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DR. NEIL HERBSMAN M.D.
NPI 1447210687
Internal Medicine - Gastroenterology in Bronx, NY

Active since March 23, 2006PECOS Enrolled
100/100
CMS Quality Rating
1600 HERING AVE, BRONX, NY 10461(718) 577-2079(718) 709-5582 Get Directions Write a Review

NPPES record last updated: March 8, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Neil Herbsman M.d. NPPES

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

DR. NEIL HERBSMAN M.D. (NPI 1447210687) is an individual gastroenterology provider in Bronx, New York, licensed in New York (182917) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Icahn School Of Medicine At Mount Sinai (1989).

NPPES Registry Identity

NPI1447210687
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. NEIL HERBSMANCredential: M.D.
Location Address1600 HERING AVEBronx, NY 10461-2006
Mailing Address1600 Hering AveBronx, NY 10461-2006 · (718) 577-2079 · Fax (718) 709-5582
Phone(718) 577-2079
Fax(718) 709-5582
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 1989
Enumeration DateMarch 23, 2006
Last NPPES UpdateMarch 8, 2014
✔ NPI 1447210687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in NY · 182917✔ Licensed in CT · 034421
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1600 HERING AVE, Bronx, NY 10461
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified17N021NY
Medicare UPING22562NY

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. Neil Herbsman M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991994881
PECOS Enrollment IDI20110112000837
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.

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.
40 services39 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.
35 services23 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
23 services23 patients
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.
19 services16 patients
Imaging of digestive tract done from the inside of the digestive tract 91110
This procedure, known as an endoscopy, involves a small camera being passed into the digestive tract. It helps doctors to see the inside of your digestive system in detail. This can aid in diagnosing conditions or planning treatments. It's generally safe and can provide valuable information.
15 services15 patients
Imaging of digestive tract done from the inside of the digestive tract 91110
This procedure, known as an endoscopy, involves a small camera being passed into the digestive tract. It helps doctors to see the inside of your digestive system in detail. This can aid in diagnosing conditions or planning treatments. It's generally safe and can provide valuable information.
14 services11 patients

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
$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.

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

Other Providers at the Same Location NPPES 2

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

DR. CARL ANDERSON M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1600 HERING AVE
BRONX, NY 10461
Bronx County (212) 978-3873
GASTROENTEROLOGY OF THE BRONX, PLLC
Internal Medicine (Gastroenterology)
1600 HERING AVE
BRONX, NY 10461
Bronx County (718) 577-2079

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 Neil Herbsman's NPI number?

The NPI number for Neil Herbsman is 1447210687. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Neil Herbsman located?

Neil Herbsman practices at 1600 Hering Ave, Bronx, NY 10461. The listed phone number is (718) 577-2079.

What is Neil Herbsman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Neil Herbsman enrolled in Medicare?

Yes. Neil Herbsman is registered in the Medicare PECOS enrollment system.

Is Neil Herbsman affiliated with any hospitals?

According to CMS data, Neil Herbsman is affiliated with Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Neil Herbsman was last updated on March 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.