Matthew S Bertus, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

861 Issued in OK

Practice address

4050 W Memorial Rd
Third Floor
Oklahoma City, OK 73120-8382

Phone

(405) 608-3800

Fax

(405) 608-3838

NPI assigned

Nov 4, 2005

Last updated

Sep 9, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mbertus140861@direct-ehr-ssmhc.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Hospital LLC

  dba Community Hospital

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1275593337
  Medicare reassignment
• Emergency Physicians of Mid-America, P.C.

  • Emergency Medicine Physician
  • Oklahoma City, OK
  • NPI 1063825297
  Medicare reassignment
• Mercy Clinic Oklahoma Communities

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1386874550
  Medicare reassignment
• Mercy Hospital Kingfisher, Inc

  • Diagnostic Radiology Physician
  • Kingfisher, OK
  • NPI 1285064618
  Medicare reassignment
• Mercy Hospital Logan County Inc

  • Critical Access Hospital
  • Guthrie, OK
  • NPI 1306126818
  Medicare reassignment
• Mercy Hospital Tishomingo, Inc

  • Emergency Medicine Physician
  • Tishomingo, OK
  • NPI 1972809002
  Medicare reassignment
• Mercy Hospital Watonga Inc

  dba Mercy Hospital Watonga

  • Critical Access Hospital
  • Watonga, OK
  • NPI 1497017529
  Medicare reassignment
• Oklahoma Emergency Services PC

  • Emergency Medicine Physician
  • Lawton, OK
  • NPI 1114239795
  Medicare reassignment
• TPG Hospital LLC

  dba Northwest Surgical Hospital

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1942260971
  Medicare reassignment
• Community Hospital LLC

  • General Practice Physician
  • Oklahoma City, OK
  • NPI 1730366832

  Physician Assistant

  NPD
• Mercy Hospital Logan County, Inc

  dba Mercy Hospital Logan County Crescent Primary Care

  • Rural Health Clinic/Center
  • Crescent, OK
  • NPI 1659652071
  NPD
• Mercy Hospital Tishomingo, Inc.

  dba Mercy Hospital Tishomingo

  • Critical Access Hospital
  • Tishomingo, OK
  • NPI 1932404431
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1093706368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268919",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731268919",
            "telephone_number": "405-608-3800",
            "fax_number": "405-608-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 W MEMORIAL RD",
            "address_2": "THIRD FLOOR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208382",
            "telephone_number": "405-608-3800",
            "fax_number": "405-608-3838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13401 N Western Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731141408",
            "country_code": "US",
            "telephone_number": "405-252-3400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 S Sara Rd",
            "address_purpose": "LOCATION",
            "city": "Mustang",
            "state": "OK",
            "postal_code": "730644306",
            "country_code": "US",
            "telephone_number": "405-376-4505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 N Green Ave",
            "address_purpose": "LOCATION",
            "city": "Purcell",
            "state": "OK",
            "postal_code": "730801642",
            "country_code": "US",
            "telephone_number": "405-527-6524",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2115 Parkview Drive",
            "address_purpose": "LOCATION",
            "city": "El Reno",
            "state": "OK",
            "postal_code": "73036",
            "country_code": "US",
            "telephone_number": "405-262-2640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 S Douglas Blvd",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731501001",
            "country_code": "US",
            "telephone_number": "405-815-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3701 E Main St",
            "address_purpose": "LOCATION",
            "city": "Weatherford",
            "state": "OK",
            "postal_code": "730963309",
            "country_code": "US",
            "telephone_number": "580-772-5551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13500 S Tulsa Dr",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731709719",
            "country_code": "US",
            "telephone_number": "405-815-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 N Lee Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731021036",
            "country_code": "US",
            "telephone_number": "405-272-7000",
            "fax_number": "405-272-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERTUS",
        "first_name": "MATTHEW",
        "middle_name": "S",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "861",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "861",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10011900A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yolanda Berry
• Autumn Berryman
• Peter Berryman
• Michelle Berte
• Brooke Berthiaume, LMSW
• Ronda D Bertus, PA-C
• Brian Michael Besch, MD
• Brent A Beson, MD
• Caitlin M. Beson, PA-C
• Autumn Bess, MS, CGC

• Physician Assistant in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.