DR. JEFFREY CHARLES SCHILDHORN M.D. NPI 1821230798

Orthopaedic Surgery in New York, NY

NPI 1821230798 Individual Male Years of Experience 17 Orthopaedic Surgery PECOS Enrolled Accepts Medicare Approved Payment

About JEFFREY SCHILDHORN

Jeffrey Schildhorn is a provider established in New York, New York and his medical specialization is orthopaedic surgery with more than 17 years of experience. He graduated from Temple University School Of Medicine in 2005. The NPI number of Jeffrey Schildhorn is 1821230798 and was assigned on March 2009. The practitioner's primary taxonomy code is 207X00000X with license number 266262 (NY). The provider is registered as an individual and his NPI record was last updated 6 years ago.

Jeffrey Schildhorn is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Jeffrey Schildhorn is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Lenox Hill Hospital.

NPI

1821230798

Provider NameDR. JEFFREY CHARLES SCHILDHORN M.D.
Provider Location Address521 PARK AVE #1 NEW YORK, NY 10065
Provider Mailing Address252 E 61ST ST APT 6HS NEW YORK, NY 10065
GenderMale
NPI Entity TypeIndividual
Medical School NameTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year2005
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date03-24-2009
Last Update Date03-11-2016


Primary Taxonomy

Taxonomy Code207X00000X
ClassificationOrthopaedic Surgery
TypeAllopathic & Osteopathic Physicians
License No.266262
License StateNY
Taxonomy DescriptionAn orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Business Address

DR. JEFFREY CHARLES SCHILDHORN M.D.
521 PARK AVE
#1
NEW YORK, NY
ZIP 10065
Phone: (212) 980-1375

Get Directions


Mailing Address

DR. JEFFREY CHARLES SCHILDHORN M.D.
252 E 61ST ST APT 6HS
NEW YORK, NY
ZIP 10065
Phone: (212) 980-1375



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID2668641119
PECOS Enrollment IDI20130329000054
Accepts Medicare Assignment? Yes "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.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 28Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • 25Injection, dexamethasone sodium phosphate, 1mg (HCPCS:J1100)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare 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. Jeffrey Schildhorn is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
LENOX HILL HOSPITAL100 EAST 77TH STREET
NEW YORK, NY 10021
(212) 439-2345Acute Care Hospitals330119

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryA116971CANo

Taxonomy Description: an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

2207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery237518MANo

Taxonomy Description: an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
GR0071970MEDICAID (05)CA
A400081857MEDICARE PIN (08)NY
FG581ZMEDICARE PIN (08)CA

Other Providers at the same location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1194736215DR. DAVID S. MENCHE M.D.
Individual
Specialist521 PARK AVE
NEW YORK, NY 10065
(718) 369-8043
1316024870DR. MAXIM TYORKIN M.D
Individual
Orthopaedic Surgery (Sports Medicine)521 PARK AVE
NEW YORK, NY 10065
(212) 731-2002
1003041583PARK AVENUE FACIAL AND RECONSTRUCTIVE SURGERY, PLLC
Organization
Clinic/Center (Ambulatory Surgical)521 PARK AVE
NEW YORK, NY 10065
(212) 223-8300
1033469135PARK EAST ORAL & MAXILLOFACIAL SURGERY PC
Organization
Dentist (Oral and Maxillofacial Surgery)521 PARK AVE
NEW YORK, NY 10065
(212) 593-2930
1093707036DR. SETH MARTIN BLACK DDS
Individual
Oral & Maxillofacial Surgery521 PARK AVE
NEW YORK, NY 10065
(212) 593-2930
1740634450DR. HEDIEH SAMADI DDS
Individual
Dentist521 PARK AVE
NEW YORK, NY 10065
(212) 355-4777
1245773100JEFFREY CHARLES SCHILDHORN MD PLLC
Organization
Specialist521 PARK AVE SUITE 1
NEW YORK, NY 10065
(845) 706-8008
1376191825 REBECCA DELPHIN
Individual
Physician Assistant521 PARK AVE
NEW YORK, NY 10065
(212) 606-8150
1629480959DR. DANIEL P FEGHHI MD
Individual
Orthopaedic Surgery521 PARK AVE
NEW YORK, NY 10065
(862) 668-5061

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.