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DR. JEFFREY STEINBERG M.D.
NPI 1538129259
Urology in Southbridge, MA

Active since March 25, 2006PECOS EnrolledAccepts Medicare Assignment
90.5/100
CMS Quality Rating
79 SAYLES ST, SOUTHBRIDGE, MA 01550(508) 765-7886(508) 765-7877 Get Directions Write a Review

NPPES record last updated: June 10, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jeffrey Steinberg M.d. NPPES

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

DR. JEFFREY STEINBERG M.D. (NPI 1538129259) is an individual urology provider in Southbridge, Massachusetts, licensed in Massachusetts (70473) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Health - Harrington Hospital, and is a graduate of Temple University School Of Medicine (1986).

NPPES Registry Identity

NPI1538129259
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. JEFFREY STEINBERGCredential: M.D.
Location Address79 SAYLES STSouthbridge, MA 01550-1729
Mailing AddressPo Box 40Southbridge, MA 01550-0040 · (508) 909-7799 · Fax (508) 909-7750
Phone(508) 765-7886
Fax(508) 765-7877
Sole ProprietorYes
Medical School CMSTemple University School Of MedicineGraduated 1986
Enumeration DateMarch 25, 2006
Last NPPES UpdateJune 10, 2014
✔ NPI 1538129259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in MA · 70473
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
79 SAYLES ST, Southbridge, MA 01550
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Other Identifiers 3

Medicare UPINE16252MA
Medicare ID-Type UnspecifiedJ08883MA · Medicare Number
Medicaid3050734MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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. Jeffrey Steinberg 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 ID9234026345
PECOS Enrollment IDI20040303000392
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 11

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 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.
615 services439 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
398 services301 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.
273 services169 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
190 services151 patients
Limited ultrasound scan behind abdominal cavity 76775
A limited ultrasound scan behind the abdominal cavity is a non-invasive imaging method that helps visualize structures in the back of your abdomen. This procedure uses sound waves to create pictures of these areas, assisting in diagnosing certain conditions.
178 services149 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
168 services143 patients

Hospital Affiliations CMS Care Compare 3

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

Umass Memorial Health - Harrington Hospital

Acute Care Hospitals · Southbridge, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220019
Location100 South StreetSouthbridge, MA 01550 · Worcester County
Emergency services

Milford Regional Medical Center

Acute Care Hospitals · Milford, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220090
Location14 Prospect StreetMilford, MA 01757 · Worcester County
Emergency services Birthing friendly

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01550 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

90.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Promoting Interoperability100
Improvement Activities40
Cost68.35

Reported Quality Measures

Breast Cancer Screening
84%108 patients4/55-star benchmark: 93%
Cervical Cancer Screening
78%77 patients4/55-star benchmark: 98%
Colorectal Cancer Screening
79%732 patients4/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
97%2,246 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
99%450 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
86%529 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
0%767 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers13 claims4,050 services$1.69 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
1 supplier12 claims2,160 services$6.17 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
4 suppliers27 claims62 services$7.70 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
2 suppliers11 claims46 services$6.41 avg. paid by Medicare
Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each A4432
DME-Orthotic Devices · category DF010N
1 supplier11 claims320 services$3.33 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

C. SCOTT KOENIG
Obstetrics & Gynecology (Gynecology)
79 SAYLES ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 764-3200
PAULA M SHONAK N.P.
Nurse Practitioner (Acute Care)
79 SAYLES ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 764-6041
NICOLE MARIE LYNN FILLIPON D.O.
Internal Medicine (Cardiovascular Disease)
79 SAYLES ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 764-6041
COREY SCOTT KOENIG DO
Obstetrics & Gynecology
79 SAYLES ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 764-3200

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 Jeffrey Steinberg's NPI number?

The NPI number for Jeffrey Steinberg is 1538129259. It was assigned to this individual provider in the NPPES registry on March 25, 2006.

Where is Jeffrey Steinberg located?

Jeffrey Steinberg practices at 79 Sayles St, Southbridge, MA 01550. The listed phone number is (508) 765-7886.

What is Jeffrey Steinberg's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Jeffrey Steinberg enrolled in Medicare?

Yes. Jeffrey Steinberg 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.

What insurance does Jeffrey Steinberg accept?

Health plans from Anthem Blue Cross and Blue Shield list Jeffrey Steinberg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jeffrey Steinberg affiliated with any hospitals?

According to CMS data, Jeffrey Steinberg is affiliated with Umass Memorial Health - Harrington Hospital, Milford Regional Medical Center and Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Jeffrey Steinberg was last updated on June 10, 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.