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DR. NICHOLAS MATTHEW BERNTHAL M.D.
NPI 1902068356
Orthopaedic Surgery in Venice, CA

Active since June 26, 2008PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
26 WAVECREST AVE, VENICE, CA 90291(310) 452-3790 Get Directions Write a Review

NPPES record last updated: July 17, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Nicholas Matthew Bernthal M.d. NPPES

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

DR. NICHOLAS MATTHEW BERNTHAL M.D. (NPI 1902068356) is an individual orthopaedic surgery provider in Venice, California, licensed in California (A103272) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and is a graduate of Js Weill Medical College, Cornell University (2006).

NPPES Registry Identity

NPI1902068356
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. NICHOLAS MATTHEW BERNTHALCredential: M.D.
Location Address26 WAVECREST AVEVenice, CA 90291-3211
Mailing Address26 Wavecrest AveVenice, CA 90291-3211 · (310) 452-3790
Phone(310) 452-3790
Sole ProprietorYes
Medical School CMSJs Weill Medical College, Cornell UniversityGraduated 2006
Enumeration DateJune 26, 2008
Last NPPES UpdateJuly 17, 2013
✔ NPI 1902068356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in CA · A103272
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.
26 WAVECREST AVE, Venice, CA 90291
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Other Identifiers 2

Medicare PINHH991ZCA
Medicaid1932140639CA

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. Nicholas Matthew Bernthal 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 ID143389338
PECOS Enrollment IDI20081103000352
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 3

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 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.
155 services105 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
37 services37 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90291 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.96
Promoting Interoperability100
Improvement Activities40
Cost57.6

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 Nicholas Bernthal's NPI number?

The NPI number for Nicholas Bernthal is 1902068356. It was assigned to this individual provider in the NPPES registry on June 26, 2008.

Where is Nicholas Bernthal located?

Nicholas Bernthal practices at 26 Wavecrest Ave, Venice, CA 90291. The listed phone number is (310) 452-3790.

What is Nicholas Bernthal's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Nicholas Bernthal enrolled in Medicare?

Yes. Nicholas Bernthal 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.

When was this NPI record last updated?

The NPPES record for Nicholas Bernthal was last updated on July 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.