Deactivated NPI 1780681130 Deactivated / Inactive NPI Male Practitioner

Dr. Jack C Berno , MD

Internal Medicine • Chillicothe, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jack Berno has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 30, 2005

NPI Deactivation Date March 01, 2023

Total Practice Duration ~18 Years of Practice (2005 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Jack Berno, MD was a registered Internal Medicine practicing in Chillicothe, OH. Throughout an active medical career spanning 18 years, Dr. Berno provided care at the practice location at 4437 STATE ROUTE 159 until profile deactivation on 2023-03-01.

Historical Medicare Part B clinical services included routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, established patient outpatient office visit, physician 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 to affirm the initial imp. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

4437 State Route 159
Ste. 115

Chillicothe, OH 456017065

Telephone 7407798840

Fax 7407798849

Associated Practice Facility / Clinic

🏢 Adena Health System Facility NPI 1639384878

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Chillicothe, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 13.5 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

68 Specialists

Practicing in Chillicothe, OH (5516 Statewide)

Telehealth Adoption Rate

5.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	39	36	$25.00	$7.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	518	199	$71.63	$62.43
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	331	311	$24.95	$8.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	160	121	$116.53	$76.48
G0179 Physician 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 to affirm the initial imp	22	11	$124.00	$39.72
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$253.27	$63.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	637	556	$24.98	$8.28
99213 Established patient office or other outpatient visit, typically 15 minutes	465	195	$68.89	$66.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	218	159	$109.92	$96.63
G0179 Physician 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 to affirm the initial imp	28	15	$124.00	$40.05
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$240.00	$130.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	711	592	$24.97	$8.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	350	224	$84.10	$79.51
99213 Established patient office or other outpatient visit, typically 15 minutes	274	162	$55.45	$51.63
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$240.00	$113.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	507	461	$24.95	$8.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	400	264	$128.64	$77.83
99213 Established patient office or other outpatient visit, typically 15 minutes	374	204	$97.26	$50.55
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	13	13	$184.62	$112.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	612	544	$24.92	$8.30
99213 Established patient office or other outpatient visit, typically 15 minutes	576	283	$97.17	$50.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	199	158	$128.00	$77.06
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	17	16	$25.00	$8.34
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	17	16	$162.45	$7.73
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$229.09	$111.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	660	327	$97.59	$49.67
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	573	521	$24.94	$8.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	211	174	$128.00	$76.92
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	12	12	$146.82	$7.82
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	11	11	$25.00	$8.31

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35047244B

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Dr. Courtney Little , DO

Internal Medicine

NPI 1003101957

Doctor of Osteopathic Medicine (D.O.)

Dr. Cara Swanson , DO

Internal Medicine

NPI 1184252975

Doctor of Osteopathic Medicine (D.O.)

Beverly Tolle , NP

Nurse Practitioner - Adult Health

NPI 1275558272

Nurse Practitioner

Dr. Juanito Savaille , DO

Internal Medicine

NPI 1467885061

Doctor of Osteopathic Medicine (D.O.)

Dr. Lloyd Coats , DO

Internal Medicine

NPI 1477558906

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

9 Historical Events

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NPI Profile Deactivated March 01, 2023

Record deactivated on March 01, 2023

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Updated Practice Location February 14, 2020

Registered at 4439 STATE ROUTE 159 STE 150, CHILLICOTHE, OH 456017833 (Tel: 7407798840)

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Updated Business Mailing Address February 14, 2020

Registered at 4439 STATE ROUTE 159 STE 150, CHILLICOTHE, OH 456017833 (Tel: 7407798840)

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NPI Profile Active December 30, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location December 30, 2014

Registered at 4437 STATE ROUTE 159, STE. 115, CHILLICOTHE, OH 456017065 (Tel: 7407798840)

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Updated Business Mailing Address December 30, 2014

Registered at 4437 STATE ROUTE 159, STE. 115, CHILLICOTHE, OH 456017065 (Tel: 7407798840)

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Provider Name / Credentials Updated December 30, 2014

Recorded as JACK BERNO, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2014

Internal Medicine (License #35047244B in OH)

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Initial NPI Registration & Enumeration June 30, 2005

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: 1780681130

Entity Type:

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

Enumeration Date: June 30, 2005

Last Update: December 30, 2014

Deactivation Date: March 01, 2023

Update or Correct Profile

Mailing Address

4437 State Route 159, Ste. 115

Chillicothe, OH 456017065

Phone: 7407798840

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.