2026 NPPES data Medical Physician Assistant NPI 1528634185
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Mark Bertolone

Medical Physician Assistant in Rochester, New York. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 40,527 in Medical Physician Assistant, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
64
Medicare Part D claims · 36 beneficiaries · Medical Physician Assistant avg: 1K
MIPS score
81.1/100
▼ 2 pts below national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Mark Bertolone reported a CMS MIPS final score of 81.1/100 - below the 83.1 national average - and filed 64 Medicare Part D claims in 2023.

81.1/100
MIPS score · -2 vs avg
64
Part D claims, 2023

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Mark Bertolone's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

81 36th percentile higher than 36% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90+: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Mark Bertolone sits

This provider among medical physician assistant peers

Across the 7,339 medical physician assistant providers who report both Medicare Part D prescribing and a MIPS quality score, Mark Bertolone writes more Part D claims than 13% of them and scores higher on MIPS quality than 34% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.949.974.899.8Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 58Mark Bertolone-Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 34
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one medical physician assistant peer from a representative sample of 60; the gold marker is Mark Bertolone. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Mark Bertolone?

Near national average

NPI registry status

Active

Issued 06/03/2021

NPI 1528634185

Primary specialty

Medical Physician Assistant

Mid-sized

40,527 US NPIs in this specialty

Medicare Part D claims

64 94% vs specialty avg

2023 prescription claims

Specialty avg: 1,077

MIPS final score

81.1/100 2 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in New York

How Medical Physician Assistant compares to other specialties among New York providers

New York providers

Largest specialties in New York (% of in-state providers)

Student in an Organized Health Care Education/Training Program - 7.8%Student in an Organized Health Care Education/Training Program7.8%Registered Nurse - 5.2%Registered Nurse5.2%Clinical Social Worker - 4.9%Clinical Social Worker4.9%Social Worker - 4.5%Social Worker4.5%Speech-Language Pathologist - 4.5%Speech-Language Pathologist4.5%Licensed Practical Nurse - 4.3%Licensed Practical Nurse4.3%Medical Physician Assistant - 0.7%Medical Physician Assistant0.7%
Largest specialties in New York (% of in-state providers)

Medicare quality performance, MIPS

Mark Bertolone's 2023 MIPS final score plotted against the Medical Physician Assistant national average

Near national average
MIPS Final Score
81.1/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Medical Physician Assistant) - 81.1/100 vs national avg 83.1

0%100%National avg83%81.1%
MIPS final score (Medical Physician Assistant) - 81.1/100 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).

Mark Bertolone appears in the CMS NPPES registry as a Medical Physician Assistant provider at 1000 SOUTH AVE, Rochester, NY, 14620, with a listed phone of (585) 473-2200. NPI 1528634185 was issued on 06/03/2021. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Bertolone 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 64 prescription claims written by this provider, covering 36 Medicare beneficiaries and totaling roughly $435 in drug spend, with an opioid prescribing rate of 40.6%. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 81.1/100 for the 2023 performance year (Quality 63.7, Cost 60.7), compared with the national average of 83.1.

Medical Physician Assistant is a mid-sized specialty nationwide, with 40,527 enrolled providers across 55 states and an average of 1,077 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

1000 SOUTH AVE
Rochester, NY 14620

Provider Details

NPI 1528634185
Specialty Medical Physician Assistant
Gender Male
NPI Issued 06/03/2021

CMS Quality Score (MIPS)

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

81.1069
Final Score
Avg: 83.1
63.6753
Quality
60.698
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Mark Bertolone 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.

University Urology Associates
Rochester, NY

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 - New York NYSBPMC 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 ~100K New York medical licensees in 2023 - they are NOT specific to Mark Bertolone. To verify Mark Bertolone's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York 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.

64
Total Claims
$435
Total Drug Cost
36
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
66
Total Day Supply
562
Generic Drug Cost
$362
Opioid Claims
26 (40.6% rate)
Antibiotic Claims
15

Patient Demographics

Average Patient Age
71.5 years
Avg HCC Risk Score
1.17

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Oxycodone Hcl
22

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

Medical Physician Assistant Overview

How Mark Bertolone fits within the Medical Physician Assistant landscape nationally.

40,527
Medical Physician Assistant Providers in US
55
States with Medical Physician Assistant
1,077
Avg Claims per Provider

Mark Bertolone's 64 claims are below the specialty average of 1,077.

Nearby Medical Physician Assistant Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Bertolone.

Compare Medical Physician Assistant nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the New York medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Medical Physician Assistant peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Mark Bertolone's specialty?
Mark Bertolone specializes in Medical Physician Assistant and practices in Rochester, New York.
How much does Mark Bertolone prescribe under Medicare Part D?
In 2023, Mark Bertolone wrote 64 Medicare Part D claims totaling $435 in drug costs for 36 beneficiaries.
What is Mark Bertolone's Medicare quality score?
Mark Bertolone has a CMS MIPS Final Score of 81.1/100 (Quality: 63.7, Cost: 60.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Mark Bertolone located?
Mark Bertolone is located at 1000 SOUTH AVE, Rochester, NY, 14620. Phone: (585) 473-2200.
What is Mark Bertolone's NPI number?
Mark Bertolone's National Provider Identifier (NPI) is 1528634185, issued on 06/03/2021.
Does Mark Bertolone prescribe opioids?
Yes, Mark Bertolone had 26 opioid claims in 2023 with an opioid prescribing rate of 40.6%.
How many Medical Physician Assistant providers are there in the US?
There are 40,527 Medical Physician Assistant providers across 55 states in the US. The average Medical Physician Assistant provider writes 1,077 Medicare Part D claims per year.
What drugs does Mark Bertolone prescribe most often?
Based on 2023 Medicare Part D data, Mark Bertolone's most frequently prescribed drugs include Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Mark Bertolone accept Medicare?
Mark Bertolone appears in CMS Medicare data with 64 Part D claims and 36 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Mark Bertolone's credentials?
Mark Bertolone's NPI is 1528634185. 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

Compiled from official public sources by the PlainDoctor editorial team.