BRIAN C. HALPERN M.D.
NPI 1780607903
Specialist in New York, NY
NPI Status: Active since July 26, 2006
Contact Information
525 E 71ST ST
NEW YORK, NY
ZIP 10021
Phone: (212) 606-1329
Fax: (212) 570-6147
- Individual
- Male
- Years of Experience 45
- Specialist
- May Accept Medicare Approved Payment
- Opted-Out Medicare
About BRIAN HALPERN
This page provides the complete NPI Profile along with additional information for Brian Halpern, a provider established in New York, New York with a medical specialization in Specialist and more than 45 years of experience. He graduated from Js Weill Medical College, Cornell University in 1981. The healthcare provider is registered in the NPI registry with number 1780607903 assigned on July 2006. The practitioner's primary taxonomy code is 174400000X with license number 186698 (NY). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1780607903
- Provider Name
- BRIAN C. HALPERN M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 525 E 71ST ST NEW YORK, NY 10021
- Location Phone
- (212) 606-1329
- Location Fax
- (212) 570-6147
- Mailing Address
- 535 E 70TH ST NEW YORK, NY 10021
- Mailing Phone
- (212) 606-1329
- Mailing Fax
- (212) 570-6147
- Medical School Name
- JS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
- Graduation Year
- 1981
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-26-2006
- Last Update Date
- 03-29-2021
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Brian Halpern opted out of Medicare effective on 10-01-2013 until 10-01-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 186698
- License State
- NY
- Taxonomy Description
- 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.
Medicare Participation & PECOS Enrollment Status
Brian Halpern is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 10-01-2013
Opt-Out End Date: 10-01-2027
Eligible to Order and Refer? Yes
PECOS PAC ID: 3870524374
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20050824000859
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
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.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical 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. Brian Halpern is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| HOSPITAL FOR SPECIAL SURGERY | 535 EAST 70TH STREET NEW YORK, NY 10021 | (212) 606-1000 | Acute Care Hospitals | |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL | HEALTH SCIENCES CENTER SUNY STONY BROOK, NY 11794 | (631) 444-4000 | Acute Care Hospitals |
Reviews for BRIAN C. HALPERN M.D.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1780607903, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
NEW YORK, NY 10021
NEW YORK, NY 10021
NEW YORK, NY 10021
NEW YORK, NY 10021
NEW YORK, NY 10021
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780607903, enumerated as an "individual" on July 26, 2006.
The provider is located at 525 E 71ST ST NEW YORK, NY 10021 and the phone number is (212) 606-1329.
Specialist with taxonomy code 174400000X.
Brian Halpern is affiliated with: HOSPITAL FOR SPECIAL SURGERY and SUNY/STONY BROOK UNIVERSITY HOSPITAL.
