DR. RICHARD A BERNSTEIN M.D.
NPI 1013106178
Internal Medicine - Pulmonary Disease in Annapolis, MD

Active since October 15, 2007PECOS EnrolledAccepts Medicare Assignment
133 DEFENSE HWY, SUITE 109, ANNAPOLIS, MD 21401(401) 224-5558(410) 224-7321 Get Directions Write a Review

NPPES record last updated: December 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Richard A Bernstein M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RICHARD A BERNSTEIN M.D. (NPI 1013106178) is an individual pulmonary disease provider in Annapolis, Maryland, licensed in Maryland (D0033069) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS, is affiliated with Luminis Health Anne Arundel Medical Center, Inc, and is a graduate of Vanderbilt University School Of Medicine (1983).

NPPES Registry Identity

NPI1013106178
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. RICHARD A BERNSTEINCredential: M.D.
Location Address133 DEFENSE HWY, SUITE 109Annapolis, MD 21401-7098
Mailing Address133 Defense Hwy, Suite 109Annapolis, MD 21401-7098 · (401) 224-5558 · Fax (410) 224-7321
Fax(410) 224-7321
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 1983
Enumeration DateOctober 15, 2007
Last NPPES UpdateDecember 20, 2023
NPPES CertifiedDecember 20, 2023
NPI 1013106178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in MD · D0033069
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License D0033069 (MD)
Also ListedInternal Medicine · Allergy & ImmunologyTaxonomy 207RA0201X · License D0033069 (MD)
133 DEFENSE HWY, Annapolis, MD 21401

Other Identifiers 1

Other042MMD · Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Richard A Bernstein M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082756077
PECOS Enrollment IDI20100129000214
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
1,198 services508 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
1,055 services464 patients
Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
660 services26 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
344 services30 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
219 services176 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
147 services147 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Luminis Health Anne Arundel Medical Center, Inc

Acute Care Hospitals · Annapolis, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210023
Location2001 Medical ParkwayAnnapolis, MD 21401 · Anne Arundel County
Emergency services Birthing friendly

University Of MD Baltimore Washington Medical Center

Acute Care Hospitals · Glen Burnie, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210043
Location301 Hospital DriveGlen Burnie, MD 21061 · Anne Arundel County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
94%4,638 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
89%1,324 patients5/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
95%734 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
45%1,123 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%1,119 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
78%1,119 patients4/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
60%1,119 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 14

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers17 claims17 services$35.75 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers13 claims13 services$83.29 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers15 claims44 services$31.24 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers19 claims19 services$50.37 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers17 claims17 services$16.74 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers11 claims11 services$12.56 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
133 DEFENSE HWY
ANNAPOLIS, MD 21401
Psychiatry & Neurology (Psychiatry)
133 DEFENSE HWY, SUITE 114
ANNAPOLIS, MD 21401
Internal Medicine
133 DEFENSE HWY, SUITE 111
ANNAPOLIS, MD 21401
Social Worker (Clinical)
133 DEFENSE HWY, SUITE 114
ANNAPOLIS, MD 21401
Psychologist (Clinical)
133 DEFENSE HWY, SUITE 210
ANNAPOLIS, MD 21401
Internal Medicine
133 DEFENSE HWY, UNIT 112
ANNAPOLIS, MD 21401
Family Medicine
133 DEFENSE HWY, SUITE 211
ANNAPOLIS, MD 21401
Psychologist
133 DEFENSE HWY, SUITE 107
ANNAPOLIS, MD 21401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Bernstein's NPI number?

The NPI number for Richard Bernstein is 1013106178. It was assigned to this individual provider in the NPPES registry on October 15, 2007.

Where is Richard Bernstein located?

Richard Bernstein practices at 133 Defense Hwy Suite 109, Annapolis, MD 21401. The listed phone number is (401) 224-5558.

What is Richard Bernstein's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Richard Bernstein enrolled in Medicare?

Yes. Richard Bernstein is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Richard Bernstein affiliated with any hospitals?

According to CMS data, Richard Bernstein is affiliated with Luminis Health Anne Arundel Medical Center, Inc and University Of MD Baltimore Washington Medical Center.

When was this NPI record last updated?

The NPPES record for Richard Bernstein was last updated on December 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.