JOHN RAYMOND BERNAT M.D.
NPI 1215923115
Specialist in Boardman, OH

Active since September 26, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
987 BOARDMAN CANFIELD RD, BOARDMAN, OH 44512(330) 965-8760(330) 965-9325 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John Raymond Bernat M.d. NPPES

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

JOHN RAYMOND BERNAT M.D. (NPI 1215923115) is an individual specialist in Boardman, Ohio, licensed in Ohio (35077768B) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Youngstown Hospital, and is a graduate of Northeastern Ohio University College Of Medicine (1996).

NPPES Registry Identity

NPI1215923115
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameJOHN RAYMOND BERNATCredential: M.D.
Location Address987 BOARDMAN CANFIELD RDBoardman, OH 44512-4222
Mailing Address987 Boardman Canfield RdBoardman, OH 44512-4222 · (330) 965-8760 · Fax (330) 965-9325
Fax(330) 965-9325
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 1996
Enumeration DateSeptember 26, 2005
Last NPPES UpdateJuly 8, 2007
NPI 1215923115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in OH · 35077768B
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
987 BOARDMAN CANFIELD RD, Boardman, OH 44512

Other Identifiers 8

Other97197OH · Qualchoice
Other0300632OH · United Healthcare
Medicare UPINH14072OH
Other6987126OH · Cigna Individual
Other7492575OH · Aetna Individual
Medicare ID-Type Unspecified4017374OH · Individual/salem
Medicare ID-Type Unspecified4017373OH · Individual/boardman
Other000000190681OH · Anthem Individual

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 and accepts Medicare assignment

John Raymond Bernat 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 ID4789642455
PECOS Enrollment IDI20100819000613
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 46

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
2,270 services268 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311
This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.
1,080 services695 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.
748 services522 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks 17312
This procedure involves the careful removal of abnormal growths from the head, neck, hands, or feet. The removed tissues, divided into 1-5 blocks, are then examined under a microscope to identify any irregularities. The process may be carried out in multiple stages for thorough examination.
594 services356 patients
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm 13132
This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.
499 services378 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
494 services327 patients

Hospital Affiliations CMS Care Compare 3

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

St Elizabeth Youngstown Hospital

Acute Care Hospitals · Youngstown, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360064
Location1044 Belmont AvenueYoungstown, OH 44501 · Mahoning County
Emergency services

Salem Regional Medical Center

Acute Care Hospitals · Salem, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360185
Location1995 East State StreetSalem, OH 44460 · Columbiana County
Emergency services

Hmhp St Elizabeth Boardman Health Center

Acute Care Hospitals · Boardman, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360276
Location8401 Market StreetBoardman, OH 44512 · Mahoning County
Emergency services Birthing friendly

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Biopsy Follow-Up
Percentage of new patients whose biopsy results have been reviewed and communicated to the primary care/referring physician and patient by the performing physician
85%165 patients4/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
97%1,712 patients4/55-star benchmark: 100%
Psoriasis: Tuberculosis (TB) Prevention for Patients with Psoriasis, Psoriatic Arthritis and Rheumatoid Arthritis Patients on a Biological Immune Response Modifier
Percentage of patients whose providers are ensuring active tuberculosis prevention either through yearly negative standard tuberculosis screening tests or are reviewing the patient's history to determine if they have had appropriate management for a recent or…
100%20 patients
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.

Other Providers at the Same Location NPPES 12

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

Nurse Practitioner (Family)
987 BOARDMAN CANFIELD RD
BOARDMAN, OH 44512
Dermatology
987 BOARDMAN CANFIELD RD
BOARDMAN, OH 44512
Physician Assistant (Medical)
987 BOARDMAN CANFIELD RD
BOARDMAN, OH 44512
Specialist
987 BOARDMAN CANFIELD RD
BOARDMAN, OH 44512
Nurse Practitioner (Family)
987 BOARDMAN CANFIELD RD
BOARDMAN, OH 44512
Clinical Medical Laboratory
987 BOARDMAN CANFIELD RD
BOARDMAN, OH 44512
Physician Assistant
987 BOARDMAN CANFIELD RD
BOARDMAN, OH 44512
Nurse Practitioner (Family)
987 BOARDMAN CANFIELD RD
BOARDMAN, OH 44512

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 John Bernat's NPI number?

The NPI number for John Bernat is 1215923115. It was assigned to this individual provider in the NPPES registry on September 26, 2005.

Where is John Bernat located?

John Bernat practices at 987 Boardman Canfield Rd, Boardman, OH 44512. The listed phone number is (330) 965-8760.

What is John Bernat's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is John Bernat enrolled in Medicare?

Yes. John Bernat 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 John Bernat accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and Oscar Insurance Corporation of Ohio list John Bernat 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 John Bernat affiliated with any hospitals?

According to CMS data, John Bernat is affiliated with St Elizabeth Youngstown Hospital, Salem Regional Medical Center and Hmhp St Elizabeth Boardman Health Center.

When was this NPI record last updated?

The NPPES record for John Bernat was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.