James Thomas Bernatz, M.D.
NPI 1194250167ActiveIndividual· Orthopaedic Surgery· Madison, WI
Orthopaedic Surgery (M.D.) in Madison, Wisconsin, trained at University of Wisconsin School of Medicine (class of 2017). Mostly services rather than prescriptions: Medicare paid $145,268 for 150 patients in 2024, with only 26 Part D claims. Vb Spine LLC was the largest of 2 companies reporting payments in 2025, $414.83 in all, mostly food and beverage.
Overview
| NPI | 1194250167 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Apr 26, 2017 |
| Last updated in NPPES | Aug 8, 2023 |
| Certified by provider | Aug 8, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | 70296-20 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Orthopedic Surgery (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 150 |
|---|---|
| Services billed | 463 across 54 procedure codes |
| Paid by Medicare | $145,268 |
Part D prescriptions in 2024
| Prescriptions (claims) | 26 · 26 30-day fills |
|---|---|
| Patients | 18 |
| Total drug cost | $1,497 |
| Generic share | 100% of claims |
Education and affiliations
| Medical school | University of Wisconsin School of Medicine |
|---|---|
| Graduation year | 2017 |
| Medicare specialty | Orthopedic Surgery |
| Telehealth | Offers telehealth |
Medical group
- University of Wisconsin Medical Foundation IncMadison, WI · 2,553 clinicians
Hospital affiliations
- Aspirus Divine Savior HospitalPortage, WI
- Richland HospitalRichland Center, WI
- Stoughton HospitalStoughton, WI
- Unitypoint Health - MeriterMadison, WI
- University of Wi Hospitals & Clinics AuthorityMadison, WI
Industry payments (Open Payments)
- 2025$414.83 · 2 payments from 2 companies
- 2024$197.97 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Vb Spine LLC | $257.96 | 1 |
| Cerapedics Inc. | $156.87 | 1 |
What the 2025 payments were for
- Food and Beverage$414.83 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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