DR. SIMON FENSTERSZAUB D.O.
NPI 1003077322
Family Medicine in Bristol, RI

Q: What is Simon Fensterszaub's NPI number?

The NPI number for Simon Fensterszaub is 1003077322. It was assigned to this individual provider in the NPPES registry on June 19, 2008.

Q: What is Simon Fensterszaub's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since June 19, 2008PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

7 CREEK LN, BRISTOL, RI 02809(718) 964-6161 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 15, 2023, Dec 8, 2022, Apr 13, 2021 (3 updates tracked since 2021).

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About Dr. Simon Fensterszaub D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SIMON FENSTERSZAUB D.O. (NPI 1003077322) is an individual family medicine provider in Bristol, Rhode Island, licensed in New York (249846) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Central Vermont Medical Center, and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1003077322

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. SIMON FENSTERSZAUBCredential: D.O.

Location Address7 CREEK LNBristol, RI 02809-2401

Mailing Address250 Skillman St Ste 202Brooklyn, NY 11205-1218 · (718) 964-6161

Phone(718) 964-6161

Sole ProprietorYes

Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2007

Enumeration DateJune 19, 2008

Last NPPES UpdateJune 19, 20263 updates tracked since enumeration

NPPES CertifiedJune 19, 2026

✔ NPI 1003077322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 249846

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

7 CREEK LN, Bristol, RI 02809

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Secondary Practice Location 1

Location 1432 Bedford AveBrooklyn, NY 11249-6588 · Phone (718) 964-6161 · Fax (718) 387-9222

Other Identifiers 1

Medicaid03157917NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Simon Fensterszaub D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890970230

PECOS Enrollment IDI20110428000025, I20171017002995, I20171031000238, I20190411001855, I20190429001275, I20190622000078, I20210920000567, I20211103001412, I20220104000676, I20220215000104, I20220225000019, I20220401001513, I20220404002249, I20220713002897, I20220915000061, I20221029000229, I20230319000046, I20230405002814, I20230705003533, I20230802003163, I20230814001185, I20231006003259, I20231011002057, I20250307000700, I20250320002203

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 33

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

8,171 services2,542 patients

Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional 99484

Care management for behavioral health involves a healthcare professional directing clinical staff to provide you with support for 20 minutes or more. This service can include planning your care, coordinating services, and managing your health conditions to improve your overall well-being.

6,538 services2,448 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

5,352 services2,067 patients

Psychiatric collaborative care management per calendar month, each additional 30 minutes 99494

Psychiatric collaborative care management is a treatment approach where a team of health professionals work together to provide optimal care. This includes monitoring your health, adjusting treatments, and coordinating care. If a session extends beyond the usual time, each additional 30 minutes is accounted for.

946 services506 patients

Follow-up psychiatric collaborative care management, subsequent calendar month, first 60 minutes 99493

This service involves continued psychiatric care management for the next calendar month, covering the first 60 minutes. It includes communication with you and your healthcare team, planning and adjusting your treatment, and monitoring your progress.

925 services474 patients

Initial or subsequent psychiatric collaborative care management, first 30 minutes in a month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care G2214

This service involves a behavioral health care manager working with a psychiatric consultant, under the guidance of your treating healthcare provider. They spend 30 minutes each month managing your psychiatric care collaboratively to ensure optimal mental health outcomes.

470 services452 patients

Initial psychiatric collaborative care management, first calendar month, first 70 minutes 99492

This is the first month of a mental health care program where a team of health professionals collaboratively manage your care. The first 70 minutes involve assessing your needs, creating a care plan, and coordinating services to support your mental wellbeing.

462 services460 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

230 services84 patients

Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month 99426

Principal care management services focus on managing a single high-risk disease. This involves a health care professional directing clinical staff for the first 30 minutes each month. The aim is to monitor your health, coordinate care, and provide necessary support for your disease management.

218 services106 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

113 services59 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

88 services51 patients

Principal care management services for a single high-risk disease, each additional 30 minutes of clinical staff time directed by health care professional, per calendar month 99427

Principal Care Management (PCM) services focus on managing a single high-risk disease. It involves additional 30 minutes of clinical staff time per month, overseen by a healthcare professional. This includes monitoring your health, coordinating care, and developing a personalized treatment plan.

85 services67 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

84 services84 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

71 services50 patients

Smoking and tobacco use intensive counseling, 4-10 minutes 99406

This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.

58 services24 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

39 services25 patients

Annual alcohol misuse screening, 5 to 15 minutes G0442

An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.

30 services30 patients

Telephone medical discussion with physician, 5-10 minutes 99441

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

28 services24 patients

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457

This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.

25 services15 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

24 services19 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

23 services18 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

22 services18 patients

Ultrasound study of arm and leg arteries 93922

An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.

22 services21 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

21 services21 patients

Face-to-face behavioral counseling for obesity, 15 minutes G0447

This is a 15-minute consultation where a healthcare professional discusses your eating habits, physical activity, and goals to help manage your weight. The aim is to provide personalized strategies to promote a healthier lifestyle and combat obesity.

21 services15 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

19 services19 patients

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454

This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.

19 services17 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

19 services19 patients

Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) G0506

This service involves a thorough evaluation of patients needing ongoing care for chronic conditions. It includes creating a tailored care plan, coordinating with healthcare providers, and monitoring progress regularly. The goal is to provide optimal, personalized care for your long-term health needs.

19 services19 patients

Testing of autonomic nervous system function and heart rate response to deep breathing 95921

This test studies the autonomic nervous system, which controls body functions like heart rate. During the test, you'll breathe deeply while the heart rate is monitored. This helps identify any irregularities in the heart's response to breathing changes.

16 services16 patients

Testing of autonomic (sympathetic) nervous system function 95923

Testing of autonomic nervous system function assesses how well your body's automatic processes, like heart rate and blood pressure, are working. It involves various non-invasive tests like heart rate variability and sweat production tests.

14 services14 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

11 services11 patients

Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 99483

This service involves a thorough evaluation of your thought processes, which may be impacting your daily life. In a typical 50-minute session, a healthcare professional will assess your cognitive abilities, identify any areas of concern, and develop a personalized care plan to help improve your mental function.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Central Vermont Medical Center

Acute Care Hospitals · Barre, VT

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number470001

LocationBox 547Barre, VT 05641 · Washington County

Emergency services Birthing friendly

Northeastern Vermont Regional Hospital

Critical Access Hospitals · Saint Johnsbury, VT

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number471303

Location1315 Hospital DriveSaint Johnsbury, VT 05819 · Caledonia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02809 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTOPHER F KEMPF ARNP

Nurse Practitioner (Adult Health)

7 CREEK LN
BRISTOL, RI 02809

Bristol County (718) 964-6161

INFINITE MEDICAL PC

Family Medicine

7 CREEK LN
BRISTOL, RI 02809

Bristol County (718) 964-6161

KAR LITTLE BOX LLC

Skilled Nursing Facility

7 CREEK LN
BRISTOL, RI 02809

Bristol County (401) 253-3000

BERLYNE GERVAIS NP-C

Nurse Practitioner (Family)

7 CREEK LN
BRISTOL, RI 02809

Bristol County (212) 734-6621

MARLENE BEVERLY YOUNG NP-BC

Nurse Practitioner

7 CREEK LN
BRISTOL, RI 02809

Bristol County (718) 964-6161

SILVER CREEK MANOR, INC

Skilled Nursing Facility

7 CREEK LN
BRISTOL, RI 02809

Bristol County (401) 253-3000

ALLA ADI SHABTAI RPA-C

Physician Assistant

7 CREEK LN
BRISTOL, RI 02809

Bristol County (718) 964-6161

MR. YOSEF SEEWALD

Physician Assistant

7 CREEK LN
BRISTOL, RI 02809

Bristol County (718) 964-6161

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Simon Fensterszaub's NPI number?

The NPI number for Simon Fensterszaub is 1003077322. It was assigned to this individual provider in the NPPES registry on June 19, 2008.

Where is Simon Fensterszaub located?

Simon Fensterszaub practices at 7 Creek Ln, Bristol, RI 02809. The listed phone number is (718) 964-6161.

What is Simon Fensterszaub's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Simon Fensterszaub enrolled in Medicare?

Yes. Simon Fensterszaub is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Simon Fensterszaub accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Simon Fensterszaub as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Simon Fensterszaub affiliated with any hospitals?

According to CMS data, Simon Fensterszaub is affiliated with Central Vermont Medical Center and Northeastern Vermont Regional Hospital.

When was this NPI record last updated?

The NPPES record for Simon Fensterszaub was last updated on June 19, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.