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DR. HERBERT ALAN INSEL M.D.
NPI 1356427652
Internal Medicine - Cardiovascular Disease in New York, NY

Active since October 29, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
30 E 40TH ST, RM 1100, NEW YORK, NY 10016(212) 360-1800 Get Directions Write a Review

NPPES record last updated: April 21, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Herbert Alan Insel M.d. NPPES

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

DR. HERBERT ALAN INSEL M.D. (NPI 1356427652) is an individual cardiovascular disease provider in New York, New York, licensed in New York (144356) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of State University Of New York Downstate Medical Center (1979).

NPPES Registry Identity

NPI1356427652
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. HERBERT ALAN INSELCredential: M.D.
Location Address30 E 40TH ST, RM 1100New York, NY 10016-1203
Mailing Address30 E 40th St, Rm 1100New York, NY 10016-1203 · (212) 360-1800
Phone(212) 360-1800
Sole ProprietorYes
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1979
Enumeration DateOctober 29, 2006
Last NPPES UpdateApril 21, 2017
✔ NPI 1356427652 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 · 144356
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.
30 E 40TH ST, New York, NY 10016
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINB05056NY

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

Dr. Herbert Alan Insel 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 ID1658371935
PECOS Enrollment IDI20070110000574
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 8

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 low level od decision making, if using time, 20 minutes or more 99213
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.
534 services226 patients
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.
508 services240 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.
154 services96 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
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.
136 services92 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
124 services123 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
40 services40 patients

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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

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.

MICHELLE WAH
Dentist (General Practice)
30 E 40TH ST
NEW YORK, NY 10016
New York County (646) 362-3368
DR. CHARLES POLLAK DDS
Dentist (General Practice)
30 E 40TH ST, PENTHOUSE
NEW YORK, NY 10016
New York County (212) 682-3861
DR. HOWARD NORMAN AARONSON D.D.S.
Dentist (Endodontics)
30 E 40TH ST, SUITE 305
NEW YORK, NY 10016
New York County (212) 689-6555
SUSAN FISH
Physical Therapist
30 E 40TH ST, SUITE 403
NEW YORK, NY 10016
New York County (212) 686-2826
DR. HILARY B KERN MD
Specialist
30 E 40TH ST, SUITE 1200
NEW YORK, NY 10016
New York County (212) 686-7229
COLLEEN COURNOT DDS & JENNY M. LEE DDS, PLLC
Dentist
30 E 40TH ST, SUITE 900
NEW YORK, NY 10016
New York County (212) 682-0770
PEDIATRIC DENTAL ASSOCIATES
Dentist (Pediatric Dentistry)
30 E 40TH ST, SUITE 503
NEW YORK, NY 10016
New York County (212) 986-2039
DR. MICHAEL COHN D.D.S.
Dentist
30 E 40TH ST, SUITE 703
NEW YORK, NY 10016
New York County (212) 685-6790

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 Herbert Insel's NPI number?

The NPI number for Herbert Insel is 1356427652. It was assigned to this individual provider in the NPPES registry on October 29, 2006.

Where is Herbert Insel located?

Herbert Insel practices at 30 E 40th St Rm 1100, New York, NY 10016. The listed phone number is (212) 360-1800.

What is Herbert Insel's specialty?

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

Is Herbert Insel enrolled in Medicare?

Yes. Herbert Insel 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.

When was this NPI record last updated?

The NPPES record for Herbert Insel was last updated on April 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.