SUSAN ELAINE BERNER M.D.
NPI 1952384505
Family Medicine - Geriatric Medicine in Oakwood, OH

Active since November 28, 2005PECOS EnrolledAccepts Medicare Assignment
1110 OAKWOOD AVE, OAKWOOD, OH 45419(937) 885-7163(937) 567-0670 Get Directions Write a Review

NPPES record last updated: July 17, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Susan Elaine Berner M.d. NPPES

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

SUSAN ELAINE BERNER M.D. (NPI 1952384505) is an individual geriatric medicine provider in Oakwood, Ohio, licensed in Ohio (35082769) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of Wright State University Boonshoft School Of Medicine (2001).

NPPES Registry Identity

NPI1952384505
Entity TypeIndividualFemale
Primary Taxonomy207QG0300X
Provider Legal NameSUSAN ELAINE BERNERCredential: M.D.
Location Address1110 OAKWOOD AVEOakwood, OH 45419-2911
Mailing Address1110 Oakwood AveOakwood, OH 45419-2911 · (937) 885-7163 · Fax (937) 567-0670
Fax(937) 567-0670
Sole ProprietorYes
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2001
Enumeration DateNovember 28, 2005
Last NPPES UpdateJuly 17, 2019
NPI 1952384505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License Licensed in OH · 35082769
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
1110 OAKWOOD AVE, Oakwood, OH 45419

Other Identifiers 1

Medicaid2428859OH

Accepted 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

Susan Elaine Berner 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 ID2062447394
PECOS Enrollment IDI20051005000537
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 14

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,920 services485 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
401 services223 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
282 services181 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
281 services242 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
265 services200 patients
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
196 services92 patients

Hospital Affiliations CMS Care Compare 3

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Adena Fayette Medical Center

Critical Access Hospitals · Washington Ch, OH
OwnershipGovernment - Local
CMS Certification Number361331
Location1430 Columbus AvenueWashington Ch, OH 43160 · Fayette County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45419 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 28

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
7 suppliers29 claims65 services$6.39 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
2 suppliers13 claims13 services$1.13 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
2 suppliers11 claims15 services$8.78 avg. paid by Medicare
Tracheostomy, inner cannula A4623
DME-Orthotic Devices · category DF000N
2 suppliers25 claims711 services$5.39 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
1 supplier17 claims270 services$2.61 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
3 suppliers19 claims557 services$6.52 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 9

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

Nurse Practitioner (Family)
1110 OAKWOOD AVE
OAKWOOD, OH 45419
Nurse Practitioner (Adult Health)
1110 OAKWOOD AVE
OAKWOOD, OH 45419
Physician Assistant
1110 OAKWOOD AVE
OAKWOOD, OH 45419
Physician Assistant (Medical)
1110 OAKWOOD AVE
OAKWOOD, OH 45419
Internal Medicine
1110 OAKWOOD AVE
OAKWOOD, OH 45419
Internal Medicine
1110 OAKWOOD AVE
OAKWOOD, OH 45419
Internal Medicine (Geriatric Medicine)
1110 OAKWOOD AVE
OAKWOOD, OH 45419
Family Medicine (Geriatric Medicine)
1110 OAKWOOD AVE
OAKWOOD, OH 45419

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 Susan Berner's NPI number?

The NPI number for Susan Berner is 1952384505. It was assigned to this individual provider in the NPPES registry on November 28, 2005.

Where is Susan Berner located?

Susan Berner practices at 1110 Oakwood Ave, Oakwood, OH 45419. The listed phone number is (937) 885-7163.

What is Susan Berner's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Susan Berner enrolled in Medicare?

Yes. Susan Berner 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 Susan Berner accept?

Health plans from CareSource, MedMutual, Molina Healthcare, Oscar Health Insurance and UnitedHealthcare list Susan Berner 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 Susan Berner affiliated with any hospitals?

According to CMS data, Susan Berner is affiliated with Miami Valley Hospital, Kettering Health Main Campus and Adena Fayette Medical Center.

When was this NPI record last updated?

The NPPES record for Susan Berner was last updated on July 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.