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DR. ARI EDELSTEIN MD
NPI 1558371591
Ophthalmology in Kew Gardens, NY

Active since August 09, 2006PECOS EnrolledAccepts Medicare Assignment
12510 QUEENS BLVD, SUITE 322, KEW GARDENS, NY 11415(718) 263-5252(718) 544-5938 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ari Edelstein Md NPPES

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

DR. ARI EDELSTEIN MD (NPI 1558371591) is an individual ophthalmology provider in Kew Gardens, New York, licensed in New York (125875) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian/queens, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (1974).

NPPES Registry Identity

NPI1558371591
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. ARI EDELSTEINCredential: MD
Location Address12510 QUEENS BLVD, SUITE 322Kew Gardens, NY 11415-1519
Mailing Address12510 Queens Blvd, Suite 322Kew Gardens, NY 11415-1519 · (718) 263-5252 · Fax (718) 544-5938
Phone(718) 263-5252
Fax(718) 544-5938
Sole ProprietorYes
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 1974
Enumeration DateAugust 9, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1558371591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NY · 125875
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
12510 QUEENS BLVD, Kew Gardens, NY 11415
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified13287
Medicaid00306249NY
Medicare UPINB88057

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. Ari Edelstein 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 ID8224210968
PECOS Enrollment IDI20110316000836
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 9

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
331 services246 patients
Extended exam of the back part of the eye with optic nerve drawing 92202
This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.
135 services133 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
102 services62 patients
Extended exam of the back part of the eye with retinal drawing 92201
This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.
84 services81 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
54 services54 patients
Extended exam of the back part of the eye with retinal drawing 92201
This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian/Queens

Acute Care Hospitals · Flushing, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330055
Location56-45 Main StreetFlushing, NY 11355 · Queens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11415 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
2%44 patients1/55-star benchmark: 100%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
50%44 patients2/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
95%519 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%582 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
11%278 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 24% · 105 patients
24%105 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
60%303 patients3/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 101 patients
0%101 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.

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.

CARRIE A. PALMER, LLC
Ophthalmology
12510 QUEENS BLVD, STE. 911
KEW GARDENS, NY 11415
Queens County (646) 265-7635
SHIRLEY V. LEON M.S. SPED
Specialist
12510 QUEENS BLVD
KEW GARDENS, NY 11415
Queens County (718) 593-4121
OLGA A BURZYANTSEVA M.D.
Internal Medicine (Cardiovascular Disease)
12510 QUEENS BLVD, STE 2701
KEW GARDENS, NY 11415
Queens County (718) 261-0444
ACHIEVED OCCUPATIONAL THERAPY ASSISTANT CARE, PLLC
Early Intervention Provider Agency
12510 QUEENS BLVD, UNIT #9A
KEW GARDENS, NY 11415
Queens County (718) 857-1800
MARIAN DAVID, MD, PC
Specialist
12510 QUEENS BLVD, SUITE 2701
KEW GARDENS, NY 11415
Queens County (718) 261-0444
BEVERLY NICHOLS
Specialist
12510 QUEENS BLVD
KEW GARDENS, NY 11415
Queens County (718) 459-5592
DR. CHAIM MEIR MOELLER M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
12510 QUEENS BLVD, STE 2701
KEW GARDENS, NY 11415
Queens County (718) 261-0444
DR. PETER R NIYAZOV PHARMD
Pharmacist
12510 QUEENS BLVD
KEW GARDENS, NY 11415
Queens County (718) 520-3460

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 Ari Edelstein's NPI number?

The NPI number for Ari Edelstein is 1558371591. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Ari Edelstein located?

Ari Edelstein practices at 12510 Queens Blvd Suite 322, Kew Gardens, NY 11415. The listed phone number is (718) 263-5252.

What is Ari Edelstein's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Ari Edelstein enrolled in Medicare?

Yes. Ari Edelstein 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.

Is Ari Edelstein affiliated with any hospitals?

According to CMS data, Ari Edelstein is affiliated with New York-Presbyterian/Queens.

When was this NPI record last updated?

The NPPES record for Ari Edelstein was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.