DAVID WINSLOW PIERCE MD
NPI 1497765119
Psychiatry & Neurology - Psychiatry in Herkimer, NY

Active since August 08, 2006PECOS EnrolledAccepts Medicare Assignment
86.64/100
CMS Quality Rating
205 N MAIN ST, HERKIMER, NY 13350(262) 687-2380 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About David Winslow Pierce Md NPPES

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

DAVID WINSLOW PIERCE MD (NPI 1497765119) is an individual psychiatry provider in Herkimer, New York, licensed in New York (200894) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Troy, and is a graduate of Columbia University College Of Physicians And Surgeons (1998).

NPPES Registry Identity

NPI1497765119
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDAVID WINSLOW PIERCECredential: MD
Location Address205 N MAIN STHerkimer, NY 13350-1918
Mailing Address1400 Noyes StUtica, NY 13502-3854 · (315) 738-3800 · Fax (315) 738-4414
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1998
Enumeration DateAugust 8, 2006
Last NPPES UpdateApril 28, 2025
NPPES CertifiedApril 28, 2025
✔ NPI 1497765119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NY · 200894
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X · License 200894 (NY)
205 N MAIN ST, Herkimer, NY 13350

Secondary Practice Location 1

Location 12215 Burdett AveTroy, NY 12180-2466 · Phone (518) 833-6470 · Fax (518) 271-3682

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David Winslow Pierce 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 ID6204939895
PECOS Enrollment IDI20210219001579
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.

Medicare Billing Reassignments

4

Medicare enrollment records show David Pierce reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
1 ATWELL RD
Cooperstown, NY 13326
  • Reassigned Medicare billing, New York enrollment
  • 1,052 clinicians in this Medicare group
Mental Health
10 MCKOWN RD STE 102
Albany, NY 12203
  • Reassigned Medicare billing, New York enrollment
  • 41 clinicians in this Medicare group
General Acute Care Hospital
2215 BURDETT AVE
Troy, NY 12180
  • Reassigned Medicare billing, New York enrollment
  • 725 clinicians in this Medicare group
Anesthesiology
100 WOODS RD, TAYLOR PAVILION - ROOM M229
Valhalla, NY 10595
  • Reassigned Medicare billing, New York enrollment
  • 1,663 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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 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.
135 services64 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
53 services21 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.
52 services32 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
30 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13350 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
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

86.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.13
Promoting Interoperability74
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

Psychiatry & Neurology (Psychiatry)
205 N MAIN ST
HERKIMER, NY 13350
Registered Nurse
205 N MAIN ST
HERKIMER, NY 13350
Registered Nurse
205 N MAIN ST
HERKIMER, NY 13350
Registered Nurse (Psychiatric/Mental Health, Adult)
205 N MAIN ST
HERKIMER, NY 13350
Social Worker (Clinical)
205 N MAIN ST
HERKIMER, NY 13350
Registered Nurse (Psychiatric/Mental Health)
205 N MAIN ST
HERKIMER, NY 13350
Social Worker (Clinical)
205 N MAIN ST
HERKIMER, NY 13350
Social Worker
205 N MAIN ST
HERKIMER, NY 13350

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 David Pierce's NPI number?

The NPI number for David Pierce is 1497765119. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is David Pierce located?

David Pierce practices at 205 N Main St, Herkimer, NY 13350. The listed phone number is (262) 687-2380.

What is David Pierce's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is David Pierce enrolled in Medicare?

Yes. David Pierce 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.

Which organizations bill Medicare for David Pierce's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Pierce reassigns Medicare benefits to 4 organizations: Mary Imogene Bassett Hospital (Cooperstown, NY), Pinnacle Behavioral Health Ipa PLLC (Albany, NY), Samaritan Hospital Of Troy, New York (Troy, NY) and Westchester Medical Center Advanced Physician Services PC (Valhalla, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Pierce's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for David Pierce was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.