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DR. MERVYN MAX PESKIN M.D.
NPI 1316092695
Psychiatry & Neurology - Psychiatry in New York, NY

Active since January 24, 2007Opted out of Medicare · through Dec 7, 2027
1040 PARK AVE, NEW YORK, NY 10028(212) 876-8020(212) 860-7320 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mervyn Max Peskin M.d. NPPES

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

DR. MERVYN MAX PESKIN M.D. (NPI 1316092695) is an individual psychiatry provider in New York, New York, licensed in New York (127990) and active in the NPI registry since January 2007. He has opted out of Medicare through December 7, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1316092695
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. MERVYN MAX PESKINCredential: M.D.
Location Address1040 PARK AVENew York, NY 10028-1032
Mailing Address1040 Park AveNew York, NY 10028-1032 · (212) 876-8020 · Fax (212) 860-7320
Phone(212) 876-8020
Fax(212) 860-7320
Sole ProprietorYes
Enumeration DateJanuary 24, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1316092695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NY · 127990
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1040 PARK AVE, New York, NY 10028
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Other Identifiers 1

Medicare UPINC08120NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Mervyn Max Peskin M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 7, 2015 through December 7, 2027.

Opt-Out Effective DateDecember 7, 2015
Opt-Out In Effect ThroughDecember 7, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10028 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
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. KAREN WENDY LANDAU MD
Dermatology
1040 PARK AVE
NEW YORK, NY 10028
New York County (212) 861-9600
PARK AVENUE FACIAL SURGERY PLLC
Clinic/Center (Ambulatory Surgical)
1040 PARK AVE, 86TH STREET
NEW YORK, NY 10028
New York County (212) 452-3362

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 Mervyn Peskin's NPI number?

The NPI number for Mervyn Peskin is 1316092695. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Mervyn Peskin located?

Mervyn Peskin practices at 1040 Park Ave, New York, NY 10028. The listed phone number is (212) 876-8020.

What is Mervyn Peskin's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Mervyn Peskin enrolled in Medicare?

No. Mervyn Peskin has opted out of Medicare through December 7, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Mervyn Peskin was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.