Michael Jernick, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

A145903 Issued in CA

Practice address

10121 Pine Ave
Truckee, CA 96161-4835

Phone

(530) 587-6011

NPI assigned

Apr 3, 2015

Last updated

Aug 17, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, NV2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Orthopedic Surgery

Education

Saint Louis University School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tahoe Forest Hospital DistrictGroup PAC ID 0446161335, 140 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tahoe Forest Hospital Hospital, Truckee, CA, CCN 051328
• Incline Village Community Hospital Hospital, Incline Village, NV, CCN 291301
• Eastern Plumas Hospital - Portola Campus Hospital, Portola, CA, CCN 051300
• Plumas District Hospital Hospital, Quincy, CA, CCN 051326
• Renown Regional Medical Center Hospital, Reno, NV, CCN 290001

Merit-based Incentive Payment System (MIPS)

Final score

75.06 of 100Reported as group

Quality

83.97

Promoting interoperability

88

Improvement activities

40

Cost

42.89

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tahoe Forest Hospital District

  dba Incline Village Community Hospital

  • Critical Access Hospital
  • Incline Village, NV
  • NPI 1801957667
  Medicare reassignment Care Compare group NPD
• Tahoe Forest Hospital District

  dba Tahoe Forest MultiSpecialty Clinics

  • Multi-Specialty Clinic/Center
  • Truckee, CA
  • NPI 1750412300
  Medicare reassignment NPD
• Tahoe Forest Hospital District

  dba Tahoe Forest MultiSpecialty Clinic

  • Multi-Specialty Clinic/Center
  • Truckee, CA
  • NPI 1538689583
  NPD
• Tahoe Forest Hospital District

  • Rural Health Clinic/Center
  • Truckee, CA
  • NPI 1760038772
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Eastern Plumas Health Care District

  dba Eastern Plumas Health Care

  • Critical Access Hospital
  • Portola, CA
  • NPI 1326044140
  Care Compare affiliation
• Eastern Plumas Health Care District

  dba Eastern Plumas Health Care

  • Critical Access Hospital
  • Portola, CA
  • NPI 1982600920
  Care Compare affiliation
• Plumas District Hospital

  • Critical Access Hospital
  • Quincy, CA
  • NPI 1326094269
  Care Compare affiliation
• Tahoe Forest Hospital District

  dba Tahoe Forest Hospital

  • Critical Access Hospital
  • Truckee, CA
  • NPI 1538265780
  Care Compare affiliation
• Renown Regional Medical Center

  • General Acute Care Hospital
  • Reno, NV
  • NPI 1124098421
  Care Compare affiliation
• Renown Regional Medical Center

  • General Acute Care Hospital
  • Sparks, NV
  • NPI 1932517299
  Care Compare affiliation
• Tahoe Forest Hospital District

  dba Incline Village Community Hospital

  • Critical Access Hospital
  • Incline Village, NV
  • NPI 1801957667
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1437544665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10051 LAKE AVE",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961610445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10121 PINE AVE",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961614835",
            "telephone_number": "530-587-6011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10051 Lake Ave",
            "address_purpose": "LOCATION",
            "city": "Truckee",
            "state": "CA",
            "postal_code": "961610445",
            "country_code": "US",
            "telephone_number": "530-582-6628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JERNICK",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-03",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A145903",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A145903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Jaye
• Jeffrey Dodd MD a Professional Corporation
• C. Gregory Jellinek, M.D. Inc
• Daniel Jenkins
• Reini Jensen
• Nicole McCrory Constantz Jernick, MD
• Hilary Suzanne Jimenez
• Leila R Jirari, PA
• Kevin Johansen, MD
• John V Foley MD Inc

• Orthopaedic Surgery Physician in Truckee, CA
• Providers in Truckee, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.