SHELLEY E WERTHEIM MD
NPI 1225026560
Radiology - Diagnostic Radiology in New York, NY

Active since October 11, 2005PECOS EnrolledAccepts Medicare Assignment
87.72/100
CMS Quality Rating
61 E 77TH ST, NEW YORK, NY 10075(212) 772-3111(212) 861-1796 Get Directions Write a Review

NPPES record last updated: April 30, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shelley E Wertheim Md NPPES

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

SHELLEY E WERTHEIM MD (NPI 1225026560) is an individual diagnostic radiology provider in New York, New York, licensed in New York (162959) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and is a graduate of State University Of New York Downstate Medical Center (1984).

NPPES Registry Identity

NPI1225026560
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameSHELLEY E WERTHEIMCredential: MD
Location Address61 E 77TH STNew York, NY 10075-1817
Mailing Address61 E 77th StNew York, NY 10075-1817 · (212) 772-3111 · Fax (212) 861-1796
Fax(212) 861-1796
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1984
Enumeration DateOctober 11, 2005
Last NPPES UpdateApril 30, 2014
NPI 1225026560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in NY · 162959
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

61 E 77TH ST, New York, NY 10075

Other Identifiers 2

Medicare ID-Type Unspecified78F361
Medicare UPINE89088

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

Shelley E Wertheim 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 ID2769382480
PECOS Enrollment IDI20040109000860
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 12

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.

Injection, gadoterate meglumine, 0.1 ml A9575
Gadoterate meglumine is a contrast agent used in MRI scans to help visualize certain areas of your body more clearly. It's injected into your bloodstream, typically through a vein in your arm, and helps doctors get more detailed images.
10,550 services62 patients
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
1,910 services26 patients
Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
150 services150 patients
Mri scan of upper spinal canal without contrast 72141
An MRI scan of the upper spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your upper spine. This helps doctors identify issues such as injuries, infections or diseases. No dye is used.
59 services59 patients
Ct scan of face without contrast 70486
A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.
55 services55 patients
Mri scan of brain before and after contrast 70553
An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.
52 services52 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10075 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.

87.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 17

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

Radiology (Diagnostic Radiology)
61 E 77TH ST, LENOX HILL RADIOLOGY AND MEDICAL IMAGING ASSOC.
NEW YORK, NY 10075
Radiology (Diagnostic Radiology)
61 E 77TH ST
NEW YORK, NY 10075
Radiology (Diagnostic Radiology)
61 E 77TH ST, LENOX HILL RADIOLOGY
NEW YORK, NY 10075
Radiology (Radiation Oncology)
61 E 77TH ST
NEW YORK, NY 10075
Radiology (Diagnostic Radiology)
61 E 77TH ST
NYC, NY 10075
Radiology (Diagnostic Radiology)
61 E 77TH ST
NEW YORK, NY 10075
Radiology (Diagnostic Radiology)
61 E 77TH ST
NEW YORK, NY 10075
Radiology (Diagnostic Radiology)
61 E 77TH ST
NEW YORK, NY 10075

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 Shelley Wertheim's NPI number?

The NPI number for Shelley Wertheim is 1225026560. It was assigned to this individual provider in the NPPES registry on October 11, 2005.

Where is Shelley Wertheim located?

Shelley Wertheim practices at 61 E 77th St, New York, NY 10075. The listed phone number is (212) 772-3111.

What is Shelley Wertheim's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Shelley Wertheim enrolled in Medicare?

Yes. Shelley Wertheim 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.

When was this NPI record last updated?

The NPPES record for Shelley Wertheim was last updated on April 30, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.