NPI Data Registry NPPES + PECOS + OIG
NPI DATA REGISTRY (https://npidata.net) — FEDERAL CREDENTIALING & OIG SANCTION AUDIT RECORD
Generated: 2026-11-11 20:39 UTC • Sources: CMS NPPES v2.1 + CMS PECOS + HHS OIG LEIE (84,224 records)
Home › Family Medicine Physicians › SHAWANO, WI › NPI #1083024277
✓ Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) (207Q00000X) ✓ HHS OIG Screened Clear ✓ Medicare PECOS Enrolled 🩺 Entity Type 1 (Individual)

AMANDA BORN BERNATH, M.D. (NPI #1083024277)

Family Medicine • SHAWANO, WI • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1083024277
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207Q00000X (CMS 08)
Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)
Box 32 Service Location & ZIP+4
100 COUNTY ROAD B, SHAWANO, WI, 54166-7072
✓ 9-Digit EDI 837 ZIP+4 (54166-7072)
Practice Phone & Referral Fax
(715) 524-2161
Fax: (715) 526-3461
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1083024277 (AMANDA BORN BERNATH, M.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible

Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1083024277)

Medicare Beneficiaries
33
Total Billed Services
70
Distinct CPT/HCPCS Codes
11
Medicare Allowed Total
$5,837.97

Actual Top Billed CPT / HCPCS Procedures (CMS Part B)

CPT / HCPCSClinical Procedure DescriptionServices
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes30
99239 Hospital discharge day management, more than 30 minutes13

Actual Top Prescribed Medications (CMS Part D)

Brand / Generic MedicationTotal ClaimsPatients
Acyclovir
Acyclovir		13<11
Albuterol Sulfate Hfa
Albuterol Sulfate		5627
Alendronate Sodium
Alendronate Sodium		4819
Allopurinol
Allopurinol		7821
Alprazolam
Alprazolam		18<11
Amitriptyline Hcl
Amitriptyline Hcl		23<11
Amlodipine Besylate
Amlodipine Besylate		376120
Amoxicillin
Amoxicillin		2112

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1083024277 (NPI-1 Individual Practitioner)
Provider / Legal NameAMANDA BORN BERNATH, M.D.
Plain-English SpecialtyBoard-Certified Family Medicine Physician (All-Ages Primary Care Doctor)
NUCC Code: 207Q00000X (Family Medicine)
Certifying / Licensing BodyAmerican Board of Family Medicine (ABFM)
Practice Location Address100 COUNTY ROAD B, SHAWANO, WI, 54166-7072
Practice Telephone / FaxTel: (715) 524-2161 | Fax: (715) 526-3461
Administrative Mailing Address122 E COLLEGE AVE, APPLETON, WI, 54911-5794
Enumeration & Last SyncEnumerated: 2014-04-28 | CMS Record Updated: 2022-07-21

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

100 COUNTY ROAD B, SHAWANO, WI, 54166-7072

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Plain-English Taxonomy & CMS Crosswalk (207Q00000X)

What Does Taxonomy Code 207Q00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207Q00000X translates to:
"Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 08 (Physician/Family Practice)
Certifying / Accrediting Authority: American Board of Family Medicine (ABFM)
Clinical Scope: Annual checkups, blood pressure and diabetes management, BMI and fatty liver screening, urinary tract infections, vaccinations, and continuity of care for the whole family.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (AMANDA BORN BERNATH, M.D.)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Annual Preventive Physical Examination & Cardiometabolic Screening
  • Outpatient ECG / EKG Interpretation (CPT 93000) & Ambulatory BP Monitoring
  • Point-of-Care HbA1c, Lipid Panel, Urinalysis & BMI Risk Stratification
  • Minor Office Procedures: Wound Suturing, Abscess Drainage & Joint Injections
  • Adult & Pediatric Immunization Administration (Tetanus/Tdap, Influenza, HPV)
Common Therapeutic Classes:
  • Metformin, SGLT2 Inhibitors & GLP-1 Receptor Agonists (Type 2 Diabetes)
  • Lisinopril, Losartan & Amlodipine (First-Line Hypertension Management)
  • Atorvastatin & Rosuvastatin (Cardiovascular Lipid Optimization)
  • Nitrofurantoin, Trimethoprim-Sulfamethoxazole & Ciprofloxacin (Outpatient UTIs)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
390200000X — Student in an Organized Health Care Education/Training Program
Plain English: Licensed & Credentialed Student in an Organized Health Care Education/Training Program		State: N/A | License: Verified | Primary: Secondary
207Q00000X — Family Medicine
Plain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)		State: WI | License: 65840 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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