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SEAN I BERNSTEIN
NPI 1023472545
Internal Medicine in Chicago, IL

Active since April 11, 2016PECOS EnrolledAccepts Medicare Assignment
97.71/100
CMS Quality Rating
1700 W VAN BUREN ST STE 500, CHICAGO, IL 60612(312) 563-2875 Get Directions Write a Review

NPPES record last updated: June 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 9, 2023, Oct 24, 2022, May 19, 2022 and 5 more (8 updates tracked since 2020).

About Sean I Bernstein NPPES

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

SEAN I BERNSTEIN (NPI 1023472545) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (036155326) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Rush University Medical Center, and is a graduate of University Of Nebraska College Of Medicine (2016).

NPPES Registry Identity

NPI1023472545
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSEAN I BERNSTEIN
Location Address1700 W VAN BUREN ST STE 500Chicago, IL 60612-5500
Mailing Address1700 W Van Buren St Ste 500Chicago, IL 60612-5500
Phone(312) 563-2875
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2016
Enumeration DateApril 11, 2016
Last NPPES UpdateJune 9, 20238 updates tracked since enumeration
NPPES CertifiedJune 9, 2023
✔ NPI 1023472545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036155326
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1700 W VAN BUREN ST STE 500, Chicago, IL 60612
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Sean I 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 ID6002101052
PECOS Enrollment IDI20210730001114
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 3

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.
47 services35 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.
14 services14 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Rush University Medical Center

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140119
Location1653 West Congress ParkwayChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

97.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.43
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

LISA GARLAND MD
Internal Medicine
1700 W VAN BUREN ST STE 500
CHICAGO, IL 60612
Cook County (312) 563-2875
JENNIFER LYNN SGRO FNP-BC
Nurse Practitioner (Family)
1700 W VAN BUREN ST STE 500
CHICAGO, IL 60612
Cook County (312) 947-4663
AMANDA BRADKE
Hospitalist
1700 W VAN BUREN ST STE 500
CHICAGO, IL 60612
Cook County (312) 942-4200

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 Sean Bernstein's NPI number?

The NPI number for Sean Bernstein is 1023472545. It was assigned to this individual provider in the NPPES registry on April 11, 2016.

Where is Sean Bernstein located?

Sean Bernstein practices at 1700 W Van Buren St Ste 500, Chicago, IL 60612. The listed phone number is (312) 563-2875.

What is Sean Bernstein's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sean Bernstein enrolled in Medicare?

Yes. Sean 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.

What insurance does Sean Bernstein accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Sean 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 Sean Bernstein affiliated with any hospitals?

According to CMS data, Sean Bernstein is affiliated with Rush University Medical Center.

When was this NPI record last updated?

The NPPES record for Sean Bernstein was last updated on June 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.