DWAYNE BERNARD (MD) – Emergency Medicine Physician, NPI 1043270663

DWAYNE BERNARD (MD) is a healthcare provider. based in Canton, Illinois. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. The NPI Number for DWAYNE BERNARD (MD) is 1043270663

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
DWAYNE BERNARD (MD)
NPI
1043270663
Phone
(309) 647-8252
Address
500 WESTWOOD BLVD
Enumeration Date
27 March 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3096475240
Graduation Year
1985 (41 years ago)
PAC ID
4981666088
Group Practice PAC ID
2769375021
Professional Enrollment ID
I20041101000805
Address ID
IL615202444CA210XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

2,845 EMERGENCY MEDICINE in IL

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Provider Addresses for DWAYNE BERNARD (MD)

  • 500, Westwood Boulevard, Westview Acres, Canton, Fulton County, Illinois, 61520, United States

    CANTON, IL 615209532

    Phone: (309) 647-8252

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-11-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041101000805IEmergency MedicineILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making233209$0
99285Emergency department visit with high level of medical decision making182160$0
99283Emergency department visit with low level of medical decision making116101$0
99291Critical care, first 30-74 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 61520)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769375021View full group profile
NameSpecialtyState
-IL
Nurse PractitionerIL
Vascular Surgery, General SurgeryIL
Nurse PractitionerIL
Nurse PractitionerIL
Vascular SurgeryIL
Family PracticeIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What is the registry number for DWAYNE BERNARD (MD)?
The registry entry for DWAYNE BERNARD (MD) shows NPI 1043270663.
Should I treat DWAYNE BERNARD (MD) as an active provider?
Patients and plans typically see DWAYNE BERNARD (MD) as active in the national extract.
Which specialty label fits DWAYNE BERNARD (MD)?
NPPES ties DWAYNE BERNARD (MD) to Emergency Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DWAYNE BERNARD (MD)?
DWAYNE BERNARD (MD) shows a connection to Canton, Illinois in registry-derived data.
Who maintains DWAYNE BERNARD (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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