DR. MATTHEW DONALD BERNENS M.D.
NPI 1083913339
Internal Medicine - Pulmonary Disease in Norfolk, VA

Q: What is Matthew Bernens's NPI number?

The NPI number for Matthew Bernens is 1083913339. It was assigned to this individual provider in the NPPES registry on March 24, 2011.

Q: What is Matthew Bernens's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Matthew Bernens was last updated on June 29, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 24, 2011PECOS EnrolledAccepts Medicare Assignment

95.11/100

CMS Quality Rating

600 GRESHAM DR STE 8630, NORFOLK, VA 23507(757) 388-6115 Get Directions Write a Review

NPPES record last updated: June 29, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Matthew Donald Bernens M.d. NPPES

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

DR. MATTHEW DONALD BERNENS M.D. (NPI 1083913339) is an individual pulmonary disease provider in Norfolk, Virginia, licensed in Virginia (0101255467) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, is affiliated with Sentara Norfolk General Hospital, and maintains a secondary practice location in Norfolk.

NPPES Registry Identity

NPI1083913339

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. MATTHEW DONALD BERNENSCredential: M.D.

Location Address600 GRESHAM DR STE 8630Norfolk, VA 23507-1904

Mailing AddressPo Box 936, Evms Medical GroupNorfolk, VA 23501-0936 · (757) 446-8920 · Fax (757) 446-5242

Phone(757) 388-6115

Sole ProprietorNo

Medical School CMSEastern Virginia Medical SchoolGraduated 2011

Enumeration DateMarch 24, 2011

Last NPPES UpdateJune 29, 2018

✔ NPI 1083913339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in VA · 0101255467

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 0101255467 (VA)

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 0101255467 (VA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 0101255467 (VA)

600 GRESHAM DR STE 8630, Norfolk, VA 23507

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Secondary Practice Location 1

Location 1825 Fairfax Ave, EVMS Internal MedicineNorfolk, VA 23507-1914 · Phone (757) 446-8920 · Fax (757) 446-5242

Other Identifiers 14

Other10130540VA · Optima Health

OtherPARVA · Usa Managed Care

OtherPARVA · Multiplan

Other-028VA · Tricare/champus

Medicaid1083913339VA

Other520691VA · Anthem Bc/bs

OtherPARVA · Corvel

Medicaid1083913339NC

OtherPARVA · Virginia Health Network

OtherPARVA · Aetna

Other1083913339VA · Virginia Premier Health Plan

Other1083913339VA · Coventry Network

Other1083913339VA · Cigna

Other1083913339VA · United Healthcare

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. Matthew Donald Bernens 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 ID8729205752

PECOS Enrollment IDI20140814000878

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.

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.

148 services89 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.

90 services68 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

87 services57 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.

40 services40 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.

40 services34 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

27 services25 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

21 services21 patients

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.

17 services17 patients

Test for exercise-induced lung stress 94618

An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.

14 services14 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

14 services14 patients

Test to determine lung volumes using gas dilution or washout 94727

This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.

13 services13 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.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Sentara Norfolk General Hospital

Acute Care Hospitals · Norfolk, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number490007

Location600 Gresham DrNorfolk, VA 23507 · Norfolk City County

Emergency services Birthing friendly

Sentara Leigh Hospital

Acute Care Hospitals · Norfolk, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number490046

Location830 Kempsville RoadNorfolk, VA 23502 · Norfolk City County

Birthing friendly

Sentara Virginia Beach General Hospital

Acute Care Hospitals · Virginia Beach, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number490057

Location1060 First Colonial RoadVirginia Beach, VA 23454 · Virginia Beach City County

Emergency services

Sentara Princess Anne Hospital

Acute Care Hospitals · Virginia Beach, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number490119

Location2025 Glenn Mitchell DriveVirginia Beach, VA 23456 · Virginia Beach City County

Birthing friendly

Childrens Hospital Of The Kings Daughters Inc

Childrens · Norfolk, VA

OwnershipVoluntary non-profit - Private

CMS Certification Number493301

Location601 Children's LaneNorfolk, VA 23507 · Norfolk City County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23507 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

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.

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.

95.11/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.31

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 8

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

5 suppliers86 claims86 services$16.11 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

5 suppliers64 claims64 services$901.63 avg. paid by Medicare

Compressor, air power source for equipment which is not self-contained or cylinder driven E0565

DME-Other DME · category DE000N

1 supplier11 claims11 services$34.26 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

6 suppliers49 claims49 services$4.34 avg. paid by Medicare

Respiratory suction pump, home model, portable or stationary, electric E0600

DME-Other DME · category DE000N

1 supplier11 claims11 services$31.15 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

7 suppliers123 claims123 services$74.80 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 4

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

MRS. LAUREN NICOLE GILLIS ANP-BC

Nurse Practitioner (Adult Health)

600 GRESHAM DR STE 8630
NORFOLK, VA 23507

Norfolk City (757) 388-6005

MARIANNA GARCIA PA

Physician Assistant

600 GRESHAM DR STE 8630
NORFOLK, VA 23507

Norfolk City (757) 388-5520

MATTHEW FREDERICK WELLES MD

Emergency Medicine

600 GRESHAM DR STE 8630
NORFOLK, VA 23507

Norfolk City (757) 388-6115

MRS. MEGAN DUNN WINSLOW AGACNP-BC

Registered Nurse (Critical Care Medicine)

600 GRESHAM DR STE 8630
NORFOLK, VA 23507

Norfolk City (757) 388-6115

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 Matthew Bernens's NPI number?

The NPI number for Matthew Bernens is 1083913339. It was assigned to this individual provider in the NPPES registry on March 24, 2011.

Where is Matthew Bernens located?

Matthew Bernens practices at 600 Gresham Dr Ste 8630, Norfolk, VA 23507. The listed phone number is (757) 388-6115.

What is Matthew Bernens's specialty?

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

Is Matthew Bernens enrolled in Medicare?

Yes. Matthew Bernens 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 Matthew Bernens affiliated with any hospitals?

According to CMS data, Matthew Bernens is affiliated with Sentara Norfolk General Hospital, Sentara Leigh Hospital, Sentara Virginia Beach General Hospital, Sentara Princess Anne Hospital and Childrens Hospital Of The Kings Daughters Inc.

When was this NPI record last updated?

The NPPES record for Matthew Bernens was last updated on June 29, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.