DR. MARTIN B ENGELHARDT III D.O NPI 1639178023
Internal Medicine in New Rochelle, NY

Individual Male Years of Experience 30 Internal Medicine PECOS Enrolled Accepts Medicare Approved Payment

About DR. MARTIN B ENGELHARDT III D.O

Martin Engelhardt is an internist established in New Rochelle, New York and his medical specialization is Internal Medicine with more than 30 years of experience. He graduated from Philadelphia College Of Osteopathic Medicine in 1993. The NPI number of Martin Engelhardt is 1639178023 and was assigned on July 2005. The practitioner's primary taxonomy code is 207R00000X with license number 205777 (NY). The provider is registered as an individual and his NPI record was last updated 14 years ago.

NPI
1639178023
Provider NameDR. MARTIN B ENGELHARDT III D.O
Provider Location Address77 QUAKER RIDGE RD SUITE 200A NEW ROCHELLE, NY 10804
Provider Mailing Address1333A NORTH AVE PMB 436 NEW ROCHELLE, NY 10804
GenderMale
NPI Entity TypeIndividual
Medical School NamePHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year1993
Is Sole Proprietor?No
Enumeration Date07-18-2005
Last Update Date08-20-2008

An internist like Dr. Martin B Engelhardt Iii D.o is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.Martin Engelhardt is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Martin Engelhardt is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with White Plains Hospital Center.

The typical physician office visit costs for Medicare beneficiaries in this area are: $40.72 for a new patient copayment and $31.16 for an established patient copayment.



Primary Taxonomy

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.205777
License StateNY
Taxonomy DescriptionA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Business Address

DR. MARTIN B ENGELHARDT III D.O
77 QUAKER RIDGE RD
SUITE 200A
NEW ROCHELLE, NY
ZIP 10804
Phone: (914) 235-8224
Fax: (914) 235-6940

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Mailing Address

DR. MARTIN B ENGELHARDT III D.O
1333A NORTH AVE
PMB 436
NEW ROCHELLE, NY
ZIP 10804
Phone: (914) 233-5822


PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID6507938594
PECOS Enrollment IDI20080709000010
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 10804 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$71.49 $215.02 $162.91
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$17.87 $53.75 $40.72
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$22.05 $174.06 $124.65
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$5.51 $43.51 $31.16

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 1234Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 361Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • 201Administration of influenza virus vaccine (HCPCS:G0008)
  • 181Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • 180Stool analysis for blood to screen for colon tumors (HCPCS:82270)
  • 100Administration of pneumococcal vaccine (HCPCS:G0009)
  • 81Pneumococcal vaccine for injection into muscle (HCPCS:90670)
  • 68Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • 37Measurement and graphic recording of total and timed exhaled air capacity (HCPCS:94010)
  • 15Urinalysis, manual test (HCPCS:81002)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Martin Engelhardt is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
WHITE PLAINS HOSPITAL CENTER41 EAST POST R0AD
WHITE PLAINS, NY 10601
(914) 681-0600Acute Care Hospitals330304

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
G70511MEDICARE UPIN (02)NY
01563395MEDICAID (05)NY
79595ZT7R1MEDICARE PIN (08)NY

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639178023
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2669271604
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 2 + 7 + 1 + 6 + 0 + 4 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1639178023 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1275532822DR. MARIA L WING MD
Individual
Internal Medicine77 QUAKER RIDGE RD SUITE 200A
NEW ROCHELLE, NY 10804
(914) 235-8224
1316946916DR. PAMELA G ELIACH M.D.
Individual
Internal Medicine77 QUAKER RIDGE RD SUITE 200A
NEW ROCHELLE, NY 10804
(914) 235-8224
1306837786DR. STEPHEN J OUSTATCHER
Individual
Dentist (General Practice)77 QUAKER RIDGE RD SUITE 206
NEW ROCHELLE, NY 10804
(914) 636-4118
1790757649DR. DIEDRA S. MCGUIRE DDS
Individual
Dentist (Orthodontics and Dentofacial Orthopedics)77 QUAKER RIDGE RD SUITE 209
NEW ROCHELLE, NY 10804
(914) 654-1859
1144299207DR. BARRY W LANGSAM DDS
Individual
Dentist (Oral and Maxillofacial Surgery)77 QUAKER RIDGE RD STE 212
NEW ROCHELLE, NY 10804
(914) 235-1235
1992815989DR. JULIE ELIZABETH EHRMAN KUPERSMITH M.D.
Individual
Plastic Surgery77 QUAKER RIDGE RD
NEW ROCHELLE, NY 10804
(914) 235-5171
1508959917RYE BROOK NEUROLOGY, PC
Organization
Neurological Surgery77 QUAKER RIDGE RD STE 207
NEW ROCHELLE, NY 10804
(917) 272-2680
1578656500DR. VALERIE ROSAMUND FERTEL D.D.S.
Individual
Dentist (General Practice)77 QUAKER RIDGE RD SUITE 100
NEW ROCHELLE, NY 10804
(914) 637-8148
1619067675DR. SHANY C PARK DMD
Individual
Dentist (Orthodontics and Dentofacial Orthopedics)77 QUAKER RIDGE RD #202
NEW ROCHELLE, NY 10804
(914) 636-5958
1174681076DR. TASIOS G. VAKKAS D.D.S., M.D.
Individual
Dentist (Oral and Maxillofacial Surgery)77 QUAKER RIDGE RD SUITE 212
NEW ROCHELLE, NY 10804
(914) 235-1235
1992853055DR. JACQUELINE I NUSSBAUM DDS, MS
Individual
Dentist (Periodontics)77 QUAKER RIDGE RD SUITE 206
NEW ROCHELLE, NY 10804
(917) 636-4118
1710011242DR. PENNY RESNICK-GRAULICH DMD
Individual
Dentist (Pediatric Dentistry)77 QUAKER RIDGE RD SUITE 210
NEW ROCHELLE, NY 10804
(914) 633-4440
1316061872DR. SAL LONGO D.D.S.
Individual
Dentist (General Practice)77 QUAKER RIDGE RD SUITE 211
NEW ROCHELLE, NY 10804
(914) 636-3366
1205952868DR. MARTIN A RUBE D.D.S.
Individual
Dentist (General Practice)77 QUAKER RIDGE RD
NEW ROCHELLE, NY 10804
(914) 636-5555
1346459211 MEI-SANG HSIEH ACUPUNCTURIST
Individual
Acupuncturist77 QUAKER RIDGE RD SUITE 207
NEW ROCHELLE, NY 10804
(914) 320-7290
1003018466 GLEN J. APPLEBAUM D.D.S.
Individual
Dentist77 QUAKER RIDGE RD SUITE 206
NEW ROCHELLE, NY 10804
(914) 636-4118
1881897478 PAUL GIOTOPOULOS D.D.S.
Individual
Dentist77 QUAKER RIDGE RD SUITE 206
NEW ROCHELLE, NY 10804
(914) 636-4118
1871783571DR. KAREN HAGHENBECK PHD, APRN, FNP, RN
Individual
Registered Nurse (General Practice)77 QUAKER RIDGE RD NORTH RIDGE MEDICAL ASSOCIATES
NEW ROCHELLE, NY 10804
(914) 235-8224
1023206000BARRY W. LANGSAM, D.D.S.,PLLC
Organization
Dentist (Oral and Maxillofacial Surgery)77 QUAKER RIDGE RD 212
NEW ROCHELLE, NY 10804
(914) 235-1235
1073787438IRA J. SUTTON MD
Organization
Clinic/Center (Primary Care)77 QUAKER RIDGE RD SUITE 101
NEW ROCHELLE, NY 10804
(914) 636-0077

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Dr. Martin B Engelhardt Iii D.o is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.