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DR. DAVID KALKSTEIN MD, PHD
NPI 1215923255
Psychiatry & Neurology - Psychiatry in Philadelphia, PA

Active since September 26, 2005PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
1919 CHESTNUT ST, APT 2002, PHILADELPHIA, PA 19103(610) 716-3715 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. David Kalkstein Md, Phd NPPES

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

DR. DAVID KALKSTEIN MD, PHD (NPI 1215923255) is an individual psychiatry provider in Philadelphia, Pennsylvania, licensed in Delaware (C1-0005516) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Miami, Lm Miller School Of Medicine (1979).

NPPES Registry Identity

NPI1215923255
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. DAVID KALKSTEINCredential: MD, PHD
Location Address1919 CHESTNUT ST, APT 2002Philadelphia, PA 19103-3433
Mailing Address18947 John J Williams Hwy, Ste 210Rehoboth Beach, DE 19971-4474 · (302) 478-7981 · Fax (302) 644-1737
Phone(610) 716-3715
Sole ProprietorYes
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1979
Enumeration DateSeptember 26, 2005
Last NPPES UpdateApril 6, 2021
NPPES CertifiedApril 6, 2021
✔ NPI 1215923255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in DE · C1-0005516✔ Licensed in PA · MD023723E
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1919 CHESTNUT ST, Philadelphia, PA 19103
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Other Identifiers 2

Other1663245DE · Blue Shield
Other1663245PA · Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Highmark Blue Cross Blue Shield Delaware.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. David Kalkstein Md, Phd 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 ID6305851395
PECOS Enrollment IDI20091217000444, I20100114000433
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.

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.
414 services64 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
183 services29 patients
Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
183 services62 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.
65 services53 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
34 services16 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19103 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
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Other Providers at the Same Location NPPES 10

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

EDGARDO PAREYNO ARQUITOLA PT
Physical Therapist
1919 CHESTNUT ST, SUITE 104
PHILADELPHIA, PA 19103
Philadelphia County (215) 564-1110
DR. JOEL F. DAVIDSON D.D.S.
Dentist (General Practice)
1919 CHESTNUT ST, SUITE 101
PHILADELPHIA, PA 19103
Philadelphia County (215) 561-5559
DR. HELENE MORGAN DICHTER PHD
Psychologist
1919 CHESTNUT ST, APT 1504
PHILADELPHIA, PA 19103
Philadelphia County (215) 635-5525
CARMEL LEVINE PT
Physical Therapist
1919 CHESTNUT ST, APT. 1314
PHILADELPHIA, PA 19103
Philadelphia County (215) 568-7073
IRENE MUSTEN O.D.
Optometrist (Corneal and Contact Management)
1919 CHESTNUT ST, SUITE #105
PHILADELPHIA, PA 19103
Philadelphia County (215) 563-8440
DR. KAREN MARIE WRIGLEY-HAAK O.D.
Optometrist
1919 CHESTNUT ST, SUITE 105
PHILADELPHIA, PA 19103
Philadelphia County (215) 563-8440
AILEEN MALLARI ARQUITOLA PT
Physical Therapist
1919 CHESTNUT ST, SUITE 104
PHILADELPHIA, PA 19103
Philadelphia County (215) 564-1110
DR. LAURENCE B MILLER M.D.
Psychiatry & Neurology (Psychiatry)
1919 CHESTNUT ST, APT 1717
PHILADELPHIA, PA 19103
Philadelphia County (610) 664-5775

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 Kalkstein's NPI number?

The NPI number for David Kalkstein is 1215923255. It was assigned to this individual provider in the NPPES registry on September 26, 2005.

Where is David Kalkstein located?

David Kalkstein practices at 1919 Chestnut St Apt 2002, Philadelphia, PA 19103. The listed phone number is (610) 716-3715.

What is David Kalkstein's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is David Kalkstein enrolled in Medicare?

Yes. David Kalkstein 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 David Kalkstein accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list David Kalkstein 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.

When was this NPI record last updated?

The NPPES record for David Kalkstein was last updated on April 6, 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.