MARCIA EPSTEIN MD
NPI 1497815559
Internal Medicine - Infectious Disease in Manhasset, NY

Active since December 11, 2006PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
NSUH DEPT OF MED INFECTIOUS DISEASE, 300 COMMUNITY DRIVE, MANHASSET, NY 11030(516) 562-4280 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Marcia Epstein Md NPPES

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

MARCIA EPSTEIN MD (NPI 1497815559) is an individual infectious disease provider in Manhasset, New York, licensed in New York (161866) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Harvard Medical School (1983).

NPPES Registry Identity

NPI1497815559
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameMARCIA EPSTEINCredential: MD
Location AddressNSUH DEPT OF MED INFECTIOUS DISEASE, 300 COMMUNITY DRIVEManhasset, NY 11030
Mailing AddressNsuh Dept Of Med Infectious Disease, Nsuh Dept Of Med Infectious DiseaseManhasset, NY 11030 · (516) 562-4280
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 1983
Enumeration DateDecember 11, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1497815559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License Licensed in NY · 161866
Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

NSUH DEPT OF MED INFECTIOUS DISEASE, Manhasset, NY 11030

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 Epstein 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 ID2668560285
PECOS Enrollment IDI20071115000411
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 7

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Follow-up hospital inpatient care per day, typically 25 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.
1,149 services245 patients
Initial hospital inpatient care per day, typically 70 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.
206 services188 patients
Follow-up hospital inpatient care per day, typically 15 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
118 services69 patients
Follow-up hospital inpatient care per day, typically 35 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.
86 services46 patients
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.
83 services46 patients
Established patient office or other outpatient visit, 40-54 minutes 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.
43 services31 patients

Hospital Affiliations CMS Care Compare

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11030 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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497815559, enumerated as an "individual" on December 11, 2006.

The provider is located at NSUH DEPT OF MED INFECTIOUS DISEASE 300 COMMUNITY DRIVE MANHASSET, NY 11030 and the phone number is (516) 562-4280.

Internal Medicine with taxonomy code 207RI0200X and a focus in Infectious Disease.

Marcia Epstein is affiliated with: NORTH SHORE UNIVERSITY HOSPITAL.