MARGARET HEATHER EINSTEIN M.D.
NPI 1295791705
Obstetrics & Gynecology - Gynecologic Oncology in Hartford, CT

Active since April 24, 2006PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
80 SEYMOUR STREET, HARTFORD HOSPITAL GYN ONCOLOGY DEPT, HARTFORD, CT 06102(860) 545-4341 Get Directions Write a Review

NPPES record last updated: May 27, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Margaret Heather Einstein M.d. NPPES

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

MARGARET HEATHER EINSTEIN M.D. (NPI 1295791705) is an individual gynecologic oncology provider in Hartford, Connecticut, licensed in Connecticut (049701) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of Icahn School Of Medicine At Mount Sinai (2003).

NPPES Registry Identity

NPI1295791705
Entity TypeIndividualFemale
Primary Taxonomy207VX0201X
Provider Legal NameMARGARET HEATHER EINSTEINCredential: M.D.
Location Address80 SEYMOUR STREET, HARTFORD HOSPITAL GYN ONCOLOGY DEPTHartford, CT 06102-5037
Mailing AddressP.o. Box 415933, Hartford Hospital Professional ServicesBoston, MA 02241-5933 · (860) 545-7602
Sole ProprietorYes
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 2003
Enumeration DateApril 24, 2006
Last NPPES UpdateMay 27, 2011
✔ NPI 1295791705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
Licenses✔ Licensed in CT · 049701✔ Licensed in WI · 48104
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 48104 (WI)
80 SEYMOUR STREET, Hartford, CT 06102

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Margaret Heather Einstein M.d. 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 ID3870667728
PECOS Enrollment IDI20110606000414
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Margaret Einstein reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
General Acute Care Hospital
80 SEYMOUR ST
Hartford, CT 06102
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,333 clinicians in this Medicare group
Surgery
85 SEYMOUR ST STE 415
Hartford, CT 06106
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,921 clinicians in this Medicare group
Surgery
1290 SILAS DEANE HWY, ATTN: LINDA STRAKA
Wethersfield, CT 06109
  • Reassigned Medicare billing, Connecticut enrollment
  • 747 clinicians in this Medicare group
Hospitalist
100 GRAND ST
New Britain, CT 06052
  • Reassigned Medicare billing, Connecticut enrollment
  • 745 clinicians in this Medicare group
Family Medicine
80 SHUNPIKE RD, SUITE 301
Cromwell, CT 06416
  • Reassigned Medicare billing, Connecticut enrollment
  • 147 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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 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.
14 services11 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.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06102 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
$183.10 typical visit price
range $60.82 – $183.10
Typical copayment $45.77 (range $15.20 – $45.77)
Most-billed visit code 99205
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.37
Promoting Interoperability100
Improvement Activities40
Cost56.52

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 (Surgical)
80 SEYMOUR STREET, HARTFORD HOSPITAL SURGERY DEPT
HARTFORD, CT 06102
Dietitian, Registered
80 SEYMOUR STREET, HARTFORD HOSPITAL FOOD & NUTRITION SERVICES
HARTFORD, CT 06102
Thoracic Surgery (Cardiothoracic Vascular Surgery)
80 SEYMOUR STREET, CARDIAC SURGERY
HARTFORD, CT 06102
Psychiatry & Neurology (Psychiatry)
80 SEYMOUR STREET, HARTFORD HOSPITAL
HARTFORD, CT 06102
Physician Assistant (Medical)
80 SEYMOUR STREET, HARTFORD HOSPITAL MEDICINE DEPT
HARTFORD, CT 06102
Physician Assistant (Medical)
80 SEYMOUR STREET, HARTFORD HOSPITAL EMERGENCY MEDICINE
HARTFORD, CT 06102
Student in an Organized Health Care Education/Training Program
80 SEYMOUR STREET
HARTFORD, CT 06102
Physician Assistant
80 SEYMOUR STREET, HARTFORD HOSPITAL SURGERY DEPT
HARTFORD, CT 06102

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 Margaret Einstein's NPI number?

The NPI number for Margaret Einstein is 1295791705. It was assigned to this individual provider in the NPPES registry on April 24, 2006.

Where is Margaret Einstein located?

Margaret Einstein practices at 80 Seymour Street Hartford Hospital Gyn Oncology Dept, Hartford, CT 06102. The listed phone number is (860) 545-4341.

What is Margaret Einstein's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Is Margaret Einstein enrolled in Medicare?

Yes. Margaret Einstein 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.

Which organizations bill Medicare for Margaret Einstein's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Margaret Einstein reassigns Medicare benefits to 5 organizations: Hartford Hospital (Hartford, CT), Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT), Hartford Healthcare Medical Group, Inc (Wethersfield, CT), The Hospital Of Central Connecticut At New Britain General And Bradley (New Britain, CT) and Mhs Primary Care (Cromwell, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Margaret Einstein's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Margaret Einstein accept?

Health plans from Anthem Blue Cross and Blue Shield list Margaret Einstein 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 Margaret Einstein was last updated on May 27, 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.