Doctor profile · Federal record
Dr. Justin Berthold
Physical Medicine & Rehabilitation Physician (CMS: Physical Medicine and Rehabilitation) · Pittsburgh, PA
- NPI 1558681585
- Accepts Medicare
- MIPS 77.5 / 100 · 2023
- 16 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3471 5Th Ave, Kaufmann Building, Suite 201
Pittsburgh, PA 152133215
(412) 648-6848 - Mailing address
-
229 Sheryl Ln
Pittsburgh, PA 152213768
Credentials & registration
- NPI registered
- June 2010 — 16 yrs on file
- Year of graduation
- 2010 — 16 yrs since
- Specialty taxonomy
- 208100000X — NUCC code
- State license (1)
- Pennsylvania #OT013673
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1558681585. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
997
Distinct HCPCS
9
Medicare allowed
$90,603
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 561 | 84 | $76 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 144 | 69 | $86 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 97 | 60 | $122 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 59 | 57 | $125 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 40 | 23 | $115 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 31 | 31 | $160 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 30 | 27 | $171 | |
99231 |
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 19 | 18 | $48 | |
76882 |
Limited ultrasound scan of joint or other extremity structure except blood vessels | 16 | 12 | $41 |
In context: peer comparison
Among 22 peers in Pittsburgh Physical Medicine & Rehabilitation Physician, average services per provider: 128. This provider delivers 7.8× the peer median.Open Payments
Industry payments received
All-time total
$13
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbvie INC. | 1 | $13.38 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
510
Patients
139
Total drug cost
$9,552
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Gabapentin | Generic | 154 | 31 | $2,048 |
| Baclofen | Generic | 68 | 18 | $1,098 |
| Duloxetine Hcl | Generic | 63 | 21 | $1,705 |
| Meloxicam | Generic | 39 | 15 | $281 |
| Celecoxib | Generic | 38 | 17 | $1,022 |
| Pregabalin | Generic | 31 | 0 | $1,112 |
| Naltrexone Hcl | Generic | 30 | 0 | $1,291 |
| Methylprednisolone | Generic | 25 | 23 | $247 |
| Diclofenac Sodium | Generic | 24 | 14 | $346 |
| Amitriptyline Hcl | Generic | 14 | 0 | $158 |
Hospital affiliations
Frequently asked questions
What is Dr. Justin Berthold's medical specialty?
Dr. Justin Berthold practices Physical Medicine & Rehabilitation Physician in Pittsburgh, PA.
Where does Dr. Justin Berthold practice?
Dr. Justin Berthold practices at 3471 5Th Ave, Pittsburgh, PA 152133215. Office phone: 4126486848.
What is Dr. Justin Berthold's NPI?
Dr. Justin Berthold's National Provider Identifier (NPI) is 1558681585, issued by NPPES.
Does Dr. Justin Berthold accept Medicare assignment?
Yes. Dr. Justin Berthold accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Justin Berthold commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.