DEBORAH W BERNSTEIN M.D.
NPI 1326005919
Ophthalmology in Waukesha, WI

Active since April 27, 2006PECOS EnrolledAccepts Medicare Assignment
N19W23993 RIDGEVIEW PKWY W STE 100, WAUKESHA, WI 53188(262) 547-3352(262) 547-9142 Get Directions Write a Review

NPPES record last updated: December 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Deborah W Bernstein M.d. NPPES

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

DEBORAH W BERNSTEIN M.D. (NPI 1326005919) is an individual ophthalmology provider in Waukesha, Wisconsin, licensed in Wisconsin (45516-020) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of Medical College Of Wisconsin (1999).

NPPES Registry Identity

NPI1326005919
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDEBORAH W BERNSTEINCredential: M.D.
Location AddressN19W23993 RIDGEVIEW PKWY W STE 100Waukesha, WI 53188-1031
Mailing AddressN19w23993 Ridgeview Pkwy W Ste 100Waukesha, WI 53188-1031 · (262) 547-3352 · Fax (262) 547-9142
Fax(262) 547-9142
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1999
Enumeration DateApril 27, 2006
Last NPPES UpdateDecember 26, 2023
NPPES CertifiedDecember 26, 2023
NPI 1326005919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in WI · 45516-020
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
N19W23993 RIDGEVIEW PKWY W STE 100, Waukesha, WI 53188

Other Identifiers 12

Other34359000WI · Managed Health Services
Other747042WI · Mohawk
Other391101335WI · Wi Phys Service Wps
Medicaid34359000WI
Other822601WI · Vipa
Other7562466WI · Aetna
Other391101335WI · Wi Health Ins Risk Prog
Other399478841000WI · Compcare
OtherP00025099WI · Railroad Medicare
Other0800442WI · United Healthcare
Other103435WI · Health Alliance
Other34359000WI · Abri

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

Deborah W Bernstein 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 ID4880589928
PECOS Enrollment IDI20040218000409
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 15

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.

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.
486 services379 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
450 services446 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.
150 services134 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
148 services87 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
146 services85 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
145 services140 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53188 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
4 suppliers13 claims13 services$58.93 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 5

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

Ophthalmology
N19W23993 RIDGEVIEW PKWY W STE 100
WAUKESHA, WI 53188
Ophthalmology
N19W23993 RIDGEVIEW PKWY W STE 100
WAUKESHA, WI 53188
Ophthalmology
N19W23993 RIDGEVIEW PKWY W STE 100
WAUKESHA, WI 53188
Ophthalmology
N19W23993 RIDGEVIEW PKWY W STE 100
WAUKESHA, WI 53188
Ophthalmology
N19W23993 RIDGEVIEW PKWY W STE 100
WAUKESHA, WI 53188

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 Deborah Bernstein's NPI number?

The NPI number for Deborah Bernstein is 1326005919. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Deborah Bernstein located?

Deborah Bernstein practices at N19w23993 Ridgeview Pkwy W Ste 100, Waukesha, WI 53188. The listed phone number is (262) 547-3352.

What is Deborah Bernstein's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Deborah Bernstein enrolled in Medicare?

Yes. Deborah 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.

What insurance does Deborah Bernstein accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Deborah 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 Deborah Bernstein was last updated on December 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.