NANCY I. LINNEMAN MD
NPI 1003816604
Internal Medicine - Pulmonary Disease in Middletown, NY

Active since July 26, 2005PECOS EnrolledAccepts Medicare Assignment
91.11/100
CMS Quality Rating
155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941(845) 703-6999(845) 703-6297 Get Directions Write a Review

NPPES record last updated: October 7, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nancy I. Linneman Md NPPES

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

NANCY I. LINNEMAN MD (NPI 1003816604) is an individual pulmonary disease provider in Middletown, New York, licensed in New York (191566) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (1990).

NPPES Registry Identity

NPI1003816604
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameNANCY I. LINNEMANCredential: MD
Location Address155 CRYSTAL RUN RDMiddletown, NY 10941-4028
Mailing Address155 Crystal Run RdMiddletown, NY 10941-4028 · (845) 703-6999 · Fax (845) 703-6297
Fax(845) 703-6297
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 1990
Enumeration DateJuly 26, 2005
Last NPPES UpdateOctober 7, 2020
NPPES CertifiedOctober 7, 2020
NPI 1003816604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in NY · 191566
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 191566 (NY)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 191566 (NY)
155 CRYSTAL RUN RD, Middletown, NY 10941

Other Identifiers 1

Medicaid01753548NY

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

Nancy I. Linneman Md 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 ID4284773284
PECOS Enrollment IDI20091204000283
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 17

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.

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.
599 services311 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.
440 services287 patients
Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) G0296
This visit involves discussing the necessity of a lung cancer screening using a low dose CT scan. It's a chance to determine if you're eligible for the test and to make an informed decision about proceeding. The scan can potentially detect lung cancer early, improving treatment outcomes.
140 services65 patients
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
Albuterol is a medication used to treat breathing problems. It is administered as an inhalation solution through a device called DME (Durable Medical Equipment). The solution is FDA-approved and non-compounded. Each unit dose contains 1 mg of the medicine.
135 services45 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.
83 services67 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.
70 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10941 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
$141.77 typical visit price
range $61.88 – $187.05
Typical copayment $35.44 (range $15.47 – $46.76)
Most-billed visit code 99204
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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.

91.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.71
Promoting Interoperability100
Improvement Activities40
Cost98.42

Referred Medical Equipment & Supplies CMS DME claims 26

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
9 suppliers81 claims81 services$38.08 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
19 suppliers277 claims277 services$83.62 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
16 suppliers223 claims504 services$30.92 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
12 suppliers95 claims495 services$17.50 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
9 suppliers35 claims176 services$13.10 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
19 suppliers162 claims162 services$51.86 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Nephrology)
155 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Nurse Practitioner (Acute Care)
155 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Nurse Practitioner (Family)
155 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Internal Medicine (Endocrinology, Diabetes & Metabolism)
155 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Internal Medicine (Infectious Disease)
155 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Psychiatry & Neurology (Psychiatry)
155 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Radiology (Diagnostic Radiology)
155 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Physician Assistant (Medical)
155 CRYSTAL RUN RD
MIDDLETOWN, NY 10941

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 Nancy Linneman's NPI number?

The NPI number for Nancy Linneman is 1003816604. It was assigned to this individual provider in the NPPES registry on July 26, 2005.

Where is Nancy Linneman located?

Nancy Linneman practices at 155 Crystal Run Rd, Middletown, NY 10941. The listed phone number is (845) 703-6999.

What is Nancy Linneman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Nancy Linneman enrolled in Medicare?

Yes. Nancy Linneman 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.

When was this NPI record last updated?

The NPPES record for Nancy Linneman was last updated on October 7, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.