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MARK E BERNTSON MD
NPI 1508807116
Family Medicine in Brezzy Point, MN

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment
30833 NORTH STAR DR. STE 1, BREZZY POINT, MN 56472(218) 568-4926(218) 546-4400 Get Directions Write a Review

NPPES record last updated: December 13, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 13, 2019, Sep 24, 2018 (2 updates tracked since 2018).

About Mark E Berntson Md NPPES

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

MARK E BERNTSON MD (NPI 1508807116) is an individual family medicine provider in Brezzy Point, Minnesota, licensed in Minnesota (31661) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Bismarck, and is a graduate of University Of North Dakota School Of Medicine (1985).

NPPES Registry Identity

NPI1508807116
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARK E BERNTSONCredential: MD
Location Address30833 NORTH STAR DR. STE 1Brezzy Point, MN 56472-4407
Mailing Address320 East Main StreetCrosby, MN 56441 · (218) 546-7000 · Fax (218) 546-4400
Phone(218) 568-4926
Fax(218) 546-4400
Sole ProprietorNo
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 1985
Enumeration DateJune 8, 2006
Last NPPES UpdateDecember 13, 20192 updates tracked since enumeration
✔ NPI 1508807116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MN · 31661✔ Licensed in ND · 5350
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.
30833 NORTH STAR DR. STE 1, Brezzy Point, MN 56472
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Other Identifiers 3

Medicaid15352ND
Other500M5BEMN · Bcbs
Medicaid666588800MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan.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

Mark E Berntson 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 ID4385601020
PECOS Enrollment IDI20041228000873
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 4

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.
179 services168 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
35 services35 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.
31 services29 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Sanford Medical Center Bismarck

Acute Care Hospitals · Bismarck, ND
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350015
Location300 N 7th StBismarck, ND 58506 · Burleigh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56472 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers14 claims28 services$6.14 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
3 suppliers14 claims14 services$119.02 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier17 claims17 services$194.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Mark Berntson's NPI number?

The NPI number for Mark Berntson is 1508807116. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Mark Berntson located?

Mark Berntson practices at 30833 North Star Dr. Ste 1, Brezzy Point, MN 56472. The listed phone number is (218) 568-4926.

What is Mark Berntson's specialty?

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

Is Mark Berntson enrolled in Medicare?

Yes. Mark Berntson 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 Mark Berntson accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Mark Berntson 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 Mark Berntson affiliated with any hospitals?

According to CMS data, Mark Berntson is affiliated with Sanford Medical Center Bismarck.

When was this NPI record last updated?

The NPPES record for Mark Berntson was last updated on December 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.