MELISSA OPPENHEIM M.D.
NPI 1871501775
Obstetrics & Gynecology in Woodbury, NY

Active since August 04, 2006PECOS EnrolledAccepts Medicare Assignment
81.08/100
CMS Quality Rating
40 CROSSWAYS PARK DR STE 101, WOODBURY, NY 11797(516) 496-3900 Get Directions Write a Review

NPPES record last updated: December 3, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Melissa Oppenheim M.d. NPPES

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

MELISSA OPPENHEIM M.D. (NPI 1871501775) is an individual obstetrics & gynecology provider in Woodbury, New York, licensed in New York (205625) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and maintains a secondary practice location in Manhasset.

NPPES Registry Identity

NPI1871501775
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMELISSA OPPENHEIMCredential: M.D.
Location Address40 CROSSWAYS PARK DR STE 101Woodbury, NY 11797-2038
Mailing Address900 Merchants Concourse Ste 216Westbury, NY 11590-5114 · (516) 226-8373
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 1995
Enumeration DateAugust 4, 2006
Last NPPES UpdateDecember 3, 2019
NPI 1871501775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in NY · 205625
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License 205625 (NY)
Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X · License 205625 (NY)
40 CROSSWAYS PARK DR STE 101, Woodbury, NY 11797

Secondary Practice Location 1

Location 11615 Northern Blvd Ste 106Manhasset, NY 11030-3033 · Phone (516) 482-8741

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

Melissa Oppenheim 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 ID6204826613
PECOS Enrollment IDI20040517001191
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 11

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
180 services180 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
162 services162 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
85 services85 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.
61 services51 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
32 services32 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
32 services32 patients

Hospital Affiliations CMS Care Compare 2

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

St Francis Hospital - The Heart Center

Acute Care Hospitals · Roslyn, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330182
Location100 Port Washington BoulevardRoslyn, NY 11576 · Nassau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11797 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
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

81.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.01
Promoting Interoperability100
Improvement Activities40
Cost50.92

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
87%500 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
99%1,537 patients
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%2,088 patients5/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%292 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
24%2,846 patients2/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
51%2,025 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 98% · 1,491 patients
Patients tobacco: 21% · 34 patients
95%1,491 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
92%2,846 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
65%2,846 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
59%2,846 patients
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 10

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

Obstetrics & Gynecology
40 CROSSWAYS PARK DR STE 101
WOODBURY, NY 11797
Obstetrics & Gynecology
40 CROSSWAYS PARK DR STE 101
WOODBURY, NY 11797
Obstetrics & Gynecology
40 CROSSWAYS PARK DR STE 101
WOODBURY, NY 11797
Obstetrics & Gynecology
40 CROSSWAYS PARK DR STE 101
WOODBURY, NY 11797
Obstetrics & Gynecology (Obstetrics)
40 CROSSWAYS PARK DR STE 101
WOODBURY, NY 11797
Physician Assistant
40 CROSSWAYS PARK DR STE 101
WOODBURY, NY 11797
Obstetrics & Gynecology
40 CROSSWAYS PARK DR STE 101
WOODBURY, NY 11797
Obstetrics & Gynecology
40 CROSSWAYS PARK DR STE 101
WOODBURY, NY 11797

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 Melissa Oppenheim's NPI number?

The NPI number for Melissa Oppenheim is 1871501775. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is Melissa Oppenheim located?

Melissa Oppenheim practices at 40 Crossways Park Dr Ste 101, Woodbury, NY 11797. The listed phone number is (516) 496-3900.

What is Melissa Oppenheim's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Melissa Oppenheim enrolled in Medicare?

Yes. Melissa Oppenheim 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 Melissa Oppenheim affiliated with any hospitals?

According to CMS data, Melissa Oppenheim is affiliated with North Shore University Hospital and St Francis Hospital - The Heart Center.

When was this NPI record last updated?

The NPPES record for Melissa Oppenheim was last updated on December 3, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.