DR. ADRIENNE HEATHER MANDELBERGER M.D.
NPI 1558704148
Obstetrics & Gynecology in Port Washington, NY

Active since April 12, 2013Opted out of Medicare · through Sep 23, 2026
110 MAIN ST STE 103, PORT WASHINGTON, NY 11050(516) 853-7891(631) 350-8467 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Adrienne Heather Mandelberger M.d. NPPES

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

DR. ADRIENNE HEATHER MANDELBERGER M.D. (NPI 1558704148) is an individual obstetrics & gynecology provider in Port Washington, New York, licensed in New York (289293) and active in the NPI registry since April 2013. She has opted out of Medicare through September 23, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1558704148
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. ADRIENNE HEATHER MANDELBERGERCredential: M.D.
Location Address110 MAIN ST STE 103Port Washington, NY 11050-2861
Mailing Address110 Main St Ste 103Port Washington, NY 11050-2861 · (516) 853-7891
Fax(631) 350-8467
Sole ProprietorYes
Enumeration DateApril 12, 2013
Last NPPES UpdateJuly 23, 2025
NPPES CertifiedJuly 23, 2025
NPI 1558704148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in NY · 289293
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
110 MAIN ST STE 103, Port Washington, NY 11050

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Adrienne Heather Mandelberger M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 23, 2024 through September 23, 2026.

Opt-Out Effective DateSeptember 23, 2024
Opt-Out In Effect ThroughSeptember 23, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims 3

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
29 services29 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
25 services25 patients
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.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11050 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
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

Other Providers at the Same Location NPPES

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

Clinic/Center (Medical Specialty)
110 MAIN ST STE 103
PORT WASHINGTON, NY 11050

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 Adrienne Mandelberger's NPI number?

The NPI number for Adrienne Mandelberger is 1558704148. It was assigned to this individual provider in the NPPES registry on April 12, 2013.

Where is Adrienne Mandelberger located?

Adrienne Mandelberger practices at 110 Main St Ste 103, Port Washington, NY 11050. The listed phone number is (516) 853-7891.

What is Adrienne Mandelberger's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Adrienne Mandelberger enrolled in Medicare?

No. Adrienne Mandelberger has opted out of Medicare through September 23, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Adrienne Mandelberger was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.