ROBERT M WEISS
NPI 1861575953
Internal Medicine - Gastroenterology in Holyoke, MA

Active since October 23, 2006PECOS EnrolledAccepts Medicare Assignment
91.27/100
CMS Quality Rating
10 HOSPITAL DR, STE 102, HOLYOKE, MA 01040(413) 534-1132 Get Directions Write a Review

NPPES record last updated: February 11, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Robert M Weiss NPPES

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

ROBERT M WEISS (NPI 1861575953) is an individual gastroenterology provider in Holyoke, Massachusetts, licensed in Massachusetts (57667) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Cooley Dickinson Hospital Inc,the, and is a graduate of Columbia University College Of Physicians And Surgeons (1985).

NPPES Registry Identity

NPI1861575953
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameROBERT M WEISS
Location Address10 HOSPITAL DR, STE 102Holyoke, MA 01040-6603
Mailing AddressPo Box 9132Brookline, MA 02446-9132 · (800) 927-0002
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1985
Enumeration DateOctober 23, 2006
Last NPPES UpdateFebruary 11, 2011
NPI 1861575953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in MA · 57667
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 57667 (MA)
10 HOSPITAL DR, Holyoke, MA 01040

Other Identifiers 5

Medicare ID-Type UnspecifiedJ06268MA
Medicaid3020690MA
Other057667MA · Tufts
OtherJ06268MA · Bcbs
OtherAA141058MA · Hphc

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

Robert M Weiss 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 ID1456398916
PECOS Enrollment IDI20050415000337
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.

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.
212 services169 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
99 services99 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
66 services65 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
62 services62 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
54 services54 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.
42 services39 patients

Hospital Affiliations CMS Care Compare 2

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

Cooley Dickinson Hospital Inc,the

Acute Care Hospitals · Northampton, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220015
Location30 Locust StreetNorthampton, MA 01060 · Hampshire County
Emergency services Birthing friendly

Holyoke Medical Center

Acute Care Hospitals · Holyoke, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220024
Location575 Beech StreetHolyoke, MA 01040 · Hampden County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01040 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
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

91.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality83.9
Promoting Interoperability100
Improvement Activities40
Cost79.78

Reported Quality Measures

Advance Care Plan
100%560 patients5/55-star benchmark: 100%
Colonoscopy Interval for Patients with a History of Adenomatous Polyps - Avoidance of Inappropriate Use
24%82 patients
Colorectal Cancer Screening
99%868 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%1,293 patients5/55-star benchmark: 100%
e-Prescribing
99%282 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%1,151 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
98%309 patients4/55-star benchmark: 100%
Support Electronic Referral Loops By Sending Health Information
100%144 patients5/55-star benchmark: 97%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
99%274 patients4/55-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.

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
10 HOSPITAL DR, SUITE 307
HOLYOKE, MA 01040
Specialist
10 HOSPITAL DR, SUITE 106
HOLYOKE, MA 01040
Nurse Practitioner (Primary Care)
10 HOSPITAL DR, SUITE 303
HOLYOKE, MA 01040
Internal Medicine (Cardiovascular Disease)
10 HOSPITAL DR, SUITE 302
HOLYOKE, MA 01040
Otolaryngology (Otolaryngic Allergy)
10 HOSPITAL DR, STE 103
HOLYOKE, MA 01040
Internal Medicine
10 HOSPITAL DR, SUITE 310
HOLYOKE, MA 01040
Internal Medicine (Pulmonary Disease)
10 HOSPITAL DR, STE 310
HOLYOKE, MA 01040
Orthopaedic Surgery
10 HOSPITAL DR, SUITE 203
HOLYOKE, MA 01040

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 Robert Weiss's NPI number?

The NPI number for Robert Weiss is 1861575953. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Robert Weiss located?

Robert Weiss practices at 10 Hospital Dr Ste 102, Holyoke, MA 01040. The listed phone number is (413) 534-1132.

What is Robert Weiss's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Robert Weiss enrolled in Medicare?

Yes. Robert Weiss 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 Robert Weiss accept?

Health plans from Anthem Blue Cross and Blue Shield list Robert Weiss 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 Robert Weiss affiliated with any hospitals?

According to CMS data, Robert Weiss is affiliated with Cooley Dickinson Hospital Inc,the and Holyoke Medical Center.

When was this NPI record last updated?

The NPPES record for Robert Weiss was last updated on February 11, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.