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MARCIA F KALIN MD
NPI 1366413304
Internal Medicine - Endocrinology, Diabetes & Metabolism in New York, NY

Active since January 29, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1275 YORK AVE, NEW YORK, NY 10021(212) 639-2000 Get Directions Write a Review

NPPES record last updated: August 26, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marcia F Kalin Md NPPES

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

MARCIA F KALIN MD (NPI 1366413304) is an individual endocrinology, diabetes & metabolism provider in New York, New York, licensed in New York (146961) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and is a graduate of Icahn School Of Medicine At Mount Sinai (1980).

NPPES Registry Identity

NPI1366413304
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameMARCIA F KALINCredential: MD
Location Address1275 YORK AVENew York, NY 10021-6007
Mailing Address633 3rd Ave, Box 3New York, NY 10017-6706
Phone(212) 639-2000
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 1980
Enumeration DateJanuary 29, 2006
Last NPPES UpdateAugust 26, 2008
✔ NPI 1366413304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in NY · 146961
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
1275 YORK AVE, New York, NY 10021
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINC07096
Medicare ID-Type Unspecified24E051

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

Marcia F Kalin 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 ID446242044
PECOS Enrollment IDI20040402000005
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
197 services44 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
85 services31 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
76 services41 patients
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.
74 services45 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
71 services65 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 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
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.8
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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
39 suppliers80 claims309 services$6.57 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
23 suppliers43 claims100 services$1.12 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
9 suppliers328 claims328 services$198.13 avg. paid by Medicare
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system K0554
DME-Other DME · category DE017N
1 supplier15 claims15 services$204.42 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 20

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

LIANG DENG MD
Dermatology
1275 YORK AVE
NEW YORK, NY 10021
New York County (646) 227-3813
EGBERT CLAYTON CRNA
Nurse Anesthetist, Certified Registered
1275 YORK AVE
NEW YORK, NY 10021
New York County (646) 227-3813
NORA ZMUIDINS CRNA
Nurse Anesthetist, Certified Registered
1275 YORK AVE
NEW YORK, NY 10021
New York County (646) 227-3813
IRA J DUNKEL MD
Pediatrics (Pediatric Hematology-Oncology)
1275 YORK AVE
NEW YORK, NY 10021
New York County (212) 639-2153
IDANIA FLETE-OLMEDA ANP
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10021
New York County (212) 639-6948
DR. YULIYA LAKHMAN MD
Radiology (Diagnostic Radiology)
1275 YORK AVE, DEPARTMENT OF RADIOLOGY
NEW YORK, NY 10021
New York County (212) 639-6611
GABRIELLA D'ANDREA MD
Internal Medicine (Medical Oncology)
1275 YORK AVE
NEW YORK, NY 10021
New York County (212) 639-2000
MARNI L SHEREN-MANOFF MD
Internal Medicine (Hematology & Oncology)
1275 YORK AVE
NEW YORK, NY 10021
New York County (646) 227-3813

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 Marcia Kalin's NPI number?

The NPI number for Marcia Kalin is 1366413304. It was assigned to this individual provider in the NPPES registry on January 29, 2006.

Where is Marcia Kalin located?

Marcia Kalin practices at 1275 York Ave, New York, NY 10021. The listed phone number is (212) 639-2000.

What is Marcia Kalin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Marcia Kalin enrolled in Medicare?

Yes. Marcia Kalin 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 Marcia Kalin was last updated on August 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.