MICHAEL MANDEL MD
NPI 1861463564
Internal Medicine - Pulmonary Disease in Larchmont, NY

Active since January 30, 2006PECOS EnrolledAccepts Medicare Assignment
8.33/100
CMS Quality Rating
2365 BOSTON POST RD, LARCHMONT, NY 10538(914) 740-3602 Get Directions Write a Review

NPPES record last updated: February 22, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Mandel Md NPPES

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

MICHAEL MANDEL MD (NPI 1861463564) is an individual pulmonary disease provider in Larchmont, New York, licensed in New York (161321) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with St Joseph's Medical Center, and is a graduate of Columbia University College Of Physicians And Surgeons (1983).

NPPES Registry Identity

NPI1861463564
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameMICHAEL MANDELCredential: MD
Location Address2365 BOSTON POST RDLarchmont, NY 10538-3500
Mailing Address2365 Boston Post RdLarchmont, NY 10538-3500 · (914) 740-3602
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1983
Enumeration DateJanuary 30, 2006
Last NPPES UpdateFebruary 22, 2013
NPI 1861463564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in NY · 161321
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
2365 BOSTON POST RD, Larchmont, NY 10538

Other Identifiers 2

Medicare UPINE14756NY
Medicare PIN19U051NY

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

Michael Mandel Md 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 ID7618965781
PECOS Enrollment IDI20040505001585
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 12

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
332 services116 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.
202 services88 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.
76 services69 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.
59 services45 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.
46 services35 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
40 services35 patients

Hospital Affiliations CMS Care Compare 3

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

St Joseph's Medical Center

Acute Care Hospitals · Yonkers, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330006
Location127 South BroadwayYonkers, NY 10701 · Westchester County
Emergency services

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

Montefiore New Rochelle Hospital

Acute Care Hospitals · New Rochelle, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330184
Location16 Guion PlaceNew Rochelle, NY 10802 · Westchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10538 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

8.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost27.77

Referred Medical Equipment & Supplies CMS DME claims 16

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers115 claims115 services$32.78 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers53 claims53 services$71.88 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers53 claims154 services$27.40 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
2 suppliers28 claims165 services$16.48 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers47 claims272 services$12.68 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers87 claims87 services$45.55 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 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
2365 BOSTON POST RD
LARCHMONT, NY 10538
Internal Medicine
2365 BOSTON POST RD
LARCHMONT, NY 10538
General Practice
2365 BOSTON POST RD
LARCHMONT, NY 10538
Surgery
2365 BOSTON POST RD, SUITE 201
LARCHMONT, NY 10538
Podiatrist
2365 BOSTON POST RD
LARCHMONT, NY 10538
Podiatrist
2365 BOSTON POST RD, STE 200
LARCHMONT, NY 10538
Specialist
2365 BOSTON POST RD
LARCHMONT, NY 10538
Dietitian, Registered
2365 BOSTON POST RD, SUITE 201
LARCHMONT, NY 10538

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 Michael Mandel's NPI number?

The NPI number for Michael Mandel is 1861463564. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Michael Mandel located?

Michael Mandel practices at 2365 Boston Post Rd, Larchmont, NY 10538. The listed phone number is (914) 740-3602.

What is Michael Mandel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Michael Mandel enrolled in Medicare?

Yes. Michael Mandel 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 Michael Mandel affiliated with any hospitals?

According to CMS data, Michael Mandel is affiliated with St Joseph's Medical Center, Montefiore Medical Center and Montefiore New Rochelle Hospital.

When was this NPI record last updated?

The NPPES record for Michael Mandel was last updated on February 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.