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DR. WALTER PIDDOUBNY M.D.
NPI 1528327897
Psychiatry & Neurology - Psychiatry in New York, NY

Active since May 08, 2012PECOS EnrolledAccepts Medicare Assignment
98.52/100
CMS Quality Rating
109 W 27TH ST STE 5S, NEW YORK, NY 10001(833) 351-8255 Get Directions Write a Review

NPPES record last updated: July 19, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 19, 2024, Oct 13, 2023, Jun 22, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Walter Piddoubny M.d. NPPES

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

DR. WALTER PIDDOUBNY M.D. (NPI 1528327897) is an individual psychiatry provider in New York, New York, licensed in New York (281449) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Philadelphia, and is a graduate of State University Of New York At Buffalo School Of Medicine (2012).

NPPES Registry Identity

NPI1528327897
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. WALTER PIDDOUBNYCredential: M.D.
Location Address109 W 27TH ST STE 5SNew York, NY 10001-6208
Mailing Address109 W 27th StNew York, NY 10001-0265 · (917) 634-5311 · Fax (888) 815-3583
Phone(833) 351-8255
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2012
Enumeration DateMay 8, 2012
Last NPPES UpdateJuly 19, 20244 updates tracked since enumeration
NPPES CertifiedJuly 17, 2024
✔ NPI 1528327897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in NY · 281449✔ Licensed in PA · MD482018
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.
109 W 27TH ST STE 5S, New York, NY 10001
Open in Google Maps ↗

Secondary Practice Location 1

Location 12418 E York StPhiladelphia, PA 19125-3006 · Phone (833) 351-8255

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. Walter Piddoubny 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 ID6204103567
PECOS Enrollment IDI20170517001869
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 2

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.
167 services22 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.
151 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10001 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
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

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.

HALLIE KNOPF MD
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST STE 5S
NEW YORK, NY 10001
New York County (917) 634-5311
PETER TRUONG MD
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST STE 5S
NEW YORK, NY 10001
New York County (917) 634-5311
DR. PAMELA CATHERINE SHAY DO
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST STE 5S
NEW YORK, NY 10001
New York County (917) 634-5311
DR. ADEEB YACOUB M.D.
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST STE 5S
NEW YORK, NY 10001
New York County (833) 351-8255
ROSHNI PANCHAL MD
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST STE 5S
NEW YORK, NY 10001
New York County (917) 634-5311
DR. NINA SARAH JACOBS MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
109 W 27TH ST STE 5S
NEW YORK, NY 10001
New York County (833) 351-8255
KAITLYN NIEWIAROWICZ
Counselor (Mental Health)
109 W 27TH ST STE 5S
NEW YORK, NY 10001
New York County (833) 351-8255
DR. DANIEL AZZOPARDI MD
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST STE 5S
NEW YORK, NY 10001
New York County (646) 687-2556

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 Walter Piddoubny's NPI number?

The NPI number for Walter Piddoubny is 1528327897. It was assigned to this individual provider in the NPPES registry on May 8, 2012.

Where is Walter Piddoubny located?

Walter Piddoubny practices at 109 W 27th St Ste 5S, New York, NY 10001. The listed phone number is (833) 351-8255.

What is Walter Piddoubny's specialty?

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

Is Walter Piddoubny enrolled in Medicare?

Yes. Walter Piddoubny 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 Walter Piddoubny was last updated on July 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.