NICHOLAS A HOERTER MD
NPI 1063830453
Internal Medicine - Gastroenterology in New York, NY

Active since April 02, 2014PECOS EnrolledAccepts Medicare Assignment
5 E 98TH ST, NEW YORK, NY 10029(212) 241-4299(212) 426-5099 Get Directions Write a Review

NPPES record last updated: February 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 17, 2021, Feb 3, 2021, Nov 1, 2019 and 1 more (4 updates tracked since 2017).

About Nicholas A Hoerter Md NPPES

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

NICHOLAS A HOERTER MD (NPI 1063830453) is an individual gastroenterology provider in New York, New York, licensed in New York (282896) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1063830453
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameNICHOLAS A HOERTERCredential: MD
Location Address5 E 98TH STNew York, NY 10029-6501
Mailing Address150 E 42nd St Fl 9New York, NY 10017-5699 · (646) 605-8186
Fax(212) 426-5099
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 2014
Enumeration DateApril 2, 2014
Last NPPES UpdateFebruary 17, 20214 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2021
NPI 1063830453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in NY · 282896
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
5 E 98TH ST, New York, NY 10029

Secondary Practice Locations 2

Location 11 Gustave L Levy PlNew York, NY 10029-6504 · Phone (212) 241-4299 · Fax (212) 426-5099
Location 21468 Madison AveNew York, NY 10029-6508 · Phone (212) 241-6500

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

Nicholas A Hoerter 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 ID2668740259
PECOS Enrollment IDI20210804001898
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 14

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.
93 services68 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
61 services58 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
58 services45 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.
32 services29 patients
Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43259
This procedure involves a flexible tube with a camera, called an endoscope, inserted through your mouth to examine your esophagus, stomach, and upper small bowel. An ultrasound device on the endoscope helps get detailed images. It's safe and helps diagnose various conditions.
28 services28 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.
28 services28 patients

Hospital Affiliations CMS Care Compare 2

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

Mount Sinai Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330024
LocationOne Gustave L Levy PlaceNew York, NY 10029 · New York County
Emergency services Birthing friendly

Mount Sinai St Luke's Roosevelt Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330046
Location1000 Tenth AvenueNew York, NY 10019 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

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.

Nurse Practitioner (Family)
5 E 98TH ST
NEW YORK, NY 10029
Psychologist (Clinical)
5 E 98TH ST
NEW YORK, NY 10029
Physician Assistant
5 E 98TH ST
NEW YORK, NY 10029
Allergy & Immunology
5 E 98TH ST
NEW YORK, NY 10029
Orthopaedic Surgery
5 E 98TH ST, BOX 1188
NEW YORK, NY 10029
Internal Medicine (Rheumatology)
5 E 98TH ST
NEW YORK, NY 10029
Physician Assistant
5 E 98TH ST, 6TH FLOOR UROLOGY
NEW YORK, NY 10029
Specialist
5 E 98TH ST
NEW YORK, NY 10029

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 Nicholas Hoerter's NPI number?

The NPI number for Nicholas Hoerter is 1063830453. It was assigned to this individual provider in the NPPES registry on April 2, 2014.

Where is Nicholas Hoerter located?

Nicholas Hoerter practices at 5 E 98th St, New York, NY 10029. The listed phone number is (212) 241-4299.

What is Nicholas Hoerter's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Nicholas Hoerter enrolled in Medicare?

Yes. Nicholas Hoerter 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 Nicholas Hoerter affiliated with any hospitals?

According to CMS data, Nicholas Hoerter is affiliated with Mount Sinai Hospital and Mount Sinai St Luke's Roosevelt Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Hoerter was last updated on February 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.