Medicare Enrolled
Dr. Oren Bernheim, M.D.
Gastroenterology · Wayne, NJ
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Bernheim from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Bernheim
Dr. Oren Bernheim is a gastroenterology specialist in Wayne, NJ, with 18 years of NPI registration. Based on federal Medicare data, Dr. Bernheim performed 1,277 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Bernheim received a total of $16,979 from 40 pharmaceutical and/or device companies across 310 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Bernheim is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 18 years of NPI registration
▲ Top 25% volume in NJ
$16,979 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗1,277
Medicare services
Top 25% in NJ for gastroenterology
Not available
Unique patients (not deduplicated)
$87
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
275 | $42 | $105 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
224 | $104 | $344 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
158 | $54 | $150 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
142 | $69 | $225 |
| Colonoscopy with biopsy A procedure to collect tissue samples from the large intestine using a flexible tube with a camera. The samples are examined to check for abnormalities or disease. |
76 | $129 | $1,728 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
68 | $125 | $566 |
| Upper GI endoscopy with biopsy A procedure to collect tissue samples from the esophagus, stomach, or upper small intestine using a flexible tube with a camera. The samples are examined to check for abnormalities. |
60 | $85 | $1,262 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
57 | $69 | $319 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
45 | $86 | $339 |
| Colon polyp removal with endoscopic snare This procedure removes polyps or growths from the large bowel using a flexible tube with a camera and a wire loop tool. The snare is used to cut off the growths during the examination. |
38 | $213 | $2,047 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
33 | $110 | $679 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
29 | $152 | $887 |
| Hospital follow-up visit, high complexity Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter. |
28 | $104 | $457 |
| Colonoscopy for colorectal cancer screening A colonoscopy performed to screen for colorectal cancer in individuals who are not at high risk for the disease. |
16 | $201 | $1,592 |
| Colonoscopy A diagnostic exam of the large bowel using a flexible endoscope to visualize the interior of the colon. |
14 | $124 | $1,154 |
| Colonoscopy for colorectal cancer screening, high risk A colonoscopy performed to screen for colorectal cancer in individuals identified as being at high risk for the disease. |
14 | $199 | $1,470 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.
Industry Payment Transparency
Open Payments through 2024 ↗$16,979
Total received (2018-2024)
Avg $2,426/year across 7 years
Top 8% in NJ for gastroenterology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
40
Companies
310
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,078
2023
$771
2022
$733
2021
$421
2020
$181
2019
$8,647
2018
$5,148
Payments by company (2024)
ABBVIE INC.
$223
Medical Device Business Services, Inc.
$147
Takeda Pharmaceuticals U.S.A., Inc.
$115
Lilly USA, LLC
$107
Celgene Corporation
$76
Janssen Biotech, Inc.
$69
Laborie Medical Technologies Corp.
$52
Phathom Pharmaceuticals, Inc.
$42
Intercept Pharmaceuticals, Inc.
$39
AIMMUNE THERAPEUTICS, INC.
$36
Madrigal Pharmaceuticals
$33
PFIZER INC.
$32
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$29
Merck Sharp & Dohme LLC
$17
Braintree Laboratories, Inc.
$17
Celltrion USA Inc.
$16
Gilead Sciences, Inc.
$14
Ardelyx, Inc.
$14
Top 3 companies account for 45.0% of 2024 payments
All-time payments by company (2018-2024) ›
PFIZER INC.
$12,893
AbbVie Inc.
$456
ABBVIE INC.
$431
Celgene Corporation
$388
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$379
Takeda Pharmaceuticals U.S.A., Inc.
$341
AbbVie, Inc.
$332
Janssen Biotech, Inc.
$223
Micro-tech Endoscopy USA, Inc.
$214
Medical Device Business Services, Inc.
$147
Gilead Sciences, Inc.
$130
Lilly USA, LLC
$107
Intercept Pharmaceuticals, Inc.
$79
Ironwood Pharmaceuticals, Inc
$70
Boston Scientific Corporation
$70
Merck Sharp & Dohme LLC
$65
RedHill Biopharma Inc.
$57
Laborie Medical Technologies Corp.
$52
Daiichi Sankyo Inc.
$45
Braintree Laboratories, Inc.
$44
Phathom Pharmaceuticals, Inc.
$42
QOL Medical, LLC
$40
AIMMUNE THERAPEUTICS, INC.
$36
Madrigal Pharmaceuticals
$33
Celltrion USA Inc.
$28
Shire North American Group Inc
$27
Merck Sharp & Dohme Corporation
$26
Ardelyx, Inc.
$26
GENZYME CORPORATION
$20
Blueprint Medicines Corporation
$19
Ferring Pharmaceuticals Inc.
$19
BOSTON SCIENTIFIC CORPORATION
$18
Aries Pharmaceuticals, Inc.
$17
CapsoVision, Inc.
$17
Evoke Pharma, Inc.
$17
Allergan Inc.
$16
Endo Pharmaceuticals Inc.
$14
Shionogi Inc
$13
EVOKE PHARMA, INC.
$13
Nestle HealthCare Nutrition Inc.
$13
Top 3 companies account for 81.2% of all-time payments
Associated products mentioned in payments ›
APRISO · AXIOS · AYVAKIT · Aemcolo · All products · Amitiza · CAPTIVATOR COLD · CREON · CapsoCam Plus · Creon · DIFICID · DUPIXENT · ELEVIEW · ENTYVIO · EOHILIA · Entyvio · GATTEX · GENERAL ENDOCHOICE · GIMOTI · HUMIRA · Humira · IBSRELA · INJECTAFER · LINX REFLUX MANAGEMENT SYSTEM · LINZESS · Linzess · MAVYRET · MOVIPREP · Mavyret · Mulpleta · NASCOBAL · OCALIVA · OMVOH · ORISE · PLENVU · REBYOTA · REMICADE · RENFLEXIS · RESMETIROM · RINVOQ · SKYRIZI · STELARA · SUCRAID · SUFLAVE · SUTAB · Sucraid · TREMFYA · TRULANCE · Talicia · UCERIS · VELSIPITY · VIBERZI · VOQUEZNA · XELJANZ · XIFAXAN · YUFLYMA · ZENPEP · ZEPOSIA · ZYMFENTRA
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Geographic Context
Gastroenterologists in nearby ZIP areas
882
County median income
$87,137
Nearest hospital to ZIP centroid (approximate)
CHILTON MEDICAL CENTER
3.6 mi
3.6 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Bernheim is a clinical cardiology specialist, with above-average Medicare volume (top 25% in NJ), with 18 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Bernheim experienced with chronic care management, additional 20 min/month?
Based on Medicare claims data, Dr. Bernheim performed 275 chronic care management, additional 20 min/month services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Bernheim receive payments from pharmaceutical companies?
Yes. Dr. Bernheim received a total of $16,979 from 40 companies across 310 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Bernheim's costs compare to other gastroenterologists in Wayne?
Dr. Bernheim's average Medicare payment per service is $87. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Bernheim) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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