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GERALD S WEINSTEIN MD
NPI 1265423081
Internal Medicine - Gastroenterology in Watertown, NY

Active since November 01, 2005PECOS EnrolledAccepts Medicare Assignment
96.64/100
CMS Quality Rating
228 SHERMAN ST, WATERTOWN, NY 13601(315) 788-9849(315) 788-9458 Get Directions Write a Review

NPPES record last updated: March 20, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Gerald S Weinstein Md NPPES

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

GERALD S WEINSTEIN MD (NPI 1265423081) is an individual gastroenterology provider in Watertown, New York, licensed in New York (144232) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Samaritan Medical Center, and is a graduate of Other (1977).

NPPES Registry Identity

NPI1265423081
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameGERALD S WEINSTEINCredential: MD
Location Address228 SHERMAN STWatertown, NY 13601-3612
Mailing Address228 Sherman StWatertown, NY 13601-3612 · (315) 788-9849 · Fax (315) 788-9458
Phone(315) 788-9849
Fax(315) 788-9458
Sole ProprietorYes
Medical School CMSOtherGraduated 1977
Enumeration DateNovember 1, 2005
Last NPPES UpdateMarch 20, 2015
✔ NPI 1265423081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NY · 144232
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
228 SHERMAN ST, Watertown, NY 13601
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Other Identifiers 3

Medicare PINAA1013NY
Medicare UPINC59262NY
Medicaid00816353NY

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

Gerald S Weinstein 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 ID8022290287
PECOS Enrollment IDI20110309000177
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 9

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 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.
203 services136 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
194 services194 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
136 services136 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
94 services92 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
84 services84 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
49 services49 patients

Hospital Affiliations CMS Care Compare

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

Samaritan Medical Center

Acute Care Hospitals · Watertown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330157
Location830 Washington StreetWatertown, NY 13601 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13601 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

96.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality99.99
Improvement Activities40
Cost88.82

Reported Quality Measures

Breast Cancer Screening
0%485 patients1/55-star benchmark: 93%
Cervical Cancer Screening
0%391 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
77%30 patients4/55-star benchmark: 87%
Colorectal Cancer Screening
75%1,157 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
95%200 patients5/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
94%1,793 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%706 patients1/55-star benchmark: 100%
HIV Screening
0%961 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
17%1,616 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%1,616 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
13%1,569 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 2% · 135 patients
2%135 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 760 patients
Patients totalRate: 1% · 760 patients
1%760 patients4/55-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 2

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

GERALD STEVEN WEINSTEIN
Internal Medicine (Gastroenterology)
228 SHERMAN ST
WATERTOWN, NY 13601
Jefferson County (315) 788-9849
MS. JUDITH ANNE MALONEY ANP
Nurse Practitioner (Adult Health)
228 SHERMAN ST
WATERTOWN, NY 13601
Jefferson County (315) 788-9849

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 Gerald Weinstein's NPI number?

The NPI number for Gerald Weinstein is 1265423081. It was assigned to this individual provider in the NPPES registry on November 1, 2005.

Where is Gerald Weinstein located?

Gerald Weinstein practices at 228 Sherman St, Watertown, NY 13601. The listed phone number is (315) 788-9849.

What is Gerald Weinstein's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Gerald Weinstein enrolled in Medicare?

Yes. Gerald Weinstein 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 Gerald Weinstein affiliated with any hospitals?

According to CMS data, Gerald Weinstein is affiliated with Samaritan Medical Center.

When was this NPI record last updated?

The NPPES record for Gerald Weinstein was last updated on March 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.