DR. PAUL S BERNSTEIN
NPI 1013917962
Internal Medicine - Cardiovascular Disease in Milwaukee, WI

Q: What is Paul Bernstein's NPI number?

The NPI number for Paul Bernstein is 1013917962. It was assigned to this individual provider in the NPPES registry on July 21, 2005.

Q: What is Paul Bernstein's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Paul Bernstein was last updated on November 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 21, 2005PECOS EnrolledAccepts Medicare Assignment

2801 W KINNICKINNIC RIVER PKWY, 840, MILWAUKEE, WI 53215(414) 649-3530(414) 649-3551 Get Directions Write a Review

NPPES record last updated: November 22, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Paul S Bernstein NPPES

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

DR. PAUL S BERNSTEIN (NPI 1013917962) is an individual cardiovascular disease provider in Milwaukee, Wisconsin, licensed in Wisconsin (24126) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and is a graduate of University Of Chicago, Pritzker School Of Medicine (1976).

NPPES Registry Identity

NPI1013917962

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. PAUL S BERNSTEIN

Location Address2801 W KINNICKINNIC RIVER PKWY, 840Milwaukee, WI 53215-3669

Mailing AddressPo Box 2040Milwaukee, WI 53201-2040 · (414) 649-3530 · Fax (414) 649-3551

Phone(414) 649-3530

Fax(414) 649-3551

Sole ProprietorNo

Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 1976

Enumeration DateJuly 21, 2005

Last NPPES UpdateNovember 22, 2021

NPPES CertifiedNovember 22, 2021

✔ NPI 1013917962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in WI · 24126

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

2801 W KINNICKINNIC RIVER PKWY, Milwaukee, WI 53215

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Other Identifiers 1

Medicaid30383000WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Paul S Bernstein 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 ID3678485968

PECOS Enrollment IDI20040318000684

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.

Medicare Billing Reassignments

Medicare enrollment records show Paul Bernstein reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aurora Health Care Metro, Inc.

0.1 mi

General Acute Care Hospital

2900 W OKLAHOMA AVE
Milwaukee, WI 53215

Reassigned Medicare billing, Wisconsin enrollment
297 clinicians in this Medicare group

NPI 1861447179 (414) 649-6000

Aurora Medical Group, Inc.

0.4 mi

Family Medicine

3301 W FOREST HOME AVE
Milwaukee, WI 53215

Reassigned Medicare billing, Wisconsin enrollment
4,609 clinicians in this Medicare group

NPI 1427271378 (877) 576-3544

Lakeshore Medical Clinic, LLC

3.9 mi

Family Medicine

2000 E LAYTON AVE STE 100
Saint Francis, WI 53235

Reassigned Medicare billing, Wisconsin enrollment
960 clinicians in this Medicare group

NPI 1003861188 (414) 744-6589

Aurora Advanced Healthcare, Inc.

11 mi

Family Medicine

3003 W GOOD HOPE RD
Milwaukee, WI 53209

Reassigned Medicare billing, Wisconsin enrollment
1,615 clinicians in this Medicare group

NPI 1265629133 (414) 352-3100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 16

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.

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.

587 services383 patients

Injection, perflutren lipid microspheres, per ml Q9957

Perflutren lipid microspheres injection, per ml, is a diagnostic tool used to enhance ultrasound images. It contains tiny gas-filled bubbles that improve the clarity of the images, aiding in a more accurate diagnosis.

190 services94 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

186 services186 patients

Heart muscle strain imaging 93356

Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.

149 services148 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

129 services55 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

74 services73 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

50 services48 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

44 services44 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.

43 services43 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

29 services26 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

23 services23 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

23 services20 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.

22 services22 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

20 services20 patients

Heart muscle strain imaging 93356

16 services16 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

16 services16 patients

Hospital Affiliations CMS Care Compare 5

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

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520138

Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County

Emergency services Birthing friendly

West Allis Memorial Hospital

Acute Care Hospitals · West Allis, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520139

Location8901 W Lincoln AveWest Allis, WI 53227 · Milwaukee County

Emergency services Birthing friendly

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520189

Location10400 75th StKenosha, WI 53142 · Kenosha County

Emergency services Birthing friendly

Aurora Medical Ctr Oshkosh

Acute Care Hospitals · Oshkosh, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520198

Location855 N Westhaven DriveOshkosh, WI 54904 · Winnebago County

Emergency services Birthing friendly

Aurora Medical Center

Acute Care Hospitals · Grafton, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520207

Location975 Port Washington RoadGrafton, WI 53024 · Ozaukee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53215 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

CARRIE S BILICKI RN

Registered Nurse

2801 W KINNICKINNIC RIVER PKWY, STE 525
MILWAUKEE, WI 53215

Milwaukee County (414) 385-2630

BRIANNA CECELIA MURPHY PA-C

Physician Assistant

2801 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 53215

Milwaukee County (414) 646-9820

DR. PRAKASH D SHAH M.D.

Internal Medicine (Cardiovascular Disease)

2801 W KINNICKINNIC RIVER PKWY, STE 840
MILWAUKEE, WI 53215

Milwaukee County (414) 649-3530

M CHRISTINE GIEBEL PA-C

Physician Assistant

2801 W KINNICKINNIC RIVER PKWY, SUITE 345
MILWAUKEE, WI 53215

Milwaukee County (414) 385-2700

ROBERT A. DIULIO M.D.

Orthopaedic Surgery

2801 W KINNICKINNIC RIVER PKWY, SUITE 575
MILWAUKEE, WI 53215

Milwaukee County (414) 643-8800

CHRISTINE A KENYON LAUNDRE M.D.

Anesthesiology

2801 W KINNICKINNIC RIVER PKWY, SUITE 453
MILWAUKEE, WI 53215

Milwaukee County (414) 385-2380

JODI L ZILINSKI M.D.

Internal Medicine (Clinical Cardiac Electrophysiology)

2801 W KINNICKINNIC RIVER PKWY, SUITE 777
MILWAUKEE, WI 53215

Milwaukee County (414) 649-3390

CATHERINE MARTHA DE GRANDVILLE MD

Family Medicine

2801 W KINNICKINNIC RIVER PKWY, SUITE 250
MILWAUKEE, WI 53215

Milwaukee County (414) 649-6732

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 Paul Bernstein's NPI number?

The NPI number for Paul Bernstein is 1013917962. It was assigned to this individual provider in the NPPES registry on July 21, 2005.

Where is Paul Bernstein located?

Paul Bernstein practices at 2801 W Kinnickinnic River Pkwy 840, Milwaukee, WI 53215. The listed phone number is (414) 649-3530.

What is Paul Bernstein's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Paul Bernstein enrolled in Medicare?

Yes. Paul 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.

Which organizations bill Medicare for Paul Bernstein's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Bernstein reassigns Medicare benefits to 4 organizations: Aurora Health Care Metro, Inc. (Milwaukee, WI), Aurora Medical Group, Inc. (Milwaukee, WI), Lakeshore Medical Clinic, LLC (Saint Francis, WI) and Aurora Advanced Healthcare, Inc. (Milwaukee, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Bernstein's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Bernstein accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 1 other insurer list Paul Bernstein as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Paul Bernstein affiliated with any hospitals?

According to CMS data, Paul Bernstein is affiliated with Aurora St Lukes Medical Center, West Allis Memorial Hospital, Aurora Medical Center Kenosha, Aurora Medical Ctr Oshkosh and Aurora Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Bernstein was last updated on November 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.