KEVIN L BERNING (MD) – Plastic Surgery Physician, NPI 1164423620

KEVIN L BERNING (MD) is a healthcare provider. based in Fort wayne, Indiana. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials MD. They hold a License No. 01055645A (IN). The NPI Number for KEVIN L BERNING (MD) is 1164423620

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN L BERNING (MD)
NPI
1164423620
Phone
(260) 266-6013
Address
11109 PARKVIEW PLAZA DR # 117
Enumeration Date
9 August 2005
Last Update Date
15 October 2022

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
2604256030
Graduation Year
1996 (30 years ago)
PAC ID
8224136577
Group Practice PAC ID
2163336967
Professional Enrollment ID
I20100119000429
Address ID
IN468451714FO11141DRXX402

Contacts

Secure Messaging
kberning4563@Direct.Parkviewexchange.com
FHIR Endpoint
https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/
FHIR Endpoint
https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

126 PLASTIC AND RECONSTRUCTIVE SURGERY in IN

Loading map...

Provider Addresses for KEVIN L BERNING (MD)

  • 11109 PARKVIEW PLAZA DR # 117

    FORT WAYNE, IN 468451701

    Phone: (260) 266-6013

    Type: Mailing

  • Parkview Plaza Drive, Fort Wayne, Allen County, Indiana, 46845, United States

    FORT WAYNE, IN 468451715

    Phone: (260) 490-7111

    Fax: (260) 490-2286

    Type: Location

  • 3926, New Vision Drive, Fort Wayne, Allen County, Indiana, 46845, United States

    FORT WAYNE, IN 468451712

    Phone: (260) 266-1401

    Fax: (260) 458-5734

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $304.

Total Amount is formed as General ($304) + Research ($0) + Ownership ($0) = $304.

Last reported payment date: 2024-10-10 • Largest payer in this snapshot: Integra LifeSciences Corporation ($154).

Total Amount

$304

General + Research + Ownership

Payments

4

Total payment records

General Amount

$304

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-01-19

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
I20100119000429IPlastic And Reconstructive SurgeryINTBD

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
99212Established patient office or other outpatient visit, 10-19 minutes3632$0
99202New patient office or other outpatient visit, 15-29 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 46845)

Loading plans...

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: 2163336967View full group profile
NameSpecialtyState
Nurse PractitionerIN
Nurse PractitionerNM
-IN
Nurse PractitionerIN
Family PracticeIN
-IN
-IN
Infectious DiseaseIN
Internal MedicineIN
-IN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the registry number for KEVIN L BERNING (MD)?
The registry entry for KEVIN L BERNING (MD) shows NPI 1164423620.
Is KEVIN L BERNING (MD) currently accepting referrals based on NPI status?
Registry metadata lists KEVIN L BERNING (MD) as active.
What services align with KEVIN L BERNING (MD)'s listing?
KEVIN L BERNING (MD)'s public classification highlights Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
Can patients visit KEVIN L BERNING (MD) in Fort Wayne, Indiana?
For routing, start with Fort Wayne, Indiana for KEVIN L BERNING (MD), then verify phone and hours locally.
Why is information missing for KEVIN L BERNING (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

Similar Providers

GUY G CREVECOEUR (MD)

Plastic Surgery Physician
Parkview Plaza Drive, Fort Wayne, Allen County, Indiana, 46845, United States
NPI: 1124029079

DR. JOSEPH M MLAKAR (MD)

Plastic Surgery Physician
10215 AUBURN PARK DR
NPI: 1801897244

GEOFFREY M RANDOLPH (MD)

Plastic Surgery Physician
7230, Engle Road, Fort Wayne, Allen County, Indiana, 46804, United States
NPI: 1194726380

MATTHEW E SHAMBAUGH (MD)

Plastic Surgery Physician
200, West Jefferson Boulevard, Fort Wayne, Allen County, Indiana, 46802, United States
NPI: 1700888617

BRIAN J LEE (MD)

Plastic Surgery Physician
212, West Jefferson Boulevard, Fort Wayne, Allen County, Indiana, 46802, United States
NPI: 1508867656

ALBERT M MORRISON (MD)

Plastic Surgery Physician
3702 NEW VISION DR BLDG B
NPI: 1326049479
200, West Jefferson Boulevard, Fort Wayne, Allen County, Indiana, 46802, United States
NPI: 1538161229

MS. LUCY ELIZABETH PETERSON (M.D.)

Plastic Surgery Physician
105, West 8th Avenue, Spokane, Spokane County, Washington, 99201, United States
NPI: 1790776425