Samuel Mark Bertoch, FNP-C
NPI 1417525544ActiveIndividual· Nurse Practitioner· Roosevelt, UT
Nurse Practitioner (FNP-C) with Uintah Basin Medical Center and 1 other group, practicing in Roosevelt, Utah. Their prescriptions cost Medicare Part D more than their services did: $78,373 for 1,546 claims, against $28,819 paid for services in 2024. Globus Medical, Inc. reported $69.61 in payments in 2024, mostly food and beverage. Lists Ashley Regional Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1417525544 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-C |
| Sole proprietor | Yes |
| NPI issued | Jun 15, 2021 |
| Last updated in NPPES | Jun 15, 2021 |
| Certified by provider | Apr 2, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 327174-4405 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 108 |
|---|---|
| Services billed | 1,429 across 15 procedure codes |
| Paid by Medicare | $28,819 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,546 · 1,797 30-day fills |
|---|---|
| Patients | 219 |
| Total drug cost | $78,373 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical groups
- Uintah Basin Medical CenterRoosevelt, UT · 62 clinicians
- Northeastern Utah Medical GroupRoosevelt, UT · 54 clinicians
Hospital affiliations
- Ashley Regional Medical CenterVernal, UT
- Uintah Basin Medical CenterRoosevelt, UT
Industry payments (Open Payments)
- 2024$69.61 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Globus Medical, Inc. | $69.61 | 1 |
What the 2024 payments were for
- Food and Beverage$69.61 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner providers in Roosevelt
- 1831773449
- 1841027307
- 1912968538
- 1245397637
- 1083675649