EDWARD GELMANN
NPI 1285632067
Internal Medicine - Medical Oncology in New York, NY

Active since July 14, 2005PECOS EnrolledAccepts Medicare Assignment
97.64/100
CMS Quality Rating
177 FT WASHINGTN AVE, MHB 6N435, NEW YORK, NY 10032(212) 305-8602 Get Directions Write a Review

NPPES record last updated: October 27, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edward Gelmann NPPES

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

EDWARD GELMANN (NPI 1285632067) is an individual medical oncology provider in New York, New York, licensed in New York (243717) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Stanford University School Of Medicine (1976).

NPPES Registry Identity

NPI1285632067
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameEDWARD GELMANN
Location Address177 FT WASHINGTN AVE, MHB 6N435New York, NY 10032-3733
Mailing Address177 Ft Washingtn Ave, Mhb 6n435New York, NY 10032-3733 · (212) 305-8602
Sole ProprietorNo
Medical School CMSStanford University School Of MedicineGraduated 1976
Enumeration DateJuly 14, 2005
Last NPPES UpdateOctober 27, 2014
NPI 1285632067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License Licensed in NY · 243717
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
177 FT WASHINGTN AVE, New York, NY 10032

Other Identifiers 2

Medicare UPINE13394
Medicare PIN000Y14G93DC

Accepted 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

Edward Gelmann 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 ID1951402130
PECOS Enrollment IDI20190409003386
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 3

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.
357 services155 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
290 services101 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
79 services79 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 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
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

97.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.77
Promoting Interoperability98.67
Improvement Activities40

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.

Physician Assistant
177 FT WASHINGTN AVE
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
177 FT WASHINGTN AVE
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
177 FT WASHINGTN AVE
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
177 FT WASHINGTN AVE
NEW YORK, NY 10032
Physician Assistant
177 FT WASHINGTN AVE, MILSTEIN BUILDING 8SK ROOM 8-004
NEW YORK, NY 10032
Nurse Practitioner (Adult Health)
177 FT WASHINGTN AVE
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
177 FT WASHINGTN AVE
NEW YORK, NY 10032
Internal Medicine (Medical Oncology)
177 FT WASHINGTN AVE, MHB 6GN 435
NEW YORK, NY 10032

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 Edward Gelmann's NPI number?

The NPI number for Edward Gelmann is 1285632067. It was assigned to this individual provider in the NPPES registry on July 14, 2005.

Where is Edward Gelmann located?

Edward Gelmann practices at 177 Ft Washingtn Ave Mhb 6n435, New York, NY 10032. The listed phone number is (212) 305-8602.

What is Edward Gelmann's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Edward Gelmann enrolled in Medicare?

Yes. Edward Gelmann 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 Edward Gelmann accept?

Health plans from Blue Cross Blue Shield of Arizona list Edward Gelmann 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 Edward Gelmann was last updated on October 27, 2014. 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.