BARBARA HIRSCH MD
NPI 1679533434
Internal Medicine - Endocrinology, Diabetes & Metabolism in Manhasset, NY

Active since March 24, 2006PECOS EnrolledAccepts Medicare Assignment
89.08/100
CMS Quality Rating
1155 NORTHERN BLVD, MANHASSET, NY 11030(516) 407-4000(516) 365-5807 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 19, 2025, Feb 5, 2025, Feb 8, 2017 (3 updates tracked since 2017).

About Barbara Hirsch Md NPPES

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

BARBARA HIRSCH MD (NPI 1679533434) is an individual endocrinology, diabetes & metabolism provider in Manhasset, New York, licensed in New York (146421-1) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of State University Of New York At Buffalo School Of Medicine (1980).

NPPES Registry Identity

NPI1679533434
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameBARBARA HIRSCHCredential: MD
Location Address1155 NORTHERN BLVDManhasset, NY 11030-3040
Mailing Address1155 Northern BlvdManhasset, NY 11030-3040 · (516) 407-4000 · Fax (516) 365-5807
Fax(516) 365-5807
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1980
Enumeration DateMarch 24, 2006
Last NPPES UpdateFebruary 19, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2025
NPI 1679533434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in NY · 146421-1
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

1155 NORTHERN BLVD, Manhasset, NY 11030

Other Identifiers 9

Other0025502Combined Welfare Fund
Other50D161NY · Blue Cross Blue Shield
Other0025502NY · Ghi
Other010028094Railroad Medicare
Other799985Aetna
OtherNY7017Guardina Phcs
Other010146421NY01Anthem
Other7875290Cigna
Other24616VVytra

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

Barbara Hirsch 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 ID9537168430
PECOS Enrollment IDI20080319000136
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 51

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
4,321 services43 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
1,342 services568 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.
1,321 services560 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
1,305 services566 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
1,301 services566 patients
Ldl cholesterol level 83721
The LDL cholesterol level is a test that measures the amount of low-density lipoprotein (LDL) in your blood. LDL is often referred to as 'bad cholesterol' because high levels can lead to heart disease. Regular testing helps monitor and manage your heart health.
1,297 services565 patients

Hospital Affiliations CMS Care Compare 2

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Mount Sinai South Nassau

Acute Care Hospitals · Oceanside, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330198
LocationOne Healthy WayOceanside, NY 11572 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11030 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
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

89.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.02
Promoting Interoperability100
Improvement Activities40
Cost53.91

Reported Quality Measures

Diabetes: Foot Exam
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
42%427 patients2/55-star benchmark: 98%
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
62%427 patients3/55-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.
93%3,537 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%5,678 patients5/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%188 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
95%1,073 patients4/55-star benchmark: 99%
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…
30%1,087 patients2/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
72%844 patients4/55-star benchmark: 88%
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…
82%1,073 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
1%1,073 patients1/55-star benchmark: 59%
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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
66 suppliers178 claims493 services$6.37 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
6 suppliers23 claims23 services$2.93 avg. paid by Medicare
Spring-powered device for lancet, each A4258
DME-Other DME · category DE000N
5 suppliers13 claims13 services$1.83 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
30 suppliers64 claims92 services$1.14 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
10 suppliers426 claims429 services$185.32 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 15

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

Internal Medicine (Gastroenterology)
1155 NORTHERN BLVD
MANHASSET, NY 11030
Internal Medicine
1155 NORTHERN BLVD
MANHASSET, NY 11030
Family Medicine
1155 NORTHERN BLVD
MANHASSET, NY 11030
Podiatrist
1155 NORTHERN BLVD
MANHASSET, NY 11030
Internal Medicine (Cardiovascular Disease)
1155 NORTHERN BLVD
MANHASSET, NY 11030
Surgery
1155 NORTHERN BLVD, STE 310
MANHASSET, NY 11030
Internal Medicine (Gastroenterology)
1155 NORTHERN BLVD, SUITE 360
MANHASSET, NY 11030
Plastic Surgery
1155 NORTHERN BLVD, SUITE 110
MANHASSET, NY 11030

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 Barbara Hirsch's NPI number?

The NPI number for Barbara Hirsch is 1679533434. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Barbara Hirsch located?

Barbara Hirsch practices at 1155 Northern Blvd, Manhasset, NY 11030. The listed phone number is (516) 407-4000.

What is Barbara Hirsch's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Barbara Hirsch enrolled in Medicare?

Yes. Barbara Hirsch 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 Barbara Hirsch affiliated with any hospitals?

According to CMS data, Barbara Hirsch is affiliated with North Shore University Hospital and Mount Sinai South Nassau.

When was this NPI record last updated?

The NPPES record for Barbara Hirsch was last updated on February 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.