2026 NPPES data General Practice Physician NPI 1548657737 MD
Verify on CMS →

KAREN BERTELS, MD

General Practice Physician in BELLEVILLE, Illinois. 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
147
Medicare Part D claims · 86 beneficiaries · General Practice Physician avg: 3K
What the federal data reveals: KAREN BERTELS, MD is a General Practice Physician ([object Object]) practicing in BELLEVILLE, Illinois with a Medicare Part D prescribing footprint of 147 claims across 86 beneficiaries .

What stands out: KAREN BERTELS, MD filed 147 Medicare Part D claims in 2023 across BELLEVILLE, Illinois. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

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

KAREN BERTELS, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 04/25/2015

NPI 1548657737

Primary specialty

General Practice Physician

Mid-sized

16,677 US NPIs in this specialty

Medicare Part D claims

147 95% vs specialty avg

2023 prescription claims

Specialty avg: 2,872

Specialty distribution in Illinois

How General Practice Physician compares to other specialties among Illinois providers

Illinois providers

General Practice Physician share within Illinois

1. General Practice Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
General Practice Physician share within Illinois

Specialty board-certification context

Estimated specialty board-certified rate — General Practice Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
General Practice Physician ABMS/AOA estimate

Est. board-certified rate (General Practice Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (General Practice Physician) — ABMS / AOA estimate

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).

KAREN BERTELS, MD is a General Practice Physician provider practicing in BELLEVILLE, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1548657737. 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.

KAREN BERTELS, MD appears in the CMS NPPES registry as a General Practice Physician provider holding MD credentials at 4315 MEMORIAL DR, BELLEVILLE, IL, 62226, with a listed phone of (314) 996-7014. NPI 1548657737 was issued on 04/25/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BERTELS 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 147 prescription claims written by this provider, covering 86 Medicare beneficiaries and totaling roughly $5K in drug spend, with an opioid prescribing rate of 11.6%. 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.

General Practice Physician is a mid-sized specialty nationwide, with 16,677 enrolled providers across 56 states and an average of 2,872 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

4315 MEMORIAL DR
BELLEVILLE, IL 62226

Provider Details

NPI 1548657737
Specialty General Practice Physician
Credentials MD
Gender Female
NPI Issued 04/25/2015

Hospital and facility affiliations

Facilities where KAREN BERTELS, MD 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.

FAIRVIEW HEIGHTS MEDICAL GROUP SC
ALTON, IL

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

License & disciplinary context — Illinois IDFPR 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~42K Illinois medical licensees in 2023 — they are NOT specific to KAREN BERTELS, MD. To verify KAREN BERTELS, MD's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

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

147
Total Claims
$5K
Total Drug Cost
86
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
156
Total Day Supply
2,122
Generic Drug Cost
$2K
Opioid Claims
17 (11.6% rate)
Antibiotic Claims
37

Patient Demographics

Average Patient Age
73.0 years
Avg HCC Risk Score
2.23
Gender Split
64% female / 36% male
Age Distribution
<65: 16, 65-74: 30, 75-84: 28, 85+: 12

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Ondansetron Hcl
13

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

General Practice Physician Overview

How KAREN BERTELS, MD fits within the General Practice Physician landscape nationally.

16,677
General Practice Physician Providers in US
56
States with General Practice Physician
2,872
Avg Claims per Provider

KAREN BERTELS, MD's 147 claims are below the specialty average of 2,872.

Nearby General Practice Physician Providers in Illinois

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

Compare General Practice Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is KAREN BERTELS, MD's specialty?
KAREN BERTELS, MD specializes in General Practice Physician and practices in BELLEVILLE, Illinois. Credentials: MD.
How much does KAREN BERTELS, MD prescribe under Medicare Part D?
In 2023, KAREN BERTELS, MD wrote 147 Medicare Part D claims totaling $5K in drug costs for 86 beneficiaries.
Where is KAREN BERTELS, MD located?
KAREN BERTELS, MD is located at 4315 MEMORIAL DR, BELLEVILLE, IL, 62226. Phone: (314) 996-7014.
What is KAREN BERTELS, MD's NPI number?
KAREN BERTELS, MD's National Provider Identifier (NPI) is 1548657737, issued on 04/25/2015.
Does KAREN BERTELS, MD prescribe opioids?
Yes, KAREN BERTELS, MD had 17 opioid claims in 2023 with an opioid prescribing rate of 11.6%.
How many General Practice Physician providers are there in the US?
There are 16,677 General Practice Physician providers across 56 states in the US. The average General Practice Physician provider writes 2,872 Medicare Part D claims per year.
What drugs does KAREN BERTELS, MD prescribe most often?
Based on 2023 Medicare Part D data, KAREN BERTELS, MD's most frequently prescribed drugs include Ondansetron Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KAREN BERTELS, MD accept Medicare?
KAREN BERTELS, MD appears in CMS Medicare data with 147 Part D claims and 86 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KAREN BERTELS, MD's credentials?
KAREN BERTELS, MD's NPI is 1548657737 with credentials MD. 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.
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