DR. CAROL A BERNIER D.O.
NPI 1063711596
Emergency Medicine in Lexington, VA

Active since March 23, 2011PECOS EnrolledAccepts Medicare Assignment
1 HEALTH CIR, LEXINGTON, VA 24450(540) 458-3300(540) 458-3366 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 23, 2026, Dec 9, 2020 (2 updates tracked since 2020).

About Dr. Carol A Bernier D.o. NPPES

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

DR. CAROL A BERNIER D.O. (NPI 1063711596) is an individual emergency medicine provider in Lexington, Virginia, licensed in Virginia (0102203472) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS, is affiliated with Carilion Medical Center, and maintains a secondary practice location in Roanoke.

NPPES Registry Identity

NPI1063711596
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. CAROL A BERNIERCredential: D.O.
Location Address1 HEALTH CIRLexington, VA 24450-2448
Mailing Address213 S Jefferson St Ste 1006Roanoke, VA 24011-1713 · (540) 224-5516
Fax(540) 458-3366
Sole ProprietorYes
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2011
Enumeration DateMarch 23, 2011
Last NPPES UpdateApril 23, 20262 updates tracked since enumeration
NPPES CertifiedApril 23, 2026
✔ NPI 1063711596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in VA · 0102203472
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1 HEALTH CIR, Lexington, VA 24450

Secondary Practice Location 1

Location 11906 Belleview Ave SERoanoke, VA 24014-1838 · Phone (540) 853-0182 · Fax (540) 981-9950

Accepted 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. Carol A Bernier D.o. 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 ID2163653353
PECOS Enrollment IDI20171215001074
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

6

Medicare enrollment records show Carol Bernier reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
1 HEALTH CIR
Lexington, VA 24450
  • Reassigned Medicare billing, Virginia enrollment
  • 507 clinicians in this Medicare group
Multi-Specialty
213 S JEFFERSON ST STE 1006
Roanoke, VA 24011
  • Reassigned Medicare billing, Virginia enrollment
  • 956 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
213 S JEFFERSON ST, SUITE 801
Roanoke, VA 24011
  • Reassigned Medicare billing, Virginia enrollment
  • 140 clinicians in this Medicare group
Urgent Care
1906 BELLEVIEW AVE SE, DEPT OF EMERGENCY MEDICINE
Roanoke, VA 24014
  • Reassigned Medicare billing, Virginia enrollment
  • 138 clinicians in this Medicare group
Emergency Medicine
1906 BELLEVIEW AVE SE, EMERGENCY DEPARTMENT
Roanoke, VA 24014
  • Reassigned Medicare billing, Virginia enrollment
  • 193 clinicians in this Medicare group
Rural Health
282 WESTLAKE RD
Hardy, VA 24101
  • Reassigned Medicare billing, Virginia enrollment
  • Also billed through NPI 1023663267 (Virginia)
  • 608 clinicians in this Medicare group

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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
259 services259 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
44 services44 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
35 services35 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.
21 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Carilion Medical Center

Acute Care Hospitals · Roanoke, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490024
Location1906 Belleview Avenue, SERoanoke, VA 24014 · Roanoke City County
Emergency services Birthing friendly

Carilion Giles Community Hospital

Critical Access Hospitals · Pearisburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number491302
Location159 Hartley WayPearisburg, VA 24134 · Giles County
Emergency services

Carilion Stonewall Jackson Hospital

Critical Access Hospitals · Lexington, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number491304
Location1 Health CircleLexington, VA 24450 · Lexington City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24450 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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.

Home Health
1 HEALTH CIR
LEXINGTON, VA 24450
Emergency Medicine
1 HEALTH CIR
LEXINGTON, VA 24450
Hospitalist
1 HEALTH CIR
LEXINGTON, VA 24450
Internal Medicine
1 HEALTH CIR
LEXINGTON, VA 24450
Family Medicine
1 HEALTH CIR
LEXINGTON, VA 24450
Physician Assistant
1 HEALTH CIR
LEXINGTON, VA 24450
Physician Assistant
1 HEALTH CIR
LEXINGTON, VA 24450
Nurse Anesthetist, Certified Registered
1 HEALTH CIR
LEXINGTON, VA 24450

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 Carol Bernier's NPI number?

The NPI number for Carol Bernier is 1063711596. It was assigned to this individual provider in the NPPES registry on March 23, 2011.

Where is Carol Bernier located?

Carol Bernier practices at 1 Health Cir, Lexington, VA 24450. The listed phone number is (540) 458-3300.

What is Carol Bernier's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Carol Bernier enrolled in Medicare?

Yes. Carol Bernier 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 Carol Bernier's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carol Bernier reassigns Medicare benefits to 6 organizations: Carilion Rockbridge Community Hospital (Lexington, VA), Carilion Healthcare Corporation (Roanoke, VA), Carilion Professional Services LLC (Roanoke, VA), Carilion Emergency Services, Inc. (Roanoke, VA), Carilion Medical Center (Roanoke, VA) and 1 more organization, listed in the Medicare section above. 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 Carol Bernier's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carol Bernier accept?

Health plans from Oscar Health Plan, Inc. and Oscar Insurance Company list Carol Bernier 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 Carol Bernier affiliated with any hospitals?

According to CMS data, Carol Bernier is affiliated with Carilion Medical Center, Carilion Giles Community Hospital and Carilion Stonewall Jackson Hospital.

When was this NPI record last updated?

The NPPES record for Carol Bernier was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.