NPI registry status
Active
2026 NPPES data General Practice Physician NPI 1093791212 MD
Verify on CMS → Jay Bernstein, MD
General Practice Physician in Cincinnati, Ohio.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,838 in General Practice Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
168
Medicare Part D claims · 99 beneficiaries · General Practice Physician avg: 3K
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.6/100
▲ 11 pts above national avg 83.5 · Exceptional
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Jay Bernstein, MD reported a CMS MIPS final score of 94.6/100 - above the 83.5 national average - and filed 168 Medicare Part D claims in 2024.
- 94.6/100
- MIPS score · +11 vs avg
- 168
- Part D claims, 2024
- 92%
- generic prescribing
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Jay Bernstein, MD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1093791212), first enumerated 12/20/2005.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 168 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 94.6/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- State context
State board disciplinary context
Ohio statewide board action statistics are published annually — these figures describe aggregate state activity, not Jay Bernstein, MD's individual license status. Verify directly with the state medical board.
Source: OMB annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1093791212 · General Practice Physician
NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-ELITE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1093791212
- ENUM-LEGACY 2005
- TAX-MID 17K General Practice
- MIPS-ELITE 94.6/100
- RX-LIGHT 168
- BOOK-THIN 284 in Ohio
- PHOTO-FINISH Deborah Behringer · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Bernstein · this…
Bernstein · this provider
94.6 MIPS pts
- Katrina Landa · …
Katrina Landa
94.6 MIPS pts
- Deborah Behringe…
Deborah Behringer
94.6 MIPS pts
- Neelu Kohli · near
Neelu Kohli
94.6 MIPS pts
- Yong Hwan Kwon ·…
Yong Hwan Kwon
94.6 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Jay Bernstein, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
95 ≥ 73rd percentile 73% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Jay Bernstein, MD sits
This provider among general practice physician peers
Across the 714 general practice physician providers who report both Medicare Part D prescribing and a MIPS quality score, Jay Bernstein, MD writes more Part D claims than 29% of them and scores higher on MIPS quality than 77% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one general practice physician peer from a representative sample of 60; the gold marker is Jay Bernstein, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Jay Bernstein, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Jay Bernstein, MD?
High performer (top quartile)Primary specialty
General Practice Physician
Medicare Part D claims
168 94% vs specialty avg
MIPS final score
94.6/100 11.1 pts vs avg
Specialty distribution in Ohio
How General Practice Physician compares to other specialties among Ohio providers
Medicare quality performance, MIPS
Jay Bernstein, MD's 2023 MIPS final score plotted against the General Practice Physician national average
- MIPS Final Score
- 94.6/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1093791212 |
|---|---|
| Specialty | General Practice Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 12/20/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
94.6395
Final Score
Measured-score avg: 83.5
90.644
Quality
Reporting: Group practice
License & disciplinary context - Ohio OMB 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~48K Ohio medical licensees in 2023 - they are NOT specific to Jay Bernstein, MD. To verify Jay Bernstein, MD's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases
OMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Generic-heavy
Jay Bernstein, MD - brand share 8.0%
General Practice Physician average
8% brand-name claims vs 92% generic, on 168 2024 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
168
Total Claims
$3K
Total Drug Cost
99
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 177
- Total Day Supply
- 2,068
- Brand vs Generic
- 8% brand / 92% generic
- Brand Drug Cost
- $948
- Generic Drug Cost
- $2K
- Antibiotic Claims
- 77
Patient Demographics
- Average Patient Age
- 71.4 years
- Avg HCC Risk Score
- 2.31
- Gender Split
- 58% female / 42% male
- Age Distribution
- <65: 23, 65-74: 32, 75-84: 29, 85+: 15
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Jay Bernstein, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Cefuroxime
Cefuroxime
19 claims
- Ondansetron Odt
Ondansetron Odt
15 claims
- Doxycycline Monohy…
Doxycycline Monohydrate
12 claims
| Drug | Claims |
|---|---|
| Cefuroxime Cefuroxime Axetil | 19 |
| Ondansetron Odt Ondansetron | 15 |
| Doxycycline Monohydrate | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
General Practice Physician Overview
How Jay Bernstein, MD fits within the General Practice Physician landscape nationally.
16,838
General Practice Physician Providers in US
56
States with General Practice Physician
2,957
Avg Claims per Provider
Jay Bernstein, MD's 168 claims are below the specialty average of 2,957.
Nationwide General Practice Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Bernstein, both outside Ohio so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (94.6 here).
Same NPPES enumeration year (2005)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby General Practice Physician Providers in Ohio
Other clinicians with the same primary specialty enrolled in Ohio, drawn from the same CMS NPPES roster as Bernstein.
One of 284 General Practice Physician providers enrolled in Ohio, 5 are shown here.
Dr. John Adams
D.O.
Plain City, OH
Dr. Vidhi Adlakha
D.O.
Massillon, OH
Dr. Swatantra Adusumilli
M.D.
Westlake, OH
Rana Adzima
CNP
Warrensville Heights, OH
Dr. Tarik Afnoukh
M.D
Toledo, OH
Compare General Practice Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Jay Bernstein, MD's specialty? ▼
Jay Bernstein, MD specializes in General Practice Physician and practices in Cincinnati, Ohio. Credentials: MD.
How much does Jay Bernstein, MD prescribe under Medicare Part D? ▼
In 2024, Jay Bernstein, MD wrote 168 Medicare Part D claims totaling $3K in drug costs for 99 beneficiaries.
What is Jay Bernstein, MD's Medicare quality score? ▼
Jay Bernstein, MD has a CMS MIPS Final Score of 94.6/100 (Quality: 90.6). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Jay Bernstein, MD located? ▼
Jay Bernstein, MD is located at 9145 GOVERNORS WAY, Cincinnati, OH, 45249. Phone: (513) 845-8655.
What is Jay Bernstein, MD's NPI number? ▼
Jay Bernstein, MD's National Provider Identifier (NPI) is 1093791212, issued on 12/20/2005.
Does Jay Bernstein, MD prescribe more brand-name or generic drugs? ▼
Jay Bernstein, MD's prescribing is 8% brand-name and 92% generic drugs by claim count, with $948 in brand drug costs.
How many General Practice Physician providers are there in the US? ▼
There are 16,838 General Practice Physician providers across 56 states in the US. The average General Practice Physician provider writes 2,957 Medicare Part D claims per year.
What drugs does Jay Bernstein, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Jay Bernstein, MD's most frequently prescribed drugs include Cefuroxime, Ondansetron Odt, Doxycycline Monohydrate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Jay Bernstein, MD accept Medicare? ▼
Jay Bernstein, MD appears in CMS Medicare data with 168 Part D claims and 99 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Jay Bernstein, MD's credentials? ▼
Jay Bernstein, MD's NPI is 1093791212 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.