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NICOLE P BERNAL MD
NPI 1811194426
Surgery - Surgical Critical Care in Columbus, OH

Active since June 27, 2007PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
1581 DODD DR, COLUMBUS, OH 43210(614) 293-2876(614) 293-3472 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 18, 2025, Nov 17, 2020, Oct 12, 2020 and 1 more (4 updates tracked since 2020).

About Nicole P Bernal Md NPPES

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

NICOLE P BERNAL MD (NPI 1811194426) is an individual surgical critical care provider in Columbus, Ohio, licensed in Ohio (35082696) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (2001).

NPPES Registry Identity

NPI1811194426
Entity TypeIndividualFemale
Primary Taxonomy2086S0102X
Provider Legal NameNICOLE P BERNALCredential: MD
Location Address1581 DODD DRColumbus, OH 43210-1257
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-2876 · Fax (614) 293-3472
Phone(614) 293-2876
Fax(614) 293-3472
Sole ProprietorNo
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 2001
Enumeration DateJune 27, 2007
Last NPPES UpdateFebruary 18, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2025
✔ NPI 1811194426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
License✔ Licensed in OH · 35082696
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
1581 DODD DR, Columbus, OH 43210
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Nicole P Bernal 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 ID3779615646
PECOS Enrollment IDI20201008003197
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 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
12 services12 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin 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.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.58
Promoting Interoperability100
Improvement Activities40

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.

DR. VIDHYA CHANDRASEKARAN M.D.
Internal Medicine (Infectious Disease)
1581 DODD DR
COLUMBUS, OH 43210
Franklin County (614) 293-4854
ANDREW M LOUDON M.D.
Surgery (Trauma Surgery)
1581 DODD DR
COLUMBUS, OH 43210
Franklin County (614) 293-2101
MR. GERALD WILLIAM ARNOLD II APRN-CNP
Nurse Practitioner (Adult Health)
1581 DODD DR, 1ST FLOOR
COLUMBUS, OH 43210
Franklin County (614) 293-2101
MELISSA R MULLETT MS, RD, LD
Dietitian, Registered
1581 DODD DR, 491 MCCAMPBELL HALL
COLUMBUS, OH 43210
Franklin County (614) 292-3800
DR. ALI AL SAFI MD
Internal Medicine (Infectious Disease)
1581 DODD DR
COLUMBUS, OH 43210
Franklin County (614) 293-4854
BETSEY A. BENSON PH.D.
Psychologist
1581 DODD DR
COLUMBUS, OH 43210
Franklin County (614) 247-7900
DR. JOHN HUGHES LOFTUS M.D.
Surgery (Surgical Critical Care)
1581 DODD DR
COLUMBUS, OH 43210
Franklin County (614) 293-2101
COURTNEY NICHOLS MD
Internal Medicine (Infectious Disease)
1581 DODD DR
COLUMBUS, OH 43210
Franklin County (614) 293-4854

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 Nicole Bernal's NPI number?

The NPI number for Nicole Bernal is 1811194426. It was assigned to this individual provider in the NPPES registry on June 27, 2007.

Where is Nicole Bernal located?

Nicole Bernal practices at 1581 Dodd Dr, Columbus, OH 43210. The listed phone number is (614) 293-2876.

What is Nicole Bernal's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Is Nicole Bernal enrolled in Medicare?

Yes. Nicole Bernal 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 Nicole Bernal accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare and 1 other insurer list Nicole Bernal 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 Nicole Bernal affiliated with any hospitals?

According to CMS data, Nicole Bernal is affiliated with Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for Nicole Bernal was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.