DR. YAEL LEHMAN OPPENHEIM M.D.
NPI 1376582338
Internal Medicine - Endocrinology, Diabetes & Metabolism in Rockville Centre, NY

Active since June 05, 2006PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
242 MERRICK RD, SUITE 403, ROCKVILLE CENTRE, NY 11570(516) 536-3700(516) 536-4309 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Yael Lehman Oppenheim M.d. NPPES

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

DR. YAEL LEHMAN OPPENHEIM M.D. (NPI 1376582338) is an individual endocrinology, diabetes & metabolism provider in Rockville Centre, New York, licensed in New York (209107) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Maryland School Of Medicine (1996).

NPPES Registry Identity

NPI1376582338
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. YAEL LEHMAN OPPENHEIMCredential: M.D.
Location Address242 MERRICK RD, SUITE 403Rockville Centre, NY 11570-5254
Mailing Address242 Merrick Rd, Suite 403Rockville Centre, NY 11570-5254 · (516) 536-3700 · Fax (516) 536-4309
Fax(516) 536-4309
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1996
Enumeration DateJune 5, 2006
Last NPPES UpdateMarch 10, 2021
NPPES CertifiedMarch 10, 2021
NPI 1376582338 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 · 209107
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.

242 MERRICK RD, Rockville Centre, NY 11570

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. Yael Lehman Oppenheim 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 ID2961556048
PECOS Enrollment IDI20101101001049
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 9

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, 30-39 minutes 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.
628 services266 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.
543 services264 patients
Diabetes outpatient self-management training services, individual, per 30 minutes G0108
This service involves personalized training sessions, each lasting 30 minutes, to help manage diabetes. It includes guidance on monitoring blood sugar, healthy eating, physical activity, medication usage, and dealing with daily challenges of living with diabetes.
110 services50 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
97 services76 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
87 services52 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
32 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11570 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Referred Medical Equipment & Supplies CMS DME claims 11

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
5 suppliers14 claims171 services$17.69 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
5 suppliers19 claims515 services$2.23 avg. paid by Medicare
Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each A4233
DME-Other DME · category DE017N
4 suppliers16 claims32 services$0.43 avg. paid by Medicare
Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each A4235
DME-Other DME · category DE017N
3 suppliers18 claims23 services$0.81 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
50 suppliers248 claims878 services$6.42 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
8 suppliers59 claims59 services$2.95 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.

Internal Medicine (Hematology & Oncology)
242 MERRICK RD, SUITE 301
ROCKVILLE CENTRE, NY 11570
Internal Medicine (Hematology & Oncology)
242 MERRICK RD, STE 301
ROCKVILLE CENTRE, NY 11570
Internal Medicine (Hematology & Oncology)
242 MERRICK RD, SUITE 301
ROCKVILLE CENTRE, NY 11570
Internal Medicine (Nephrology)
242 MERRICK RD, SUITE 304
ROCKVILLE CENTRE, NY 11570
Internal Medicine (Nephrology)
242 MERRICK RD, STE 304
ROCKVILLE CENTRE, NY 11570
Internal Medicine (Nephrology)
242 MERRICK RD, SUITE 304
ROCKVILLE CENTRE, NY 11570
Internal Medicine (Nephrology)
242 MERRICK RD, STE 304
ROCKVILLE CENTRE, NY 11570
Internal Medicine (Nephrology)
242 MERRICK RD, SUITE 304
ROCKVILLE CENTRE, NY 11570

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 Yael Oppenheim's NPI number?

The NPI number for Yael Oppenheim is 1376582338. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Yael Oppenheim located?

Yael Oppenheim practices at 242 Merrick Rd Suite 403, Rockville Centre, NY 11570. The listed phone number is (516) 536-3700.

What is Yael Oppenheim's specialty?

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

Is Yael Oppenheim enrolled in Medicare?

Yes. Yael Oppenheim 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 Yael Oppenheim was last updated on March 10, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.