DR. BRIAN GERHARDSTEIN MD PHD
NPI 1790982064
Psychiatry & Neurology - Neurology in Edison, NJ

Active since June 29, 2007PECOS EnrolledAccepts Medicare Assignment
75.8/100
CMS Quality Rating

NPPES record last updated: February 22, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 22, 2022, Feb 16, 2022, Jul 23, 2021 (3 updates tracked since 2021).

About Dr. Brian Gerhardstein Md Phd NPPES

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

DR. BRIAN GERHARDSTEIN MD PHD (NPI 1790982064) is an individual neurology provider in Edison, New Jersey, licensed in New Jersey (25MA08241600) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Jfk Medical Center, and is a graduate of Wayne State University School Of Medicine (2003).

NPPES Registry Identity

NPI1790982064
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. BRIAN GERHARDSTEINCredential: MD PHD
Location Address65 JAMES STEdison, NJ 08820-3903
Mailing Address65 James StEdison, NJ 08820-3903 · (732) 321-7010
Sole ProprietorYes
Medical School CMSWayne State University School Of MedicineGraduated 2003
Enumeration DateJune 29, 2007
Last NPPES UpdateFebruary 22, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2022
NPI 1790982064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in NJ · 25MA08241600
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

65 JAMES ST, Edison, NJ 08820

Other Identifiers 2

Medicaid0156027NJ
OtherP00642640NJ · Rr Mcr Ptan

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

Dr. Brian Gerhardstein Md Phd 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 ID4981799384
PECOS Enrollment IDI20071001000181
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 7

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 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.
60 services36 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.
32 services24 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.
31 services31 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
26 services26 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
24 services24 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.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08820 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

75.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.65
Promoting Interoperability100
Improvement Activities40
Cost50.69

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.

Internal Medicine (Pulmonary Disease)
65 JAMES ST
EDISON, NJ 08820
Pediatrics
65 JAMES ST
EDISON, NJ 08820
Psychiatry & Neurology (Neurology)
65 JAMES ST
EDISON, NJ 08820
Psychiatry & Neurology (Neurology)
65 JAMES ST
EDISON, NJ 08820
Psychiatry & Neurology (Neurology)
65 JAMES ST
EDISON, NJ 08820
Neurological Surgery
65 JAMES ST
EDISON, NJ 08820
Neurological Surgery
65 JAMES ST
EDISON, NJ 08820
Psychiatry & Neurology (Neurology)
65 JAMES ST
EDISON, NJ 08820

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 Brian Gerhardstein's NPI number?

The NPI number for Brian Gerhardstein is 1790982064. It was assigned to this individual provider in the NPPES registry on June 29, 2007.

Where is Brian Gerhardstein located?

Brian Gerhardstein practices at 65 James St, Edison, NJ 08820. The listed phone number is (732) 321-7010.

What is Brian Gerhardstein's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Brian Gerhardstein enrolled in Medicare?

Yes. Brian Gerhardstein 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 Brian Gerhardstein affiliated with any hospitals?

According to CMS data, Brian Gerhardstein is affiliated with Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Brian Gerhardstein was last updated on February 22, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.