Samuel T. Bertsos, PA
NPI 1114668928ActiveIndividual· Physician Assistant· Miamisburg, OH
Physician Assistant (PA) with Beacon Orthopaedics and Sports Medicine Ltd, practicing in Miamisburg, Ohio. 35 Medicare patients in 2024, $4,414 paid; all of their 361 Part D prescriptions were generic.
Overview
| NPI | 1114668928 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Apr 5, 2022 |
| Last updated in NPPES | Jun 15, 2022 |
| Certified by provider | Jun 15, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 50.007614RX | OH |
| Physician Assistant | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 35 |
|---|---|
| Services billed | 232 across 17 procedure codes |
| Paid by Medicare | $4,414 |
Part D prescriptions in 2024
| Prescriptions (claims) | 361 · 361 30-day fills |
|---|---|
| Patients | 75 |
| Total drug cost | $1,739 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Beacon Orthopaedics and Sports Medicine LtdGranville, OH · 471 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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