Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samuel T Bertsos, PA

Individual provider Physician Assistant · NPI 1114668928

Samuel T Bertsos, PA is a Physician Assistant in Miamisburg, Ohio. Qualified in 2022, 4 years ago. Practices with Beacon Orthopaedics and Sports Medicine Ltd, a 471-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
4
Licensed in
OH
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2835 Miami Village Dr
Miamisburg, OH 45342-4916
Phone: (937) 354-3700
Fax: (937) 262-7468
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.007614RX (OH)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1114668928
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 5, 2022
Last updated in NPPESJune 15, 2022
Certification dateJune 15, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Beacon Orthopaedics And Sports Medicine Ltd — 471 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Miamisburg