Berthold is one of 875 physical medicine & rehabilitation physician records with a practice address in Pennsylvania. 63% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2010, is newer than 54% of them.
- NPI issued2010 · 54% of these records are older, 43% newer
- In a Medicare fileYes · 63% of these records are
- In the CMS Doctors and Clinicians fileYes · 52% of these records are
- Graduated2010 · median 2005 among the 451 with a school on file
- Record last updated2010 · 60% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208100000X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Physical Medicine & Rehabilitation Physician providers in Pennsylvania
There are 875 physical medicine & rehabilitation physician records in Pennsylvania.
All 875 in Pennsylvania → Every provider in Pittsburgh → Physical Medicine & Rehabilitation Physician nationwide →
The 8 physical medicine & rehabilitation physician records with the nearest ZIP codes
- Timothy Burg, D.O.Pittsburgh, PA 152131891028304
- Jason EdingerPittsburgh, PA 152131952519613
- Gary GalangPittsburgh, PA 152131912949090
- Eric HelmPittsburgh, PA 152131205090818
- Max HurwitzPittsburgh, PA 152131184003527
- Molly KrausePittsburgh, PA 152131689053506
- Joseph Kwok, D.O.Pittsburgh, PA 152131003019936
- Kentaro OnishiPittsburgh, PA 152131952698672
Common questions
What is Justin Berthold's NPI number?
Justin Berthold's National Provider Identifier (NPI) is 1558681585, issued on Jun 1, 2010. An NPI identifies a provider in billing; it is not a license.
Where is Justin Berthold located?
The NPPES record lists a practice address at 3471 5TH Ave, Pittsburgh, PA, 15213. Phone: (412) 648-6848. Providers update this record themselves, so call before visiting.
How can I verify Justin Berthold's license?
NPPES lists Pennsylvania license number OT013673, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Justin Berthold prescribe under Medicare Part D?
In 2024, Justin Berthold had 562 Medicare Part D claims for 154 beneficiaries; the average among physical medicine & rehabilitation physician prescribers was 727. Part D covers Medicare prescriptions only.
What is Justin Berthold's MIPS final score?
The 2023 MIPS final score is 77.5 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.