KENNETH HERSHON MD
NPI 1255391017
Internal Medicine - Endocrinology, Diabetes & Metabolism in New Hyde Park, NY

Active since March 24, 2006PECOS EnrolledAccepts Medicare Assignment
89.08/100
CMS Quality Rating
3003 NEW HYDE PARK RD, 201, NEW HYDE PARK, NY 11042(516) 327-0850(516) 327-0920 Get Directions Write a Review

NPPES record last updated: February 8, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kenneth Hershon Md NPPES

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

KENNETH HERSHON MD (NPI 1255391017) is an individual endocrinology, diabetes & metabolism provider in New Hyde Park, New York, licensed in New York (084163-1) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (1976).

NPPES Registry Identity

NPI1255391017
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameKENNETH HERSHONCredential: MD
Location Address3003 NEW HYDE PARK RD, 201New Hyde Park, NY 11042-1214
Mailing Address3003 New Hyde Park Rd, 201New Hyde Park, NY 11042-1214 · (516) 327-0850 · Fax (516) 327-0920
Fax(516) 327-0920
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 1976
Enumeration DateMarch 24, 2006
Last NPPES UpdateFebruary 8, 2017
NPI 1255391017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in NY · 084163-1
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
3003 NEW HYDE PARK RD, New Hyde Park, NY 11042

Other Identifiers 11

Other110005090Railroad Medicare
Other77A041NY · Blue Cross Blue Shield
Other2503329NY · Ghi
Other5511594NY · Cigna
Medicare UPINB19279NY
Other2503329Combined Welfare Fund
Other01013264NY01Anthem
Other31269VVytra
Medicare ID-Type Unspecified77A041NY
OtherN24263Guardian Phcs
Other880059Aetna

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

Kenneth Hershon 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 ID1355340258
PECOS Enrollment IDI20080201000540
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 54

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, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
1,500 services17 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
1,102 services436 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.
1,082 services430 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
1,048 services429 patients
Thyroid hormone, t3 measurement, free 84481
The T3 measurement, free, is a blood test that checks the level of a hormone called triiodothyronine. This hormone is produced by your thyroid, a small gland in your neck. It plays a key role in regulating your body's metabolism and energy use.
1,033 services436 patients
Thyroxine (thyroid chemical), free 84439
The Thyroxine (thyroid chemical), free test is a blood test that measures the level of free T4 in your body. T4 is a hormone produced by your thyroid gland and is essential for growth and metabolism. If your T4 levels are too high or too low, it could indicate a thyroid disorder.
1,032 services436 patients

Hospital Affiliations CMS Care Compare

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11042 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
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

89.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.02
Promoting Interoperability100
Improvement Activities40
Cost53.91

Reported Quality Measures

Diabetes: Foot Exam
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
52%486 patients3/55-star benchmark: 98%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
62%486 patients3/55-star benchmark: 99%
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.
99%2,588 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%6,172 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%23 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.
96%953 patients4/55-star benchmark: 99%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
74%763 patients4/55-star benchmark: 88%
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…
82%953 patients4/55-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…
0%953 patients1/55-star benchmark: 59%
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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
4 suppliers13 claims155 services$18.40 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
4 suppliers12 claims360 services$2.38 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
35 suppliers100 claims352 services$6.41 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers19 claims19 services$2.93 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers31 claims60 services$1.12 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
10 suppliers335 claims335 services$194.10 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 20

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

Internal Medicine (Pulmonary Disease)
3003 NEW HYDE PARK RD, STE. 201
NEW HYDE PARK, NY 11042
Internal Medicine (Cardiovascular Disease)
3003 NEW HYDE PARK RD, SUITE 411
NEW HYDE PARK, NY 11042
Internal Medicine (Cardiovascular Disease)
3003 NEW HYDE PARK RD, STE 406
NEW HYDE PARK, NY 11042
Internal Medicine (Pulmonary Disease)
3003 NEW HYDE PARK RD, SUITE 307
NEW HYDE PARK, NY 11042
Surgery
3003 NEW HYDE PARK RD, SUITE 309
NEW HYDE PARK, NY 11042
Podiatrist (Foot & Ankle Surgery)
3003 NEW HYDE PARK RD, SUITE 312
NEW HYDE PARK, NY 11042
Internal Medicine (Cardiovascular Disease)
3003 NEW HYDE PARK RD, SUITE 411
NEW HYDE PARK, NY 11042
Specialist
3003 NEW HYDE PARK RD, SUITE 307
NEW HYDE PARK, NY 11042

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 Kenneth Hershon's NPI number?

The NPI number for Kenneth Hershon is 1255391017. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Kenneth Hershon located?

Kenneth Hershon practices at 3003 New Hyde Park Rd 201, New Hyde Park, NY 11042. The listed phone number is (516) 327-0850.

What is Kenneth Hershon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Kenneth Hershon enrolled in Medicare?

Yes. Kenneth Hershon 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.

Is Kenneth Hershon affiliated with any hospitals?

According to CMS data, Kenneth Hershon is affiliated with North Shore University Hospital.

When was this NPI record last updated?

The NPPES record for Kenneth Hershon was last updated on February 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.