DR. DAVID MATTHEW SCHWARTZBERG M.D.
NPI 1336439686
Colon & Rectal Surgery in New York, NY

Active since April 07, 2011PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
530 1ST AVE STE 7V, NEW YORK, NY 10016(646) 501-8670(646) 501-9995 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. David Matthew Schwartzberg M.d. NPPES

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

DR. DAVID MATTHEW SCHWARTZBERG M.D. (NPI 1336439686) is an individual colon & rectal surgery provider in New York, New York, licensed in New York (291641) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1336439686
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameDR. DAVID MATTHEW SCHWARTZBERGCredential: M.D.
Location Address530 1ST AVE STE 7VNew York, NY 10016
Mailing Address530 1st Ave Ste 7vNew York, NY 10016-6402 · (646) 501-8670 · Fax (646) 501-9995
Fax(646) 501-9995
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 7, 2011
Last NPPES UpdateSeptember 26, 2023
NPPES CertifiedSeptember 26, 2023
✔ NPI 1336439686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in NY · 291641
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
530 1ST AVE STE 7V, New York, NY 10016

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

Dr. David Matthew Schwartzberg 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 ID840560520
PECOS Enrollment IDI20180830003426
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

6

Medicare enrollment records show David Schwartzberg reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
308 WILLOW AVE
Hoboken, NJ 07030
  • Reassigned Medicare billing, New Jersey enrollment
  • 124 clinicians in this Medicare group
Anesthesiology
622 W 168TH ST
New York, NY 10032
  • Reassigned Medicare billing, New York enrollment
  • 3,922 clinicians in this Medicare group
Diagnostic Radiology
25 ROCKWOOD PL STE 215
Englewood, NJ 07631
  • Reassigned Medicare billing, New Jersey enrollment
  • 149 clinicians in this Medicare group
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
Multi-Specialty
1980 CROMPOND RD
Cortlandt Manor, NY 10567
  • Reassigned Medicare billing, New York enrollment
  • 307 clinicians in this Medicare group
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 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 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.
14 services11 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Lenox Hill Hospital

Acute Care Hospitals · New York, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330119
Location100 East 77th StreetNew York, NY 10021 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
3 suppliers14 claims280 services$3.36 avg. paid by Medicare
Ostomy skin barrier, powder, per oz A4371
DME-Orthotic Devices · category DF010N
1 supplier12 claims12 services$3.53 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
2 suppliers13 claims260 services$8.46 avg. paid by Medicare
Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each A4419
DME-Orthotic Devices · category DF010N
2 suppliers13 claims780 services$1.67 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Colon & Rectal Surgery
530 1ST AVE STE 7V
NEW YORK, NY 10016
Colon & Rectal Surgery
530 1ST AVE STE 7V
NEW YORK, NY 10016
Surgery
530 1ST AVE STE 7V
NEW YORK, NY 10016
Colon & Rectal Surgery
530 1ST AVE STE 7V
NEW YORK, NY 10016
Colon & Rectal Surgery
530 1ST AVE STE 7V
NEW YORK, NY 10016
Physician Assistant
530 1ST AVE STE 7V
NEW YORK, NY 10016

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 David Schwartzberg's NPI number?

The NPI number for David Schwartzberg is 1336439686. It was assigned to this individual provider in the NPPES registry on April 7, 2011.

Where is David Schwartzberg located?

David Schwartzberg practices at 530 1st Ave Ste 7V, New York, NY 10016. The listed phone number is (646) 501-8670.

What is David Schwartzberg's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is David Schwartzberg enrolled in Medicare?

Yes. David Schwartzberg 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 David Schwartzberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Schwartzberg reassigns Medicare benefits to 6 organizations: New Jersey Medical And Health Associates,llc (Hoboken, NJ), Trustees Of Columbia University In The City Of New York (New York, NY), Columbia Doctors Of New Jersey, P. C. (Englewood, NJ), North Shore - Lij Medical PC (New Hyde Park, NY), The Westchester Medical Practice, PC (Cortlandt Manor, NY) and 1 more organization, listed in the Medicare section above. 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 David Schwartzberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is David Schwartzberg affiliated with any hospitals?

According to CMS data, David Schwartzberg is affiliated with North Shore University Hospital and Lenox Hill Hospital.

When was this NPI record last updated?

The NPPES record for David Schwartzberg was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.