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MICHAEL M. EINSTEIN M.D.
NPI 1659339901
Internal Medicine - Gastroenterology in Hartford, CT

Active since May 03, 2006PECOS EnrolledAccepts Medicare Assignment
85.07/100
CMS Quality Rating
85 SEYMOUR ST, SUITE 1000, HARTFORD, CT 06106(860) 246-2571(860) 246-3691 Get Directions Write a Review

NPPES record last updated: August 10, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael M. Einstein M.d. NPPES

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

MICHAEL M. EINSTEIN M.D. (NPI 1659339901) is an individual gastroenterology provider in Hartford, Connecticut, licensed in Connecticut (49700) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Icahn School Of Medicine At Mount Sinai (2003).

NPPES Registry Identity

NPI1659339901
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameMICHAEL M. EINSTEINCredential: M.D.
Location Address85 SEYMOUR ST, SUITE 1000Hartford, CT 06106-5501
Mailing Address2139 Silas Deane HwyRocky Hill, CT 06067-2336 · (860) 257-4131 · Fax (860) 257-4519
Phone(860) 246-2571
Fax(860) 246-3691
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 2003
Enumeration DateMay 3, 2006
Last NPPES UpdateAugust 10, 2011
✔ NPI 1659339901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in CT · 49700
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal Medicine · Transplant HepatologyTaxonomy 207RT0003X · License 49700 (CT)
85 SEYMOUR ST, Hartford, CT 06106
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Other Identifiers 1

Medicare PIND400050904CT

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

Michael M. Einstein 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 ID2860660339
PECOS Enrollment IDI20110728000024
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
139 services78 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.
97 services67 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.
62 services49 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
60 services54 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
31 services31 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
26 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06106 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
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.

85.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.7
Promoting Interoperability83
Improvement Activities40
Cost68.33

Referred Medical Equipment & Supplies CMS DME claims 6

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
7 suppliers139 claims10,110 services$0.30 avg. paid by Medicare
Cyclosporine, oral, 25 mg J7515
Treatment-Treatment - Miscellaneous · category RX029N
6 suppliers25 claims4,680 services$0.58 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers21 claims3,360 services$0.18 avg. paid by Medicare
Everolimus, oral, 0.25 mg J7527
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier34 claims8,400 services$4.12 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
12 suppliers145 claims145 services$17.80 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
9 suppliers92 claims93 services$11.68 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 20

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

LEIGH MAE CABRAL DMD
Dentist (General Practice)
85 SEYMOUR ST, SUITE 922
HARTFORD, CT 06106
Capitol Planning Region (860) 518-5185
DR. JOHN P. OPALACZ M.D.
Radiology (Diagnostic Radiology)
85 SEYMOUR ST, SUITE 200
HARTFORD, CT 06106
Capitol Planning Region (860) 289-3375
JAMES JOSEPH GALLAGHER JR. MD
Surgery (Vascular Surgery)
85 SEYMOUR ST, SUITE 409
HARTFORD, CT 06106
Capitol Planning Region (860) 522-4158
DR. SAMUEL K ANYATONWU MD
Internal Medicine
85 SEYMOUR ST, SUITE 1009
HARTFORD, CT 06106
Capitol Planning Region (860) 728-6674
JOHN RUSSOMANNO MD
Internal Medicine (Pulmonary Disease)
85 SEYMOUR ST, SUITE 923
HARTFORD, CT 06106
Capitol Planning Region (860) 247-1876
CONNECTICUT GI PLLC
Internal Medicine (Gastroenterology)
85 SEYMOUR ST, 1000
HARTFORD, CT 06106
Capitol Planning Region (860) 246-2571
ISABEL NIP
Student in an Organized Health Care Education/Training Program
85 SEYMOUR ST
HARTFORD, CT 06106
Capitol Planning Region (860) 972-5107
DR. PETER R BARNETT MD
Orthopaedic Surgery
85 SEYMOUR ST, SUITE 607
HARTFORD, CT 06106
Capitol Planning Region (860) 549-3210

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 Michael Einstein's NPI number?

The NPI number for Michael Einstein is 1659339901. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Michael Einstein located?

Michael Einstein practices at 85 Seymour St Suite 1000, Hartford, CT 06106. The listed phone number is (860) 246-2571.

What is Michael Einstein's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Michael Einstein enrolled in Medicare?

Yes. Michael Einstein 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 Michael Einstein was last updated on August 10, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.