DR. DAVID R. EDELSTEIN M.D.
NPI 1063570083
Otolaryngology - Plastic Surgery within the Head & Neck in New York, NY

Q: What is David Edelstein's NPI number?

The NPI number for David Edelstein is 1063570083. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Q: What is David Edelstein's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Q: When was this NPI record last updated?

The NPPES record for David Edelstein was last updated on August 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 04, 2006PECOS EnrolledAccepts Medicare Assignment

93.79/100

CMS Quality Rating

1421 3RD AVE, 4TH FLR, NEW YORK, NY 10028(212) 452-1500(212) 472-3086 Get Directions Write a Review

NPPES record last updated: August 7, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. David R. Edelstein M.d. NPPES

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

DR. DAVID R. EDELSTEIN M.D. (NPI 1063570083) is an individual plastic surgery within the head & neck provider in New York, New York, licensed in New York (149360) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Lenox Hill Hospital, and is a graduate of Boston University School Of Medicine (1980).

NPPES Registry Identity

NPI1063570083

Entity TypeIndividualMale

Primary Taxonomy207YX0007X

Provider Legal NameDR. DAVID R. EDELSTEINCredential: M.D.

Location Address1421 3RD AVE, 4TH FLRNew York, NY 10028-1802

Mailing Address1421 3rd Ave, 4th FlrNew York, NY 10028-1802 · (212) 452-1500 · Fax (212) 472-3086

Phone(212) 452-1500

Fax(212) 472-3086

Sole ProprietorYes

Medical School CMSBoston University School Of MedicineGraduated 1980

Enumeration DateDecember 4, 2006

Last NPPES UpdateAugust 7, 2012

✔ NPI 1063570083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians

Taxonomy Code207YX0007X

License✔ Licensed in NY · 149360

Definition

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.

1421 3RD AVE, New York, NY 10028

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Other Identifiers 2

Medicare UPINB10738NY

Medicare PIN19D131NY

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. David R. Edelstein M.d. 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 ID5294740569

PECOS Enrollment IDI20060208000619

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 22

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.

Diagnostic exam of nasal passages using an endoscope 31231

A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.

898 services419 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.

725 services437 patients

Test for eardrum and muscle function 92550

This test assesses the health of your eardrum and muscles linked to hearing. A small device is placed in your ear that creates pressure changes and sounds. Your ear's responses are recorded to determine if they are functioning properly.

568 services471 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.

517 services325 patients

Comprehensive hearing and speech recognition test 92557

A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.

502 services422 patients

Test to assess by hearing by examining the repetition of real words versus nonsense words 92571

This is a hearing test where you'll be asked to repeat both real and nonsense words. It helps assess your ability to distinguish and understand sounds. It's a simple, non-invasive procedure and provides valuable information about your hearing health.

471 services400 patients

Placement of ear probe for computerized measurement of repeated sounds with interpretation and report 92588

This procedure involves placing a probe in your ear to measure how it responds to repeated sounds. The data is then interpreted by a computer to assess your hearing health. The findings are compiled into a report for further evaluation.

283 services254 patients

Diagnostic exam of voice box using a flexible endoscope 31575

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

273 services172 patients

Placement of ear probe for computerized measurement of sound with interpretation and report 92587

This procedure involves placing a small probe in your ear to measure sounds. It's a painless process that helps doctors understand your hearing ability. The results will be interpreted and a report will be provided for further assessment.

204 services187 patients

Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing G0268

This procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.

186 services178 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.

153 services153 patients

Biopsy or removal of nasal polyp or tissue using an endoscope 31237

A nasal biopsy or polyp removal is a procedure where an endoscope, a thin tube with a light and camera, is inserted into the nose. This allows the doctor to see and remove abnormal tissues or polyps, which are small growths. This procedure helps diagnose or treat nasal issues.

87 services25 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

71 services61 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.

45 services43 patients

Destruction of surface soft tissue of nasal passages 30802

This procedure involves removing or destroying soft tissue in the nasal passages. It's often performed to improve breathing, reduce snoring, or treat conditions like nasal polyps. The process is usually done under local or general anesthesia.

23 services22 patients

Therapeutic fracture of nasal passages 30930

A therapeutic fracture of nasal passages is a medical procedure to correct issues with the nose's structure. It involves intentionally breaking and reshaping the nasal bones to improve breathing, correct deformities, or enhance appearance. This is done under anesthesia.

23 services22 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.

23 services23 patients

Simple control of nose bleed 30901

Simple control of a nose bleed involves leaning forward slightly to prevent blood from flowing down the throat. Pinch your nostrils together and breathe through your mouth. This pressure can help the blood clot and stop the bleeding. Avoid lying down or blowing your nose.

19 services17 patients

Removal of nasal sinus tissue using an endoscope 31267

This procedure, known as endoscopic sinus surgery, involves using a thin, flexible tube with a light and camera to view and remove problematic nasal sinus tissue. It helps to alleviate sinus issues and improve breathing.

18 services17 patients

Reshaping of nasal cartilage 30520

Reshaping of nasal cartilage, also known as rhinoplasty, is a surgical procedure to modify the structure of the nose for aesthetic or functional purposes. It involves adjusting the cartilage and bone in the nose to achieve the desired shape or to improve breathing.

17 services16 patients

Computer-assisted procedure outside membrane covering brain 61782

A computer-assisted procedure outside the brain's membrane involves using advanced technology to help doctors accurately navigate and perform operations near the brain. This method enhances precision, safety, and effectiveness, potentially reducing recovery time.

17 services15 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Lenox Hill Hospital

Acute Care Hospitals · New York, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330119

Location100 East 77th StreetNew York, NY 10021 · New York County

Emergency services Birthing friendly

Maimonides Medical Center

Acute Care Hospitals · Brooklyn, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330194

Location4802 Tenth AvenueBrooklyn, NY 11219 · Kings County

Emergency services Birthing friendly

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.

93.79/100

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

Individually scored

Quality

87.59

Improvement Activities

Reported Quality Measures

Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use

100%28 patients

Allergic Rhinitis: Intranasal Corticosteroids or Oral Antihistamines

88%755 patients4/55-star benchmark: 89%

Documentation of Current Medications in the Medical Record

98%3,105 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

56%1,529 patients2/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. ABRAHAM JOSHUA ZIMM M.D.

Otolaryngology (Plastic Surgery within the Head & Neck)

1421 3RD AVE, 4TH FLR
NEW YORK, NY 10028

New York County (212) 327-4600

DR. KRISTEN P. CALABRESE AU.D.

Audiologist

1421 3RD AVE, 4TH FLOOR
NEW YORK, NY 10028

New York County (212) 792-3900

DAVID SEIDMAN MD PC.

Otolaryngology (Facial Plastic Surgery)

1421 3RD AVE, 4TH FLR
NEW YORK, NY 10028

New York County (212) 861-3700

QUEENS AUDIOLOGY, PLLC

Audiologist

1421 3RD AVE
NEW YORK, NY 10028

New York County (212) 792-3900

HEART RHYTHM ASSOCIATES PLLC

Internal Medicine (Clinical Cardiac Electrophysiology)

1421 3RD AVE, 5TH FLOOR
NEW YORK, NY 10028

New York County (212) 390-1020

THOMAS JASON MARSDEN M.S.

Audiologist

1421 3RD AVE, 4TH FLOOR
NEW YORK, NY 10028

New York County (212) 879-3836

ROSENBAUM & ROSENFELD RADIOLOGY, LLP

Radiology (Diagnostic Radiology)

1421 3RD AVE
NEW YORK, NY 10028

New York County (212) 744-5538

DR. LARA S SEDER DO

Internal Medicine

1421 3RD AVE
NEW YORK, NY 10028

New York County (212) 584-2619

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 David Edelstein's NPI number?

The NPI number for David Edelstein is 1063570083. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is David Edelstein located?

David Edelstein practices at 1421 3rd Ave 4th Flr, New York, NY 10028. The listed phone number is (212) 452-1500.

What is David Edelstein's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Is David Edelstein enrolled in Medicare?

Yes. David Edelstein 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.

Is David Edelstein affiliated with any hospitals?

According to CMS data, David Edelstein is affiliated with Lenox Hill Hospital and Maimonides Medical Center.

When was this NPI record last updated?

The NPPES record for David Edelstein was last updated on August 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.