MICHAEL PAUL BERNSTEIN MD
NPI 1356345326
Internal Medicine - Cardiovascular Disease in Albany, NY

Active since June 08, 2005PECOS EnrolledAccepts Medicare Assignment
86.32/100
CMS Quality Rating
7 SOUTHWOODS BLVD, CAPITAL CARDIOLOGY ASSOCIATES PC, ALBANY, NY 12211(518) 292-6000(518) 292-6050 Get Directions Write a Review

NPPES record last updated: January 30, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Paul Bernstein Md NPPES

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

MICHAEL PAUL BERNSTEIN MD (NPI 1356345326) is an individual cardiovascular disease provider in Albany, New York, licensed in New York (159944) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with St Peter's Hospital, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1356345326
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameMICHAEL PAUL BERNSTEINCredential: MD
Location Address7 SOUTHWOODS BLVD, CAPITAL CARDIOLOGY ASSOCIATES PCAlbany, NY 12211-2526
Mailing Address7 Southwoods Blvd, Capital Cardiology Associates PcAlbany, NY 12211-2526 · (518) 292-6000 · Fax (518) 292-6050
Fax(518) 292-6050
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateJune 8, 2005
Last NPPES UpdateJanuary 30, 2015
NPI 1356345326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NY · 159944
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
7 SOUTHWOODS BLVD, Albany, NY 12211

Other Identifiers 5

Medicaid1016374VT
Medicare UPINE15875NY
Medicaid110082248AMA
Medicaid01185033NY
Medicare PINJ400002567NY

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

Michael Paul Bernstein Md 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 ID2365599529
PECOS Enrollment IDI20090406000406
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 31

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
1,002 services598 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.
968 services539 patients
Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month 99426
Principal care management services focus on managing a single high-risk disease. This involves a health care professional directing clinical staff for the first 30 minutes each month. The aim is to monitor your health, coordinate care, and provide necessary support for your disease management.
464 services136 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
428 services126 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
319 services110 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
263 services217 patients

Hospital Affiliations CMS Care Compare 3

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

St Peter's Hospital

Acute Care Hospitals · Albany, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330057
Location315 South Manning BoulevardAlbany, NY 12208 · Albany County
Emergency services Birthing friendly

Columbia Memorial Hospital

Acute Care Hospitals · Hudson, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330094
Location71 Prospect AvenueHudson, NY 12534 · Columbia County
Emergency services

Samaritan Hospital Of Troy, New York

Acute Care Hospitals · Troy, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330180
Location2215 Burdett AvenueTroy, NY 12180 · Rensselaer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12211 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

86.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality73.8
Promoting Interoperability94
Improvement Activities40
Cost85.63

Reported Quality Measures

Controlling High Blood Pressure
63%278 patients3/55-star benchmark: 91%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
57%28 patients3/55-star benchmark: 99%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
65%257 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
94%3,338 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
98%1,948 patients5/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
30%1,096 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 98% · 886 patients
Patients screened: 98% · 886 patients
100%109 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
56%990 patients1/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
74%1,137 patients3/55-star benchmark: 91%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
7 SOUTHWOODS BLVD, CAPITAL CARDIOLOGY ASSOCIATES, PC DIV OF CARDIO SURGERY
ALBANY, NY 12211
Internal Medicine (Cardiovascular Disease)
7 SOUTHWOODS BLVD, CAPITAL CARDIOLOGY ASSOCIATES PC
ALBANY, NY 12211
Nurse Practitioner (Acute Care)
7 SOUTHWOODS BLVD, CAPITAL CARDIOLOGY ASSOCIATES PC
ALBANY, NY 12211
Internal Medicine (Cardiovascular Disease)
7 SOUTHWOODS BLVD, CAPITAL CARDIOLOGY ASSOCIATES, PC
ALBANY, NY 12211
Surgery
7 SOUTHWOODS BLVD
ALBANY, NY 12211
Internal Medicine (Cardiovascular Disease)
7 SOUTHWOODS BLVD, CAPITAL CARDIOLOGY ASSOCIATES, PC
ALBANY, NY 12211
Internal Medicine (Cardiovascular Disease)
7 SOUTHWOODS BLVD
ALBANY, NY 12211
Nurse Practitioner (Adult Health)
7 SOUTHWOODS BLVD
ALBANY, NY 12211

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 Michael Bernstein's NPI number?

The NPI number for Michael Bernstein is 1356345326. It was assigned to this individual provider in the NPPES registry on June 8, 2005.

Where is Michael Bernstein located?

Michael Bernstein practices at 7 Southwoods Blvd Capital Cardiology Associates PC, Albany, NY 12211. The listed phone number is (518) 292-6000.

What is Michael Bernstein's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Michael Bernstein enrolled in Medicare?

Yes. Michael Bernstein 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.

Is Michael Bernstein affiliated with any hospitals?

According to CMS data, Michael Bernstein is affiliated with St Peter's Hospital, Columbia Memorial Hospital and Samaritan Hospital Of Troy, New York.

When was this NPI record last updated?

The NPPES record for Michael Bernstein was last updated on January 30, 2015. 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.