NPIMap

Individual provider Active NPI

Melissa Michelle Bertha, D.O.

  • Family Medicine Physician
  • Scranton, PA
National Provider Identifier
1770928947
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS018206 Issued in PA
Practice address
1789 N Keyser Ave
Scranton, PA 18508-1250
Phone
(570) 969-1904
Fax
(570) 207-5314
NPI assigned
May 1, 2013
Last updated
Jul 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS018206 PA Primary

Addresses

Primary practice location

1789 N Keyser Ave
Scranton, PA 18508-1250

Mailing address

1789 N Keyser Ave
Scranton, PA 18508-1250
Phone (570) 969-1904

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address melissa.bertha.1@21771.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160623000486 PA Practitioner - Family Practice 3971808882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

315 S Main St
Old Forge, PA 18518-1606
Phone (570) 457-8364

748 Quincy Ave
Scranton, PA 18510-1739

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.17 of 100Reported as apm
Quality
78.34
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Scranton Quincy Clinic Company LLC Family Medicine CurrentSince Aug 1, 2019 Accepting new patients
Scranton Quincy Clinic Company LLC CurrentSince Aug 1, 2019 Accepting new patients

Locations

150 Brooklyn St
Carbondale, PA 18407
Phone (570) 282-2031

315 S Main St
Old Forge, PA 18518
Phone (570) 457-8364

1789 N Keyser Ave
Scranton, PA 18508
Phone (570) 969-1904

748 Quincy Ave
Ste 1A
Scranton, PA 18510
Phone (570) 347-9600

Interoperability endpoints

  • Direct secure messaging: melissa.bertha.1@21771.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 42

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1770928947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1789 N KEYSER AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185081250",
            "telephone_number": "570-969-1904",
            "fax_number": "570-207-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1789 N KEYSER AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185081250",
            "telephone_number": "570-969-1904",
            "fax_number": "570-207-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTHA",
        "first_name": "MELISSA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-01",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS018206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melissa.bertha.1@21771.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "748 Quincy Avenue",
            "address_2": "Suite 1A",
            "city": "scranton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "18510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.