KYLE P BERTRAM (DO) – Emergency Medicine Physician, NPI 1003319047

KYLE P BERTRAM (DO) is a healthcare provider. based in Northfield, Minnesota. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 74100 (MN). The NPI Number for KYLE P BERTRAM (DO) is 1003319047

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
KYLE P BERTRAM (DO)
NPI
1003319047
Phone
Not provided
Address
2000 NORTH AVE
Enumeration Date
15 March 2018
Last Update Date
23 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6514602300
Graduation Year
2020 (6 years ago)
PAC ID
2567833049
Group Practice PAC ID
2567372998
Professional Enrollment ID
I20230510003286
Address ID
MN550248455FA4645XDRXX300

Contacts

Secure Messaging
northfieldhospital@direct.northfieldhospital.md
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

1,171 EMERGENCY MEDICINE in MN

Provider Addresses for KYLE P BERTRAM (DO)

  • 2000 NORTH AVE

    NORTHFIELD, MN 550571498

    Phone:

    Type: Mailing

  • 28092 COUNTY ROAD 12

    FREEPORT, MN 563319755

    Phone: (320) 333-1869

    Type: Mailing

  • Trinity Medical Center West, 4000, Johnson Road, Braybarton Boulevard Historic District, Glendwell, Steubenville, Jefferson County, Ohio, 43952, United States

    STEUBENVILLE, OH 439522364

    Phone: (740) 264-8000

    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.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-05-10

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230510003286IEmergency MedicineMNTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making2119$0
99283Emergency department visit with low level of medical decision making1717$0
View full utilization report →

Insurance plans in this area (ZIP 55057)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567372998View full group profile
NameSpecialtyState
Addiction MedicineMN
Orthopedic SurgeryNE
Certified Registered Nurse Anesthetist (Crna)MN
-MN
Orthopedic SurgeryMN
Certified Registered Nurse Anesthetist (Crna)KY
O B S T E T R I C S/ G Y N E C O L O G YMN
Certified Nurse Midwife (Cnm)MN
Physician AssistantMN
O T O L A R Y N G O L O G YMN

Reviews

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Frequently asked questions

Does KYLE P BERTRAM (DO) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KYLE P BERTRAM (DO) uses 1003319047.
Can I rely on KYLE P BERTRAM (DO) being an active provider?
As of the registry snapshot, KYLE P BERTRAM (DO) is marked active.
What healthcare role does KYLE P BERTRAM (DO) hold?
Scheduling teams often label KYLE P BERTRAM (DO) under Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for KYLE P BERTRAM (DO)?
KYLE P BERTRAM (DO)'s geographic hint is Northfield, Minnesota in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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