JACK I HERSHMAN M.D.
NPI 1750333274
Specialist in Sleepy Hollow, NY

Q: What is Jack Hershman's NPI number?

The NPI number for Jack Hershman is 1750333274. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Q: What is Jack Hershman's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Hershman was last updated on October 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since May 16, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 33D0139386 · Microscopy

91.25/100

CMS Quality Rating

777 N BROADWAY, SUITE 309, SLEEPY HOLLOW, NY 10591(914) 631-3331(914) 631-5838 Get Directions Write a Review

NPPES record last updated: October 13, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Jack I Hershman M.d. NPPES

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

JACK I HERSHMAN M.D. (NPI 1750333274) is an individual specialist in Sleepy Hollow, New York, licensed in New York (151313) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through August 11, 2027, and is affiliated with St John's Riverside Hospital.

NPPES Registry Identity

NPI1750333274

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameJACK I HERSHMANCredential: M.D.

Location Address777 N BROADWAY, SUITE 309Sleepy Hollow, NY 10591-1000

Mailing Address777 N Broadway, Suite 309Sleepy Hollow, NY 10591-1000 · (914) 631-3331 · Fax (914) 631-5838

Phone(914) 631-3331

Fax(914) 631-5838

Sole ProprietorYes

Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 1981

Enumeration DateMay 16, 2006

Last NPPES UpdateOctober 13, 2010

✔ NPI 1750333274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NY · 151313

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

777 N BROADWAY, Sleepy Hollow, NY 10591

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Other Identifiers 3

Medicaid963662NY

Medicare UPINB19003NY

Medicare ID-Type Unspecified72D762NY

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

Jack I Hershman 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 ID244412245

PECOS Enrollment IDI20110312000089

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

Medicare enrollment records show Jack Hershman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Phelps Memorial Hospital

0.1 mi

Psychiatry

701 N BROADWAY
Sleepy Hollow, NY 10591

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: Phelps Memorial Hospital Association
65 clinicians in this Medicare group

NPI 1366786972 (914) 366-3000

Westchester Medical Center Advanced Physician Services PC

3.4 mi

Anesthesiology

100 WOODS RD, TAYLOR PAVILION - ROOM M229
Valhalla, NY 10595

Reassigned Medicare billing, New York enrollment
1,663 clinicians in this Medicare group

NPI 1740687458 (914) 493-2844

North Shore-Lij Medical PC

24 mi

Urology

1010 NORTHERN BLVD STE 110
Great Neck, NY 11021

Reassigned Medicare billing, New York enrollment
9,353 clinicians in this Medicare group

NPI 1053688572 (516) 321-7400

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 33D0139386

Jack I Hershman MD · Sleepy Hollow, NY

Active · expires Aug 11, 2027

CLIA Number33D0139386

Laboratory TypePhysician Office

Certificate Effective DateAugust 12, 2025

Certificate Expiration DateAugust 11, 2027

Laboratory DirectorDr. Jack I. Hershman

Laboratory Phone(914) 631-3331

Laboratory LocationJack I Hershman MD777 N Broadway Suite 309, Sleepy Hollow, NY 10591

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 23

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.

Manual urinalysis test with examination using microscope, non-automated 81000

A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.

1,405 services795 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.

810 services478 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

740 services638 patients

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.

469 services82 patients

Leuprolide acetate (for depot suspension), 7.5 mg J9217

Leuprolide acetate is a medication that helps regulate certain hormone levels in your body. It's injected into your muscle once a month. This treatment can help manage various health conditions related to hormone imbalance. Always follow your doctor's instructions.

383 services34 patients

Electronic assessment of bladder emptying 51741

Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.

167 services151 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.

162 services160 patients

Cell examination of specimen, selective cellular enhancement technique 88112

Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.

147 services104 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

146 services143 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

123 services122 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.

99 services92 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

98 services72 patients

Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle 96402

This procedure involves the injection of hormone-based anti-cancer drugs under the skin or into a muscle. These medications help to slow down or stop the growth of certain types of cancer cells. The process is usually quick and can be performed in a clinic or hospital.

96 services34 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.

80 services36 patients

Ultrasound scan of pelvic region through rectum 76872

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

65 services64 patients

Complicated change of bladder tube 51710

A complicated change of a bladder tube refers to the process of replacing a tube that helps drain urine from your body. This procedure is typically needed when the existing tube is blocked, damaged, or infected. It's a more complex process if there are issues like tube displacement.

60 services19 patients

Cell examination of urine, computer-assisted 88121

A cell examination of urine, computer-assisted, is a lab test where a computer helps analyze your urine sample. It aids in identifying any abnormal cells or substances that may indicate health issues. The process is painless and involves collecting a urine sample.

52 services50 patients

Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope 52601

This procedure involves the careful removal of a small gland located in the lower body using a special heated knife, inserted through a natural body passage. An endoscope, a thin tube with a light and camera, helps to manage any bleeding. The aim is to alleviate discomfort and improve overall health.

27 services27 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

24 services23 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

22 services22 patients

Complex measurement of pressure of urine flow in bladder 51726

This procedure measures the pressure inside your bladder as it fills and empties. It helps to identify any issues with how your bladder is functioning. A small tube is inserted through your lower abdomen to take the measurements. It's a safe and essential test for urinary health.

15 services14 patients

Crushing of stone of ureter using an endoscope 52353

This procedure involves using a thin, flexible instrument called an endoscope to reach a stone in your ureter. The stone is then broken into small pieces using a special tool. These pieces can then pass out of the body naturally.

15 services14 patients

Complete laser vaporization of prostate including control of bleeding using an endoscope 52648

This procedure involves using a special light instrument to carefully remove tissue from a gland located in the lower body. This helps improve the flow of body fluids. The process is done through a tube-like device and also controls any bleeding.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

St John's Riverside Hospital

Acute Care Hospitals · Yonkers, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330208

Location976 North BroadwayYonkers, NY 10701 · Westchester County

Emergency services Birthing friendly

Phelps Hospital

Acute Care Hospitals · Sleepy Hollow, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330261

Location701 N BroadwaySleepy Hollow, NY 10591 · Westchester County

Emergency services Birthing friendly

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.

91.25/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

74.92

Promoting Interoperability

91.67

Improvement Activities

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.

Lubricant, individual sterile packet, each A4332

DME-Medical/Surgical Supplies · category DA000N

4 suppliers19 claims2,750 services$0.11 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

5 suppliers25 claims4,960 services$1.46 avg. paid by Medicare

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

3 suppliers21 claims2,820 services$6.22 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

4 suppliers19 claims62 services$9.21 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414

DME-Orthotic Devices · category DF010N

2 suppliers11 claims220 services$4.64 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.

JULIETA STUMPF MS, CCC-SLP

Speech-Language Pathologist

777 N BROADWAY
SLEEPY HOLLOW, NY 10591

Westchester County (914) 366-3010

PHILIP C CARON MD

Internal Medicine (Medical Oncology)

777 N BROADWAY
SLEEPY HOLLOW, NY 10591

Westchester County (212) 639-2000

DR. ANJALI ANKOLEKAR MD

Obstetrics & Gynecology

777 N BROADWAY, SUITE 308
SLEEPY HOLLOW, NY 10591

Westchester County (914) 631-0908

DR. LOUIS ANTHONY BUZZEO MD

Internal Medicine (Nephrology)

777 N BROADWAY, SUITE 203
SLEEPY HOLLOW, NY 10591

Westchester County (914) 332-9100

BORIS A MUELLER MD

Radiology (Radiation Oncology)

777 N BROADWAY
SLEEPY HOLLOW, NY 10591

Westchester County (212) 639-2000

WESTCHESTER INTERNAL MEDICINE PC

Internal Medicine

777 N BROADWAY, SUITE 310
SLEEPY HOLLOW, NY 10591

Westchester County (914) 333-0034

HUDSON VALLEY SURGICAL GROUP, LLP

Surgery

777 N BROADWAY, SUITE 204
SLEEPY HOLLOW, NY 10591

Westchester County (914) 631-3660

PHELPS MEMORIAL HOSPITAL

General Acute Care Hospital

777 N BROADWAY, SUITE 303
SLEEPY HOLLOW, NY 10591

Westchester County (914) 366-3011

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 Jack Hershman's NPI number?

The NPI number for Jack Hershman is 1750333274. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Jack Hershman located?

Jack Hershman practices at 777 N Broadway Suite 309, Sleepy Hollow, NY 10591. The listed phone number is (914) 631-3331.

What is Jack Hershman's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Jack Hershman enrolled in Medicare?

Yes. Jack Hershman 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 Jack Hershman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Hershman reassigns Medicare benefits to 3 organizations: Phelps Memorial Hospital (Sleepy Hollow, NY), Westchester Medical Center Advanced Physician Services PC (Valhalla, NY) and North Shore-Lij Medical PC (Great Neck, NY). 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 Jack Hershman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Jack Hershman hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 33D0139386) is associated with this NPI, valid through August 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Jack Hershman affiliated with any hospitals?

According to CMS data, Jack Hershman is affiliated with St John's Riverside Hospital and Phelps Hospital.

When was this NPI record last updated?

The NPPES record for Jack Hershman was last updated on October 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

About Jack I Hershman M.d. NPPES

NPPES Registry Identity

Specialties & Licenses

Other Identifiers 3

Medicare Participation & PECOS CMS

Medicare Enrollment Status

Medicare Billing Reassignments

CLIA Laboratory Certificates CMS CLIA

Certificate for Provider-Performed Microscopy Procedures (PPMP) · 33D0139386

Areas of Expertise CMS Part B claims 23

Hospital Affiliations CMS Care Compare 2

St John's Riverside Hospital

Phelps Hospital

Medicare Quality Performance CMS QPP · MIPS

Referred Medical Equipment & Supplies CMS DME claims 5

Other Providers at the Same Location NPPES 20

Frequently Asked Questions NPPES & CMS

What is Jack Hershman's NPI number?

Where is Jack Hershman located?

What is Jack Hershman's specialty?

Is Jack Hershman enrolled in Medicare?

Which organizations bill Medicare for Jack Hershman's services?

Does Jack Hershman hold a CLIA laboratory certificate?

Is Jack Hershman affiliated with any hospitals?

When was this NPI record last updated?

Certificate for Provider-Performed Microscopy Procedures (PPMP) 33D0139386