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DR. MICHAEL WEINBERGER MD CM
NPI 1164450110
Emergency Medicine in Ellenville, NY

Active since June 29, 2006PECOS EnrolledAccepts Medicare Assignment
91.73/100
CMS Quality Rating
50 SHOPRITE BLVD, ELLENVILLE, NY 12428(607) 798-5231 Get Directions Write a Review

NPPES record last updated: August 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Michael Weinberger Md Cm NPPES

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

DR. MICHAEL WEINBERGER MD CM (NPI 1164450110) is an individual emergency medicine provider in Ellenville, New York, licensed in New York (211189) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Springhill Medical Center, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1164450110
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. MICHAEL WEINBERGERCredential: MD CM
Location Address50 SHOPRITE BLVDEllenville, NY 12428-5632
Mailing Address237 Van Aernem RdBallston Spa, NY 12020-3830 · (518) 885-0929
Phone(607) 798-5231
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateJune 29, 2006
Last NPPES UpdateAugust 9, 2007
✔ NPI 1164450110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 211189
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedInternal MedicineTaxonomy 207R00000X · License 211189 (NY)
Also ListedPediatricsTaxonomy 208000000X · License 211189 (NY)
50 SHOPRITE BLVD, Ellenville, NY 12428
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Other Identifiers 3

Medicare ID-Type UnspecifiedBB1856NY
Medicare ID-Type UnspecifiedBB2147NY
Medicare UPING26852

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CHRISTUS Health Plan, HMO Louisiana.Insurance ›

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. Michael Weinberger Md Cm 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 ID446233654
PECOS Enrollment IDI20040609000964, I20050304000060
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 6

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
117 services111 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
73 services72 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
52 services50 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
37 services36 patients
Emergency department visit with straightforward medical decision making 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
23 services22 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
15 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Springhill Medical Center

Acute Care Hospitals · Springhill, LA
OwnershipVoluntary non-profit - Private
CMS Certification Number190088
Location2001 Doctors DriveSpringhill, LA 71075 · Webster County
Emergency services

Nathan Littauer Hospital

Acute Care Hospitals · Gloversville, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330276
Location99 East State StreetGloversville, NY 12078 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12428 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
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.

91.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.01
Promoting Interoperability100
Improvement Activities40
Cost70.06

Other Providers at the Same Location NPPES 5

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

WILLIAM BAKEY PA
Physician Assistant
50 SHOPRITE BLVD
ELLENVILLE, NY 12428
Ulster County (845) 647-4500
MISS RONA SEECOF LCSW
Social Worker (Clinical)
50 SHOPRITE BLVD, ELLENVILLE HOSPITAL CAMPUS
ELLENVILLE, NY 12428
Ulster County (845) 647-4500
S AND D MEDICAL, LLP
Radiology (Diagnostic Radiology)
50 SHOPRITE BLVD, ROUTE 209
ELLENVILLE, NY 12428
Ulster County (914) 666-2220
DR. VIDYADHARA A KAGALI M.D.
Family Medicine
50 SHOPRITE BLVD
ELLENVILLE, NY 12428
Ulster County (845) 647-4500
JOSEPH PIET DO
Family Medicine
50 SHOPRITE BLVD
ELLENVILLE, NY 12428
Ulster County (845) 647-4500

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 Michael Weinberger's NPI number?

The NPI number for Michael Weinberger is 1164450110. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Michael Weinberger located?

Michael Weinberger practices at 50 Shoprite Blvd, Ellenville, NY 12428. The listed phone number is (607) 798-5231.

What is Michael Weinberger's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Michael Weinberger enrolled in Medicare?

Yes. Michael Weinberger 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.

What insurance does Michael Weinberger accept?

Health plans from CHRISTUS Health Plan and HMO Louisiana list Michael Weinberger 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 Michael Weinberger affiliated with any hospitals?

According to CMS data, Michael Weinberger is affiliated with Springhill Medical Center and Nathan Littauer Hospital.

When was this NPI record last updated?

The NPPES record for Michael Weinberger was last updated on August 9, 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.