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DAVID L HIRSCH DDS, MD
NPI 1124038427
Dentist - Oral and Maxillofacial Surgery in New York, NY

Active since August 09, 2006PECOS Enrolled
91.25/100
CMS Quality Rating
366 5TH AVE, SUITE 709, NEW YORK, NY 10001(212) 629-3223(212) 629-3466 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About David L Hirsch Dds, Md NPPES

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

DAVID L HIRSCH DDS, MD (NPI 1124038427) is an individual oral and maxillofacial surgery provider in New York, New York, licensed in New York (048346) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Lenox Hill Hospital, and is a graduate of New York University School Of Medicine (2003).

NPPES Registry Identity

NPI1124038427
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDAVID L HIRSCHCredential: DDS, MD
Location Address366 5TH AVE, SUITE 709New York, NY 10001-2211
Mailing Address366 5th Ave, Suite 709New York, NY 10001-2211 · (212) 629-3223 · Fax (212) 629-3466
Phone(212) 629-3223
Fax(212) 629-3466
Sole ProprietorYes
Medical School CMSNew York University School Of MedicineGraduated 2003
Enumeration DateAugust 9, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1124038427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in NY · 048346
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
366 5TH AVE, New York, NY 10001
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David L Hirsch Dds, Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325141310
PECOS Enrollment IDI20070831000687
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.

Medicare Billing Reassignments

4

Medicare enrollment records show David Hirsch reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lenox Otolaryngology Head & Neck Surgery PC
Same address
Oral & Maxillofacial Surgery
366 5TH AVE RM 709
New York, NY 10001
  • Reassigned Medicare billing, New York enrollment
  • 6 clinicians in this Medicare group
NPI 1689871238 (212) 629-3223
North Shore Long Island Jewish Health Care Inc
2.1 mi
Internal Medicine
176 E 77TH ST
New York, NY 10075
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Northwell Healthcare Inc
  • 211 clinicians in this Medicare group
NPI 1912338385 (212) 744-1852
White Hall Dental, PC
15 mi
Dentist
27005 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 20 clinicians in this Medicare group
NPI 1376268821 (718) 470-7110
Black Hall Dental, P.C.
15 mi
Oral and Maxillofacial Surgery
400 COMMUNITY DR
Manhasset, NY 11030
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Black Hall Dental PC
  • 12 clinicians in this Medicare group
NPI 1356091516 (516) 562-4525

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 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.
19 services19 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.
18 services15 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services14 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.
14 services14 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

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10001 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
3 suppliers13 claims390 services$2.62 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
2 suppliers11 claims4,458 services$0.27 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 2

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

NY DENTAL IMPLANTS & COSMETICS CORP
Dentist (General Practice)
366 5TH AVE, SUITE 709
NEW YORK, NY 10001
New York County (646) 763-8282
MANHATTAN MAXILLOFACIAL SURGERY, PLLC
Dentist (Oral and Maxillofacial Surgery)
366 5TH AVE, RM 709
NEW YORK, NY 10001
New York County (212) 629-3223

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 Hirsch's NPI number?

The NPI number for David Hirsch is 1124038427. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is David Hirsch located?

David Hirsch practices at 366 5th Ave Suite 709, New York, NY 10001. The listed phone number is (212) 629-3223.

What is David Hirsch's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is David Hirsch enrolled in Medicare?

Yes. David Hirsch is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for David Hirsch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Hirsch reassigns Medicare benefits to 4 organizations: Lenox Otolaryngology Head & Neck Surgery PC (New York, NY), North Shore Long Island Jewish Health Care Inc (New York, NY), White Hall Dental, PC (New Hyde Park, NY) and Black Hall Dental, P.C. (Manhasset, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Hirsch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Hirsch accept?

Health plans from Humana list David Hirsch 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 David Hirsch affiliated with any hospitals?

According to CMS data, David Hirsch is affiliated with Lenox Hill Hospital and Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for David Hirsch was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.