MATTHEW A BERNSTEIN MD
NPI 1194791459
Orthopaedic Surgery - Hand Surgery in Schaumburg, IL

Active since February 27, 2006PECOS EnrolledAccepts Medicare Assignment
96.64/100
CMS Quality Rating
929 W HIGGINS RD, SCHAUMBURG, IL 60195(847) 285-4200(847) 885-0130 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 23, 2025, Dec 9, 2024, Jul 6, 2020 (3 updates tracked since 2020).

About Matthew A Bernstein Md NPPES

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

MATTHEW A BERNSTEIN MD (NPI 1194791459) is an individual hand surgery provider in Schaumburg, Illinois, licensed in Illinois (036-104463) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Northwest Community Hospital 1, and is a graduate of Northwestern University Feinberg Medical School (1996).

NPPES Registry Identity

NPI1194791459
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameMATTHEW A BERNSTEINCredential: MD
Location Address929 W HIGGINS RDSchaumburg, IL 60195-3203
Mailing Address929 W Higgins RdSchaumburg, IL 60195-3203 · (847) 285-4200 · Fax (847) 885-0130
Fax(847) 885-0130
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1996
Enumeration DateFebruary 27, 2006
Last NPPES UpdateDecember 23, 20253 updates tracked since enumeration
NPPES CertifiedDecember 23, 2025
NPI 1194791459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License Licensed in IL · 036-104463
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 036104463 (IL)
929 W HIGGINS RD, Schaumburg, IL 60195

Other Identifiers 2

Medicaid036-104463IL
Other200045186IL · Medicare Railroad

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

Matthew A Bernstein Md 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 ID2062408958
PECOS Enrollment IDI20040424000355
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 24

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.

X-ray of hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
366 services254 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
303 services246 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.
300 services238 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
260 services212 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
217 services153 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.
198 services198 patients

Hospital Affiliations CMS Care Compare 3

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

Northwest Community Hospital 1

Acute Care Hospitals · Arlington Heights, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140252
Location800 W Central RoadArlington Heights, IL 60005 · Cook County
Emergency services Birthing friendly

Alexian Brothers Medical Center 1

Acute Care Hospitals · Elk Grove Village, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140258
Location800 Biesterfield RdElk Grove Village, IL 60007 · Cook County
Emergency services Birthing friendly

St Alexius Medical Center

Acute Care Hospitals · Hoffman Estates, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140290
Location1555 N Barrington RdHoffman Estates, IL 60169 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60195 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

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.

96.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality94.99
Promoting Interoperability98
Improvement Activities40

Reported Quality Measures

Advance Care Plan
94%917 patients4/55-star benchmark: 100%
Breast Cancer Screening
50%587 patients3/55-star benchmark: 93%
Closing the Referral Loop: Receipt of Specialist Report
67%566 patients4/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
93%3,094 patients4/55-star benchmark: 100%
e-Prescribing
83%132 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
73%1,870 patients3/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 96% · 1,319 patients
Patients screened: 96% · 1,319 patients
100%78 patients5/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients combinedPopulations: 91% · 752 patients
Patients screened: 91% · 752 patients
100%134 patients
Provide Patients Electronic Access to Their Health Information
81%831 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
87%487 patients4/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
86%99 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 925 patients
Patients totalRate: 1% · 925 patients
0%925 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
2 suppliers33 claims33 services$84.56 avg. paid by Medicare
Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment L3808
DME-Orthotic Devices · category DF000N
1 supplier23 claims23 services$269.98 avg. paid by Medicare
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier45 claims48 services$50.89 avg. paid by Medicare
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L3923
DME-Orthotic Devices · category DF000N
1 supplier39 claims47 services$70.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Orthopaedic Surgery
929 W HIGGINS RD
SCHAUMBURG, IL 60195
Physical Therapy Assistant
929 W HIGGINS RD
SCHAUMBURG, IL 60195
Physical Therapist
929 W HIGGINS RD
SCHAUMBURG, IL 60195
Occupational Therapist
929 W HIGGINS RD
SCHAUMBURG, IL 60195
Physical Therapy Assistant
929 W HIGGINS RD
SCHAUMBURG, IL 60195
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
929 W HIGGINS RD
SCHAUMBURG, IL 60195
Specialist/Technologist (Athletic Trainer)
929 W HIGGINS RD
SCHAUMBURG, IL 60195
Occupational Therapist
929 W HIGGINS RD
SCHAUMBURG, IL 60195

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 Bernstein's NPI number?

The NPI number for Matthew Bernstein is 1194791459. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Where is Matthew Bernstein located?

Matthew Bernstein practices at 929 W Higgins Rd, Schaumburg, IL 60195. The listed phone number is (847) 285-4200.

What is Matthew Bernstein's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Matthew Bernstein enrolled in Medicare?

Yes. Matthew 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.

Is Matthew Bernstein affiliated with any hospitals?

According to CMS data, Matthew Bernstein is affiliated with Northwest Community Hospital 1, Alexian Brothers Medical Center 1 and St Alexius Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Bernstein was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.