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DR. BRETT HYLTON MARGOLIAS M.D.
NPI 1669558458
Emergency Medicine in New York, NY

Active since October 27, 2006PECOS EnrolledAccepts Medicare Assignment
76.7/100
CMS Quality Rating
9 BARROW ST, APT. 5G, NEW YORK, NY 10014(917) 747-2330 Get Directions Write a Review

NPPES record last updated: April 28, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Brett Hylton Margolias M.d. NPPES

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

DR. BRETT HYLTON MARGOLIAS M.D. (NPI 1669558458) is an individual emergency medicine provider in New York, New York, licensed in New York (227320-1) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Columbia Memorial Hospital, and is a graduate of Emory University School Of Medicine (2000).

NPPES Registry Identity

NPI1669558458
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. BRETT HYLTON MARGOLIASCredential: M.D.
Location Address9 BARROW ST, APT. 5GNew York, NY 10014-3861
Mailing Address9 Barrow St, Apt. 5gNew York, NY 10014-3861 · (917) 747-2330
Phone(917) 747-2330
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2000
Enumeration DateOctober 27, 2006
Last NPPES UpdateApril 28, 2011
✔ NPI 1669558458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 227320-1
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
9 BARROW ST, New York, NY 10014
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINI00326NY
Medicare ID-Type Unspecified916V61NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Brett Hylton Margolias 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 ID8325930951
PECOS Enrollment IDI20040327000113
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.

Medicare Billing Reassignments

7

Medicare enrollment records show Brett Margolias reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Shore - Lij Medical PC
15 mi
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1790043479 (516) 465-8089
Lawrence Medical Associates, PC
17 mi
Emergency Medicine
55 PALMER AVENUE, DEPARTMENT OF EMERGENCY MEDICINE
Bronxville, NY 10708
  • Reassigned Medicare billing, New York enrollment
  • 531 clinicians in this Medicare group
NPI 1497260806 (914) 787-1000
Columbia Memorial Hospital
98 mi
Multi-Specialty
283 MOUNTAIN VIEW RD
Copake, NY 12516
  • Reassigned Medicare billing, New York enrollment
  • 215 clinicians in this Medicare group
NPI 1720333479 (518) 329-3900
Columbia Memorial Regional Medical PLLC
105 mi
Multi-Specialty
71 PROSPECT AVE
Hudson, NY 12534
  • Reassigned Medicare billing, New York enrollment
  • 8 clinicians in this Medicare group
NPI 1861072670 (518) 828-7601
Albany Medical College
133 mi
Allergy & Immunology
47 NEW SCOTLAND AVE
Albany, NY 12208
  • Reassigned Medicare billing, New York enrollment
  • 1,640 clinicians in this Medicare group
NPI 1497921688 (518) 262-9600
Exigence Medical Of Binghamton PLLC
137 mi
Emergency Medical Services
169 RIVERSIDE DR
Binghamton, NY 13905
  • Reassigned Medicare billing, New York enrollment
  • 110 clinicians in this Medicare group
NPI 1659464758 (607) 798-5231
Acs Primary Care Physicians - Southeast PC
549 mi
Emergency Medicine
809 82ND PKWY
Myrtle Beach, SC 29572
  • Reassigned Medicare billing, Georgia enrollment
  • 586 clinicians in this Medicare group
NPI 1861430555 (843) 692-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.
133 services130 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.
49 services49 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
31 services31 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
30 services29 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
18 services18 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.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Columbia Memorial Hospital

Acute Care Hospitals · Hudson, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330094
Location71 Prospect AvenueHudson, NY 12534 · Columbia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10014 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

76.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.96
Promoting Interoperability74
Improvement Activities40
Cost61.04

Other Providers at the Same Location NPPES

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

LESLIE R SCHWEITZER-MILLER M.D.
Psychiatry & Neurology (Psychiatry)
9 BARROW ST, 4N
NEW YORK, NY 10014
New York County (212) 807-6768

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 Brett Margolias's NPI number?

The NPI number for Brett Margolias is 1669558458. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Brett Margolias located?

Brett Margolias practices at 9 Barrow St Apt. 5G, New York, NY 10014. The listed phone number is (917) 747-2330.

What is Brett Margolias's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Brett Margolias enrolled in Medicare?

Yes. Brett Margolias 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.

Which organizations bill Medicare for Brett Margolias's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brett Margolias reassigns Medicare benefits to 7 organizations: North Shore - Lij Medical PC (New Hyde Park, NY), Lawrence Medical Associates, PC (Bronxville, NY), Columbia Memorial Hospital (Copake, NY), Columbia Memorial Regional Medical PLLC (Hudson, NY), Albany Medical College (Albany, NY) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brett Margolias's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Brett Margolias affiliated with any hospitals?

According to CMS data, Brett Margolias is affiliated with Columbia Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Brett Margolias was last updated on April 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.