LARRY P BERSTEIN MD
NPI 1225091663
Ophthalmology in Plainview, NY
Active since April 07, 2006PECOS Enrolled
100/100
CMS Quality Rating
100 MANETTO HILL RD, STE 202, PLAINVIEW, NY 11803(516) 935-9200(516) 935-9220 Get Directions Write a Review
About Larry P Berstein Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LARRY P BERSTEIN MD (NPI 1225091663) is an individual ophthalmology provider in Plainview, New York, licensed in New York (139098) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
NPI1225091663
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameLARRY P BERSTEINCredential: MD
Location Address100 MANETTO HILL RD, STE 202Plainview, NY 11803-1311
Mailing Address100 Manetto Hill Rd, Ste 202Plainview, NY 11803-1311 · (516) 935-9200 · Fax (516) 935-9220
Phone(516) 935-9200
Fax(516) 935-9220
Sole ProprietorYes
Enumeration DateApril 7, 2006
Last NPPES UpdateFebruary 2, 2011
✔ NPI 1225091663 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NY · 139098
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
100 MANETTO HILL RD, Plainview, NY 11803
Other Identifiers 3
Medicaid00703695NY
Medicare ID-Type Unspecified68A722
Medicare UPINB17884
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
✔
Enrolled in Medicare (PECOS)
Larry P Berstein Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11803 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.
100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practiceQuality
100
Improvement Activities
40
Reported Quality Measures
Age-Related Macular Degeneration (AMD): Dilated Macular Examination
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) who had a dilated macular examination performed which included documentation of the presence or absence of macular thickening or geographic atrophy or…
16%240 patients1/55-star benchmark: 100%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
93%252 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus…
100%25 patients5/55-star benchmark: 100%
Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed which included documentation of the level of severity of retinopathy and the presence or absence of macular edema during…
100%26 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
95%7,920 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%1,612 patients5/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%1,614 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
99%2,077 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 91% · 1,808 patients
Patients tobacco: 90% · 1,808 patients
95%74 patients4/55-star benchmark: 98%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
97%144 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
60%2,077 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
1%2,077 patients1/55-star benchmark: 79%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 767 patients
0%767 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.
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.
Nurse Practitioner (Pediatrics)
100 MANETTO HILL RD
PLAINVIEW, NY 11803
PLAINVIEW, NY 11803
Speech-Language Pathologist
100 MANETTO HILL RD, SUITE 101
PLAINVIEW, NY 11803
PLAINVIEW, NY 11803
Dentist (Orthodontics and Dentofacial Orthopedics)
100 MANETTO HILL RD, SUITE 208
PLAINVIEW, NY 11803
PLAINVIEW, NY 11803
Dentist (General Practice)
100 MANETTO HILL RD, SUITE 211
PLAINVIEW, NY 11803
PLAINVIEW, NY 11803
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 Larry Berstein's NPI number?
The NPI number for Larry Berstein is 1225091663. It was assigned to this individual provider in the NPPES registry on April 7, 2006.
Where is Larry Berstein located?
Larry Berstein practices at 100 Manetto Hill Rd Ste 202, Plainview, NY 11803. The listed phone number is (516) 935-9200.
What is Larry Berstein's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Larry Berstein enrolled in Medicare?
Yes. Larry Berstein is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Larry Berstein was last updated on February 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
