FRED JEFFREY BERTOLDO (M.D.) – Diagnostic Radiology Physician, NPI 1548216443
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
933 DIAGNOSTIC RADIOLOGY in CO
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Provider Addresses for FRED JEFFREY BERTOLDO (M.D.)
PO BOX 11512
PUEBLO, CO 810010512
Phone: (719) 542-2167
Fax: (719) 542-0320
Type: Mailing
1619, North Greenwood Street, Mineral Palace, Pueblo, Pueblo County, Colorado, 81003, United States
SUITE 103
PUEBLO, CO 810032644
Phone: (719) 542-2167
Fax: (719) 542-0320
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-03-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120320001002 | I | Diagnostic Radiology | CO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 594 | 461 | $0 |
| A9575 | Injection, gadoterate meglumine, 0.1 ml | 350 | 21 | $0 |
| 70450 | Ct scan head or brain without contrast | 332 | 303 | $0 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 240 | 24 | $0 |
| 74176 | Ct scan of abdomen and pelvis without contrast | 140 | 136 | $0 |
Insurance plans in this area (ZIP 81001)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | CO | 71010 | X-ray of chest, 1 view, front | 881 | 668 |
| DIAGNOSTIC RADIOLOGY | CO | 71250 | CT scan chest | 27 | 27 |
| DIAGNOSTIC RADIOLOGY | CO | 73110 | X-ray of wrist, minimum of 3 views | 47 | 42 |
| DIAGNOSTIC RADIOLOGY | CO | 73140 | X-ray of fingers, minimum of 2 views | 13 | 13 |
| DIAGNOSTIC RADIOLOGY | CO | 73562 | X-ray of knee, 3 views | 45 | 36 |
| DIAGNOSTIC RADIOLOGY | CO | 74177 | CT scan of abdomen and pelvis with contrast | 12 | 12 |
| DIAGNOSTIC RADIOLOGY | CO | 76830 | Ultrasound pelvis through vagina | 12 | 12 |
| DIAGNOSTIC RADIOLOGY | CO | 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 37 | 36 |
| DIAGNOSTIC RADIOLOGY | CO | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 112 | 106 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | CO | |
| Diagnostic Radiology | UT | |
| Diagnostic Radiology | NC | |
| Diagnostic Radiology | CO | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | CO | |
| Diagnostic Radiology | CO | |
| Diagnostic Radiology, Interventional Radiology, Nuclear Medicine | IN | |
| Diagnostic Radiology | CO |
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