DR. LAURIE JILL KIRSTEIN MD
NPI 1285677922
Surgery in New York, NY


Quality Rating: 80.21 out of 100 score

NPI Status: Active since June 13, 2006

Contact Information

300 E 66TH ST
NEW YORK, NY
ZIP 10065
Phone: (646) 888-5206
Fax: (646) 888-4921

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  • Individual
  • Female
  • Years of Experience 25
  • Surgery
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About LAURIE KIRSTEIN

This page provides the complete NPI Profile along with additional information for Laurie Kirstein, a provider established in New York, New York with a medical specialization in Surgery and more than 25 years of experience. She graduated from State University Of New York Downstate Medical Center in 2001. The healthcare provider is registered in the NPI registry with number 1285677922 assigned on June 2006. The practitioner's primary taxonomy code is 208600000X with license number 250647 (NY). The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI
1285677922
Provider Name
DR. LAURIE JILL KIRSTEIN MD
Gender
Female
Entity Type
Individual
Location Address
300 E 66TH ST NEW YORK, NY 10065
Location Phone
(646) 888-5206
Location Fax
(646) 888-4921
Mailing Address
300 E 66TH ST NEW YORK, NY 10065
Mailing Phone
(646) 888-5206
Mailing Fax
(646) 888-4921
Medical School Name
STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduation Year
2001
Is Sole Proprietor?
No
Enumeration Date
06-13-2006
Last Update Date
06-06-2016
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A surgeon like Laurie Kirstein treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
License No.
250647
License State
NY
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208600000XAllopathic & Osteopathic Physicians

Surgery

227808 (MA)
22086X0206XAllopathic & Osteopathic Physicians

Surgery
Surgical Oncology

25MA08240300 (NJ)

Medicare Participation & PECOS Enrollment Status

Laurie Kirstein is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Laurie Kirstein is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 840295812

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20070927000493, I20090319000232

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Biopsy or removal of deep lymph nodes of underarm

A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.

This service was performed 29 times for 29 patients

Established patient office or other outpatient visit, 10-19 minutes

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

This service was performed 14 times for 13 patients

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 191 times for 177 patients

Established patient office or other outpatient visit, 30-39 minutes

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.

This service was performed 11 times for 11 patients

Imaging of lymph nodes during surgery

Imaging of lymph nodes during surgery involves taking detailed pictures of your lymph nodes to help surgeons see and assess them in real-time. This procedure can aid in detecting disease, guiding treatment, and improving surgical precision.

This service was performed 26 times for 26 patients

Mastectomy

A mastectomy is a surgical procedure that involves the removal of all or part of the breast tissue. This is often done to treat or prevent conditions related to abnormal cell growth. There are different types, ranging from removing only the breast tissue to also removing nearby structures. The approach depends on individual health circumstances.

This service was performed for 120 patients

Melanoma (skin cancer) excision

Melanoma excision is a procedure where a surgeon removes melanoma, a type of skin cancer, and some surrounding healthy tissue. Local anesthesia is applied to numb the area. The goal is to completely remove the cancer and prevent its spread. Healing time varies.

This service was performed for 1-10 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 17 times for 17 patients

New patient office or other outpatient visit, 60-74 minutes

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.

This service was performed 89 times for 89 patients

Partial removal of breast

A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.

This service was performed 78 times for 69 patients

Simple complete removal of breast

This procedure involves the total removal of breast tissue. It's typically done to treat or prevent conditions like cancer. The operation involves an incision on the skin, removal of the tissue, and closure of the wound. Post-surgery, care and recovery plans are provided.

This service was performed 19 times for 19 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $25.51 for a new patient copayment and $20.36 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 10065 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $102.04
  • Minimum New Patient Price $65.69
  • Maximum New Patient Price $198.19
  • Average New Patient Copayment $25.51
  • Minimum New Patient Copayment $16.42
  • Maximum New Patient Copayment $49.54

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $81.44
  • Minimum Established Patient Price $21.2
  • Maximum Established Patient Price $160.66
  • Average Established Patient Copayment $20.36
  • Minimum Established Patient Copayment $5.3
  • Maximum Established Patient Copayment $40.16

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 80.21, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 80.21 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 72.49

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: N/A

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285677922
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221651271494
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 1 + 2 + 7 + 1 + 4 + 9 + 4 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1285677922 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

DENA RAHMAN

Pharmacist

300 E 66TH ST
NEW YORK, NY
ZIP 10065

(646) 888-5402

DR. KIEN NGO PHARMD

Pharmacist

300 E 66TH ST
NEW YORK, NY
ZIP 10065

(646) 888-5402

SUSAN WAN

Pharmacist

300 E 66TH ST
NEW YORK, NY
ZIP 10065

(646) 888-5402

CATHY SENDER

Pharmacist

300 E 66TH ST
3RD FLOOR
NEW YORK, NY
ZIP 10065

(888) 646-5402

MELISSA M LEE-TEH PHARMD

Pharmacist

300 E 66TH ST
NEW YORK, NY
ZIP 10065

(646) 888-5430

MR. KAMAL KUMAR KHUSHWANI R.PH.

Pharmacist

300 E 66TH ST
PHARMACY
NEW YORK, NY
ZIP 10065

(646) 888-5430

MS. CATHERINE Y CHAN PHARM D

Pharmacist

300 E 66TH ST
NEW YORK, NY
ZIP 10065

(646) 888-5402

KRISTEN COGNETTI NP

Nurse Practitioner

(Acute Care)

300 E 66TH ST
NEW YORK, NY
ZIP 10065

(646) 888-5086

DR. MAEVE AINE LOWERY MD

Student in an Organized Health Care Education/Training Program

300 E 66TH ST
NEW YORK, NY
ZIP 10065

(646) 888-4543

DR. CLARE A D'ARCY MBBCHBAO

Student in an Organized Health Care Education/Training Program

300 E 66TH ST
MEMORIAL SLOAN KETTERING CENTER
NEW YORK, NY
ZIP 10065

(646) 888-5093

KAREN DRUCKER NP

Nurse Practitioner

(Adult Health)

300 E 66TH ST
NEW YORK, NY
ZIP 10065

(646) 888-5479

CARA ANSELMO MS, RD, CDN

Dietitian, Registered

300 E 66TH ST
NEW YORK, NY
ZIP 10065

(646) 888-4880

MRS. RACHEL FISCHER MPA, RD, CDN

Dietitian, Registered

300 E 66TH ST
ROOM 941
NEW YORK, NY
ZIP 10065

(646) 888-5373

DR. GEORGE PLITAS M.D.

Surgery

(Surgical Oncology)

300 E 66TH ST
EVELYN H. LAUDER BREAST CENTER
NEW YORK, NY
ZIP 10065

(646) 888-4587

MS. NANCY ELIZABETH EDMONDS NP

Nurse Practitioner

(Adult Health)

300 E 66TH ST
MEMORIAL SLOAN KETTERING EVELYN H. LAUDER BREAST CENTER
NEW YORK, NY
ZIP 10065

(646) 888-4661

DR. GEOFFREY YUYAT KU MD

Internal Medicine

(Medical Oncology)

300 E 66TH ST
NEW YORK, NY
ZIP 10065

(646) 888-4306

ADRIANA OLIVO N.P.

Nurse Practitioner

(Adult Health)

300 E 66TH ST
NEW YORK, NY
ZIP 10065

(646) 888-4599

MS. KATHLEEN T KEENAN NP

Nurse Practitioner

(Adult Health)

300 E 66TH ST
7TH FLOOR
NEW YORK, NY
ZIP 10065

(646) 888-5482

MRS. JENNIFER MARY CAGNEY MSN

Nurse Practitioner

(Adult Health)

300 E 66TH ST
NEW YORK, NY
ZIP 10065

(646) 888-4854

DR. ROISIN EILISH O'CEARBHAILL MB BCH

Internal Medicine

(Medical Oncology)

300 E 66TH ST
MEMORIAL SLOAN-KETTERING CANCER CENTER
NEW YORK, NY
ZIP 10065

(646) 888-4227

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285677922, enumerated as an "individual" on June 13, 2006.

The provider is located at 300 E 66TH ST NEW YORK, NY 10065 and the phone number is (646) 888-5206.

Surgery with taxonomy code 208600000X.