BERNITA M BERNTSEN (M.D.) – Surgery Physician, NPI 1811965213
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
300 GENERAL SURGERY in KS
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Provider Addresses for BERNITA M BERNTSEN (M.D.)
DEPT CH 14389
PALATINE, IL 600554389
Phone: (785) 232-0444
Fax: (785) 232-1562
Type: Mailing
6001, Southwest 6th Avenue, Topeka, Shawnee County, Kansas, 66615, United States
SUITE 220
TOPEKA, KS 666151006
Phone: (785) 232-0444
Fax: (785) 232-1562
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $204.
Total Amount is formed as General ($204) + Research ($0) + Ownership ($0) = $204.
Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Davol Inc. ($114).
Total Amount
$204
General + Research + Ownership
Payments
7
Total payment records
General Amount
$204
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Davol Inc. | $114 |
| Smith+Nephew, Inc. | $29 |
| Myriad Genetic Laboratories, Inc. | $25 |
| Dilon Technologies, Inc. | $23 |
| Teleflex LLC | $14 |
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: 2005-06-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050608000552 | I | General Surgery | KS | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 299 | 218 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 63 | 63 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 52 | 50 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 32 | 22 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 31 | 27 | $0 |
Insurance plans in this area (ZIP 60055)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | KS | 19301 | Partial removal of breast | 16 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | KS | |
| Nurse Practitioner | KS | |
| - | MO | |
| - | KS | |
| - | KS | |
| - | MO | |
| Qualified Audiologist | MO | |
| - | MO | |
| - | MO | |
| - | MO |
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