RICHARD SHAPIRO M.D.
NPI 1104827716
Surgery - Surgical Oncology in New York, NY

Active since August 04, 2005PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
160 E 34TH ST, 4TH, NEW YORK, NY 10016(212) 731-5180 Get Directions Write a Review

NPPES record last updated: December 21, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Richard Shapiro M.d. NPPES

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

RICHARD SHAPIRO M.D. (NPI 1104827716) is an individual surgical oncology provider in New York, New York, licensed in New York (186818) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of New York University School Of Medicine (1988).

NPPES Registry Identity

NPI1104827716
Entity TypeIndividualMale
Primary Taxonomy2086X0206X
Provider Legal NameRICHARD SHAPIROCredential: M.D.
Location Address160 E 34TH ST, 4THNew York, NY 10016-4750
Mailing Address160 E 34th St, 4thNew York, NY 10016-4750 · (212) 731-5180
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1988
Enumeration DateAugust 4, 2005
Last NPPES UpdateDecember 21, 2012
NPI 1104827716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License Licensed in NY · 186818
Definition

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

160 E 34TH ST, New York, NY 10016

Other Identifiers 2

Medicare UPINF73841NY
Medicare ID-Type Unspecified328331NY

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

Richard Shapiro 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 ID42275745
PECOS Enrollment IDI20041122000978
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 2024 & 2026 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, 20-29 minutes 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.
476 services352 patients
Established patient office or other outpatient visit, 10-19 minutes 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.
176 services165 patients
New patient office or other outpatient visit, 60-74 minutes 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
119 services119 patients
Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less 13122
This procedure involves the complex repair of a wound on the scalp, arms, or legs. It's more intricate than a regular wound repair, often involving layered sutures, debridement, and tissue rearrangement. The service covers each additional wound up to 5.0 cm in length.
82 services43 patients
Complicated repair of wound of trunk, each additional 5.0 cm or less 13102
This procedure involves the complex repair of a wound located on the body's trunk. It's performed for each additional wound up to 5.0 cm in size. The process includes cleaning, stitching, and dressing the wound to promote healing and prevent infections.
71 services35 patients
Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm 11602
This procedure involves the surgical removal of a cancerous skin growth on the body, arms, or legs. The growth is between 1.1 and 2.0 cm in size. The goal is to eliminate cancer cells and prevent them from spreading to other parts of the body.
51 services47 patients

Hospital Affiliations CMS Care Compare

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

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Referred Medical Equipment & Supplies CMS DME claims

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

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000
DME-Orthotic Devices · category DF000N
3 suppliers14 claims41 services$30.45 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.

Surgery (Surgical Oncology)
160 E 34TH ST, 4TH FLOOR
NEW YORK, NY 10016
Internal Medicine (Hematology & Oncology)
160 E 34TH ST, 9TH FL.
NEW YORK, NY 10016
Radiology (Radiation Oncology)
160 E 34TH ST, LL
NEW YORK, NY 10016
Internal Medicine (Hematology & Oncology)
160 E 34TH ST, 7TH FL
NEW YORK, NY 10016
Internal Medicine (Hematology & Oncology)
160 E 34TH ST, 4TH FL.
NEW YORK, NY 10016
Obstetrics & Gynecology (Gynecologic Oncology)
160 E 34TH ST, 4TH FL.
NEW YORK, NY 10016
Internal Medicine (Hematology & Oncology)
160 E 34TH ST, 4TH FL
NEW YORK, NY 10016
Surgery (Surgical Oncology)
160 E 34TH ST, 4TH FL.
NEW YORK, NY 10016

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104827716, enumerated as an "individual" on August 04, 2005.

The provider is located at 160 E 34TH ST 4TH NEW YORK, NY 10016 and the phone number is (212) 731-5180.

Surgery with taxonomy code 2086X0206X and a focus in Surgical Oncology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Richard Shapiro is affiliated with: NYU LANGONE HOSPITALS.