DR. ANTHONY J BERNI M.D.
NPI 1710980875
Orthopaedic Surgery in O Fallon, MO
Active since May 23, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2299 TECHNOLOGY DR STE 130, O FALLON, MO 63368(636) 695-0400(636) 916-9456 Get Directions Write a Review
About Dr. Anthony J Berni M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ANTHONY J BERNI M.D. (NPI 1710980875) is an individual orthopaedic surgery provider in O Fallon, Missouri, licensed in Missouri (103624) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Barnes-jewish West County Hospital, and is a graduate of University Of Missouri, Columbia School Of Medicine (1993).
NPPES Registry Identity
NPI1710980875
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. ANTHONY J BERNICredential: M.D.
Location Address2299 TECHNOLOGY DR STE 130O Fallon, MO 63368-7342
Mailing AddressPo Box 959354Saint Louis, MO 63195-9354 · (636) 695-0400 · Fax (636) 916-9456
Phone(636) 695-0400
Fax(636) 916-9456
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 1993
Enumeration DateMay 23, 2005
Last NPPES UpdateJune 2, 20265 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
✔ NPI 1710980875 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in MO · 103624
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
2299 TECHNOLOGY DR STE 130, O Fallon, MO 63368
Other Identifiers 7
Other115065MO · Blue Cross Blue Shield
OtherSP17697Cigna
Other384663Healthlink
Other30186V3458Ghp/advantra
Other901011Uhc
Other9221Exclusive Choice
Other6091V6097Healthcare Usa
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
Dr. Anthony J Berni 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 ID3779553508
PECOS Enrollment IDI20100310000087
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 19
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.
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,486 services202 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
350 services207 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.
289 services198 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
221 services141 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
181 services162 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.
161 services161 patients
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Barnes-Jewish West County Hospital
Acute Care Hospitals · Creve Coeur, MOOwnershipVoluntary non-profit - Private
CMS Certification Number260162
Location12634 Olive BoulevardCreve Coeur, MO 63141 · St. Louis County
Emergency services
St Lukes Hospital
Acute Care Hospitals · Chesterfield, MOOwnershipVoluntary non-profit - Private
CMS Certification Number260179
Location232 S Woods Mill RdChesterfield, MO 63017 · St. Louis County
Emergency services Birthing friendly
Barnes-Jewish St Peters Hospital
Acute Care Hospitals · Saint Peters, MOOwnershipVoluntary non-profit - Other
CMS Certification Number260191
Location10 Hospital DrSaint Peters, MO 63376 · St. Charles County
Emergency services
Progress West Hospital
Acute Care Hospitals · O Fallon, MOOwnershipVoluntary non-profit - Private
CMS Certification Number260219
Location2 Progress Point PkwyO Fallon, MO 63368 · St. Charles County
Emergency services Birthing friendly
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63368 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.
100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment ModelQuality
91.92
Promoting Interoperability
100
Improvement Activities
40
Reported Quality Measures
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%4,643 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
83%595 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
90%840 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
13%53 patients1/55-star benchmark: 98%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%1,450 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
78%2,179 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
67%840 patients3/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
7%1,903 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 91% · 847 patients
Patients tobacco: 74% · 90 patients
89%847 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
50%2,179 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
6%2,179 patients1/55-star benchmark: 79%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 1% · 840 patients
4%840 patients4/55-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
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Continuous passive motion exercise device for use on knee only E0935
DME-Other DME · category DE000N
1 supplier28 claims547 services$18.74 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Orthopaedic Surgery (Sports Medicine)
2299 TECHNOLOGY DR STE 130
O FALLON, MO 63368
O FALLON, MO 63368
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 Anthony Berni's NPI number?
The NPI number for Anthony Berni is 1710980875. It was assigned to this individual provider in the NPPES registry on May 23, 2005.
Where is Anthony Berni located?
Anthony Berni practices at 2299 Technology Dr Ste 130, O Fallon, MO 63368. The listed phone number is (636) 695-0400.
What is Anthony Berni's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Anthony Berni enrolled in Medicare?
Yes. Anthony Berni 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 Anthony Berni affiliated with any hospitals?
According to CMS data, Anthony Berni is affiliated with Barnes-Jewish West County Hospital, St Lukes Hospital, Barnes-Jewish St Peters Hospital and Progress West Hospital.
When was this NPI record last updated?
The NPPES record for Anthony Berni was last updated on June 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.
