Riley S. Bertram
NPI 1942815063ActiveIndividual· Anesthesiologist Assistant· Grey Eagle, MN
Anesthesiologist Assistant with Vituity-Wisconsin Anesthesia SC, practicing in Grey Eagle, Minnesota. Medicare paid $17,119 for services to 167 patients in 2024. Lists Ascension Columbia St Marys Hospital Milwaukee and 1 other hospital as hospital affiliations.
Overview
| NPI | 1942815063 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Sep 15, 2020 |
| Last updated in NPPES | Aug 18, 2026 |
| Certified by provider | Aug 18, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiologist Assistant Primary | 367H00000X | 170 | WI |
| Anesthesiologist Assistant | 367H00000X | 117 | SC |
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 - Anesthesiology Assistant (CO); Practitioner - Anesthesiology Assistant (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 167 |
|---|---|
| Services billed | 171 across 31 procedure codes |
| Paid by Medicare | $17,119 |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Anesthesiology Assistant |
Medical group
- Vituity-Wisconsin Anesthesia SCPleasant Prairie, WI · 139 clinicians
Hospital affiliations
- Ascension Columbia St Marys Hospital MilwaukeeMilwaukee, WI
- University of Wi Hospitals & Clinics AuthorityMadison, WI