NEAL E GINSBERG M.D.
NPI 1801839287
Ophthalmology in Pittsfield, MA

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment
740 WILLIAMS ST, PITTSFIELD, MA 01201(413) 445-4564(413) 448-2727 Get Directions Write a Review

NPPES record last updated: December 16, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Neal E Ginsberg M.d. NPPES

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

NEAL E GINSBERG M.D. (NPI 1801839287) is an individual ophthalmology provider in Pittsfield, Massachusetts, licensed in Massachusetts (220170) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Berkshire Medical Center, and is a graduate of Rutgers New Jersey Medical School (2000).

NPPES Registry Identity

NPI1801839287
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameNEAL E GINSBERGCredential: M.D.
Location Address740 WILLIAMS STPittsfield, MA 01201-7463
Mailing Address740 Williams StPittsfield, MA 01201-7463 · (413) 445-4564 · Fax (413) 448-2727
Fax(413) 448-2727
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2000
Enumeration DateJune 14, 2006
Last NPPES UpdateDecember 16, 2009
NPI 1801839287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in MA · 220170 Licensed in NY · 239485-1
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

740 WILLIAMS ST, Pittsfield, MA 01201

Other Identifiers 5

Medicare UPINI09675
Medicare PINJ27719MA
OtherM16029MA · Medicare Grp Pin
Medicaid2060442MA
Medicare NSC1010050001MA

Accepted Insurance

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

Neal E Ginsberg 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 ID4082684907
PECOS Enrollment IDI20040728001215
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 22

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
1,176 services1,167 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.
726 services498 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.
373 services348 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
348 services205 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
327 services282 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
325 services183 patients

Hospital Affiliations CMS Care Compare 2

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

Berkshire Medical Center

Acute Care Hospitals · Pittsfield, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220046
Location725 North StreetPittsfield, MA 01201 · Berkshire County
Emergency services Birthing friendly

Fairview Hospital

Critical Access Hospitals · Great Barrington, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number221302
Location29 Lewis AvenueGreat Barrington, MA 01230 · Berkshire County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01201 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
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.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%136 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
71%146 patients3/55-star benchmark: 100%
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 4

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

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
3 suppliers30 claims30 services$49.72 avg. paid by Medicare
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2103
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers19 claims36 services$25.58 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers24 claims41 services$40.03 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers12 claims20 services$45.22 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.

Physical Therapist
740 WILLIAMS ST
PITTSFIELD, MA 01201
Physical Therapist
740 WILLIAMS ST, STE 1
PITTSFIELD, MA 01201
Obstetrics & Gynecology
740 WILLIAMS ST
PITTSFIELD, MA 01201
Physical Therapist
740 WILLIAMS ST
PITTSFIELD, MA 01201
Physical Therapist (Orthopedic)
740 WILLIAMS ST
PITTSFIELD, MA 01201
Physical Therapist
740 WILLIAMS ST
PITTSFIELD, MA 01201
Podiatrist
740 WILLIAMS ST, STE 2
PITTSFIELD, MA 01201
Family Medicine (Addiction Medicine)
740 WILLIAMS ST, SUITE 10
PITTSFIELD, MA 01201

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 Neal Ginsberg's NPI number?

The NPI number for Neal Ginsberg is 1801839287. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Neal Ginsberg located?

Neal Ginsberg practices at 740 Williams St, Pittsfield, MA 01201. The listed phone number is (413) 445-4564.

What is Neal Ginsberg's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Neal Ginsberg enrolled in Medicare?

Yes. Neal Ginsberg 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.

What insurance does Neal Ginsberg accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Neal Ginsberg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Neal Ginsberg affiliated with any hospitals?

According to CMS data, Neal Ginsberg is affiliated with Berkshire Medical Center and Fairview Hospital.

When was this NPI record last updated?

The NPPES record for Neal Ginsberg was last updated on December 16, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.