EFREN BERNAL MD
NPI 1831727007
Pediatrics in Oro Valley, AZ

Q: What is Efren Bernal's NPI number?

The NPI number for Efren Bernal is 1831727007. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Q: What is Efren Bernal's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Efren Bernal was last updated on January 22, 2024. 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.

Active since March 31, 2020PECOS Enrolled

1856 E INNOVATION PARK DR, ORO VALLEY, AZ 85755(520) 825-7111(520) 818-1253 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 5, 2023, Aug 27, 2020, Aug 17, 2020 and 1 more (4 updates tracked since 2020).

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About Efren Bernal Md NPPES

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

EFREN BERNAL MD (NPI 1831727007) is an individual pediatrics provider in Oro Valley, Arizona, licensed in Arizona (69629) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831727007

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameEFREN BERNALCredential: MD

Location Address1856 E INNOVATION PARK DROro Valley, AZ 85755-1963

Mailing AddressPo Box 188Marana, AZ 85653-0188 · (520) 682-4111 · Fax (520) 818-1253

Phone(520) 825-7111

Fax(520) 818-1253

Sole ProprietorNo

Enumeration DateMarch 31, 2020

Last NPPES UpdateJanuary 22, 20244 updates tracked since enumeration

NPPES CertifiedJanuary 22, 2024

✔ NPI 1831727007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in AZ · 69629✔ Licensed in MN · 30891

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1856 E INNOVATION PARK DR, Oro Valley, AZ 85755

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Efren Bernal Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Efren Bernal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Marana Health Center Inc

8.3 mi

Federally Qualified Health Center (FQHC)

2945 W INA RD STE 221&215
Tucson, AZ 85741

Reassigned Medicare billing, Arizona enrollment
169 clinicians in this Medicare group

NPI 1669245007 (520) 616-1531

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85755 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

Other Providers at the Same Location NPPES 10

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

CHRISTA R. WHITTARD MD

Pediatrics