JAY BERNSTEIN MD
NPI 1093791212
Family Medicine in Cincinnati, OH

Active since December 20, 2005PECOS Enrolled
94.63/100
CMS Quality Rating
9145 GOVERNORS WAY, CINCINNATI, OH 45249(513) 845-8655 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Dec 16, 2025, May 30, 2025, Mar 12, 2019 (3 updates tracked since 2019).

About Jay Bernstein Md NPPES

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

JAY BERNSTEIN MD (NPI 1093791212) is an individual family medicine provider in Cincinnati, Ohio, licensed in Ohio (35-0076065) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093791212
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAY BERNSTEINCredential: MD
Location Address9145 GOVERNORS WAYCincinnati, OH 45249-2037
Mailing Address6670 Glen Acres DrCincinnati, OH 45237 · (513) 600-5473
Sole ProprietorNo
Enumeration DateDecember 20, 2005
Last NPPES UpdateDecember 16, 20253 updates tracked since enumeration
NPPES CertifiedDecember 16, 2025
NPI 1093791212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OH · 35-0076065
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 35076065 (OH), BE4044736 (OH)
Also ListedGeneral PracticeTaxonomy 208D00000X · License BB4761222 (OH)
9145 GOVERNORS WAY, Cincinnati, OH 45249

Other Identifiers 4

Medicaid2121420OH
Other000000317056OH · Anthem/bcbs
Other000000558581OH · Anthem Bcbs Pike
OtherP00105470OH · Medicare Rail Road

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jay Bernstein Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 5

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.
266 services258 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
150 services139 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.
71 services71 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.
37 services37 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45249 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

94.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.64
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

Counselor (Addiction (Substance Use Disorder))
9145 GOVERNORS WAY
CINCINNATI, OH 45249
Counselor (Addiction (Substance Use Disorder))
9145 GOVERNORS WAY
CINCINNATI, OH 45249
Peer Specialist
9145 GOVERNORS WAY
CINCINNATI, OH 45249
Counselor (Addiction (Substance Use Disorder))
9145 GOVERNORS WAY
CINCINNATI, OH 45249
Substance Abuse Rehabilitation Facility
9145 GOVERNORS WAY
CINCINNATI, OH 45249
Clinic/Center (Mental Health (Including Community Mental Health Center))
9145 GOVERNORS WAY
CINCINNATI, OH 45249
Peer Specialist
9145 GOVERNORS WAY
CINCINNATI, OH 45249

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 Jay Bernstein's NPI number?

The NPI number for Jay Bernstein is 1093791212. It was assigned to this individual provider in the NPPES registry on December 20, 2005.

Where is Jay Bernstein located?

Jay Bernstein practices at 9145 Governors Way, Cincinnati, OH 45249. The listed phone number is (513) 845-8655.

What is Jay Bernstein's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jay Bernstein enrolled in Medicare?

Yes. Jay Bernstein is registered in the Medicare PECOS enrollment system.

What insurance does Jay Bernstein accept?

Health plans from CareSource, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company and Oscar Insurance Corporation of Ohio list Jay 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.

When was this NPI record last updated?

The NPPES record for Jay Bernstein was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.