Active NPI 1902068356 Individual Practitioner Male Practitioner

Dr. Nicholas Matthew Bernthal , MD

Orthopaedic Surgery • Venice, CA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Nicholas Bernthal, MD is a certified Orthopaedic Surgery practicing in Venice, CA. With approximately 20 years of clinical experience since graduating from Js Weill Medical College, Cornell University in 2006, Dr. Bernthal delivers high-quality medical care to the local community at 26 WAVECREST AVE.

Dr. Bernthal is affiliated with Regents Of The University Of California and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, treatment of broken neck of thigh bone with bone implant. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

26 Wavecrest Ave

Venice, CA 902913211

Telephone 3104523790

Medicare Profile & Education

Medical School

Js Weill Medical College, Cornell University

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Venice, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs Matches City Avg

City Avg: 20.0 Yrs

State Avg: 28.4 Yrs

Regional Practice Density

1 Specialists

Practicing in Venice, CA (2527 Statewide)

Telehealth Adoption Rate

100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

83.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bernthal (20 Years) 20 Yrs

Venice Specialty Average (20.0 Years) 20.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	155	105	$858.00	$137.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$1085.00	$179.87
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$1360.00	$236.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	165	114	$858.00	$140.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$1085.00	$182.87
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$1360.00	$240.93
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	18	$960.00	$197.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	188	122	$858.00	$141.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$1085.00	$182.92
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$1360.00	$243.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	141	96	$858.00	$143.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$1085.00	$186.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	18	$960.00	$201.44
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$508.00	$102.21
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$1360.00	$245.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	44	$858.00	$119.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$1085.00	$180.55
99213 Established patient office or other outpatient visit, typically 15 minutes	21	16	$508.00	$83.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	89	69	$858.00	$119.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$1085.00	$180.74
99213 Established patient office or other outpatient visit, typically 15 minutes	42	31	$508.00	$82.62
27245 Treatment of broken neck of thigh bone with bone implant	13	13	$8170.00	$1352.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	92	67	$858.00	$118.12
99213 Established patient office or other outpatient visit, typically 15 minutes	70	54	$508.00	$79.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$1085.00	$178.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	71	57	$437.91	$78.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$982.66	$174.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	24	$701.34	$117.40
27245 Treatment of broken neck of thigh bone with bone implant	14	12	$7212.86	$1310.32
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$1193.85	$223.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$815.00	$145.79

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License CA A103272

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1932140639 (CA)

Hospital & Practice Group Affiliations

Regents Of The University Of California

757 Westwood Plz, Los Angeles, CA 900958358

Phone: 3108252111

Regents Of The University Of California

1225 15th St, Santa Monica, CA 904041101

Phone: 3103191234

Regents Of The University Of California

100 Medical Plaza, Los Angeles, CA 900950001

Phone: 3103191234

Regents Of The University Of California

757 Westwood Plz, Los Angeles, CA 900958358

Phone: 3108259111

Regents Of The University Of California

1250 16th St, Santa Monica, CA 904041249

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 17, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location July 17, 2013

Registered at 26 WAVECREST AVE, VENICE, CA 902913211 (Tel: 3104523790)

📍

Updated Business Mailing Address July 17, 2013

Registered at 26 WAVECREST AVE, VENICE, CA 902913211 (Tel: 3104523790)

👤

Provider Name / Credentials Updated July 17, 2013

Recorded as NICHOLAS BERNTHAL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2013

Orthopaedic Surgery (License #A103272 in CA)

🟢

Initial NPI Registration & Enumeration June 26, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902068356

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 26, 2008

Last Update: July 17, 2013

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

26 Wavecrest Ave

Venice, CA 902913211

Phone: 3104523790

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.