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DR. LANCE RICHARD BRUCK
NPI 1396890075
Obstetrics & Gynecology in Bronx, NY

Active since January 24, 2007PECOS Enrolled
93.71/100
CMS Quality Rating
1601 TENBROECK AVE, BRONX, NY 10461(718) 430-8701 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lance Richard Bruck NPPES

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

DR. LANCE RICHARD BRUCK (NPI 1396890075) is an individual obstetrics & gynecology provider in Bronx, New York, licensed in New York (200006) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of New York Medical College (1993).

NPPES Registry Identity

NPI1396890075
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. LANCE RICHARD BRUCK
Location Address1601 TENBROECK AVEBronx, NY 10461-2007
Mailing Address42 Rock Shelter RdWaccabuc, NY 10597-1034
Phone(718) 430-8701
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 1993
Enumeration DateJanuary 24, 2007
Last NPPES UpdateOctober 9, 2024
NPPES CertifiedOctober 9, 2024
✔ NPI 1396890075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NY · 200006
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1601 TENBROECK AVE, Bronx, NY 10461
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Other Identifiers 1

Medicaid01833898NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lance Richard Bruck is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759466576
PECOS Enrollment IDI20151124001764
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.

Hospital Affiliations CMS Care Compare

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

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10461 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
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

KATIE RAE FORMAN D.O.
Pediatrics (Neonatal-Perinatal Medicine)
1601 TENBROECK AVE, 2ND FLOOR
BRONX, NY 10461
Bronx County (718) 904-4105
HYE J HEO
Obstetrics & Gynecology
1601 TENBROECK AVE, 1ST FL
BRONX, NY 10461
Bronx County (516) 663-3020
TOMAS HAVRANEK MD
Pediatrics (Neonatal-Perinatal Medicine)
1601 TENBROECK AVE
BRONX, NY 10461
Bronx County (314) 440-9242

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 Lance Bruck's NPI number?

The NPI number for Lance Bruck is 1396890075. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Lance Bruck located?

Lance Bruck practices at 1601 Tenbroeck Ave, Bronx, NY 10461. The listed phone number is (718) 430-8701.

What is Lance Bruck's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Lance Bruck enrolled in Medicare?

Yes. Lance Bruck is registered in the Medicare PECOS enrollment system.

Is Lance Bruck affiliated with any hospitals?

According to CMS data, Lance Bruck is affiliated with Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Lance Bruck was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.