Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194250167 Individual Practitioner Male Practitioner

Dr. James Thomas Bernatz , MD

Orthopaedic Surgery • Madison, WI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. James Bernatz, MD is a certified Orthopaedic Surgery practicing in Madison, WI. With approximately 9 years of clinical experience since graduating from University Of Wisconsin School Of Medicine in 2017, Dr. Bernatz delivers high-quality medical care to the local community at 4602 EASTPARK BLVD.

Dr. Bernatz is affiliated with University Of Wisconsin Medical Foundation Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include insertion of cage or mesh device to spine bone and disc space during spine fusion, established patient outpatient office visit, computer-assisted spinal procedure. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4602 Eastpark Blvd

Madison, WI 537182002

Telephone 6082653207
Fax 6086624545
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Wisconsin School Of Medicine

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Madison, WI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -10.6 yrs vs City Avg
City Avg: 19.6 Yrs
State Avg: 23.8 Yrs
Regional Practice Density
106 Specialists

Practicing in Madison, WI (688 Statewide)

Telehealth Adoption Rate
10.4% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
92.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bernatz (9 Years) 9 Yrs
Madison Specialty Average (19.6 Years) 19.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion
33 24 $3166.00 $219.22
99213 Established patient office or other outpatient visit, typically 15 minutes
31 22 $234.00 $61.19
61783 Computer-assisted spinal procedure
29 28 $2583.00 $194.06
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves
26 26 $13368.32 $899.76
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
25 24 $502.00 $133.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
22 19 $343.00 $90.23
99213 Established patient office or other outpatient visit, typically 15 minutes
16 12 $234.00 $85.26
22840 Placement of stabilizing device to back of 1 spine bone in neck
16 16 $8966.00 $645.14
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
16 16 $703.00 $167.09
22612 Fusion of spine in lower back
16 16 $16327.00 $1388.73
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
15 15 $502.00 $169.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
15 15 $535.00 $155.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
13 11 $343.00 $120.37
99221 Initial hospital inpatient care per day, typically 30 minutes
12 12 $413.00 $75.51
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach
12 12 $14748.00 $460.16
22842 Placement of stabilizing device to back, 3-6 spine bone segments
11 11 $10368.00 $646.62

Medical Specialties & State Licenses

CMS Verified: 2023-08-08
Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License WI 70296-20

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.

Hospital & Practice Group Affiliations

University Of Wisconsin Medical Foundation Inc

4602 Eastpark Blvd, Madison, WI 537182002

Phone: 6084406400

Practice Associates & Co-Workers

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

28 Associated Practitioners
Elise Kreger

Physician Assistant

NPI 1003493164
Dr. Jeffrey Odonnell , MD

Orthopaedic Surgery

NPI 1073019675

Doctor of Medicine (M.D.)

Ariel Kwart

Orthopaedic Surgery

NPI 1114489960
Dr. Melissa Fischer , DPT

Physical Therapist

NPI 1184973927

Doctor of Physical Therapy

Dr. James Leonard , DO PT

Physical Medicine & Rehabilitation

NPI 1245295955

DOPT

Dr. Luke Momper , MD

Orthopaedic Surgery

NPI 1255953378

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location August 08, 2023

Registered at 4602 EASTPARK BLVD, MADISON, WI 537182002 (Tel: 6082653207)

📍
Updated Business Mailing Address August 08, 2023

Registered at 7974 UW HEALTH CT, MIDDLETON, WI 535625531

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2023

Orthopaedic Surgery (License #70296-20 in WI)

📍
Updated Practice Location December 07, 2022

Registered at 200 1ST ST SW, ROCHESTER, MN 559050001 (Tel: 5072842511)

📍
Updated Business Mailing Address December 07, 2022

Registered at 200 1ST ST SW, ROCHESTER, MN 559050001 (Tel: 0728425115)

NPI Profile Active April 26, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 26, 2017

Registered at 600 HIGHLAND AVE, MADISON, WI 537920001 (Tel: 2082636400)

📍
Updated Business Mailing Address April 26, 2017

Registered at 600 HIGHLAND AVE, MADISON, WI 537920001 (Tel: 2082636400)

👤
Provider Name / Credentials Updated April 26, 2017

Recorded as JAMES BERNATZ, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2017

Orthopaedic Surgery (License #207X0000X in WI)

🟢
Initial NPI Registration & Enumeration April 26, 2017

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: 1194250167
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 26, 2017
Last Update: August 08, 2023
Sole Proprietor: No

Mailing Address

7974 Uw Health Ct

Middleton, WI 535625531

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.