DR. JERALD INSEL M.D.
NPI 1871561043
Internal Medicine - Cardiovascular Disease in Nottingham, MD

Q: What is Jerald Insel's NPI number?

The NPI number for Jerald Insel is 1871561043. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Q: What is Jerald Insel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Jerald Insel was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.

Active since March 14, 2006PECOS EnrolledAccepts Medicare Assignment

83.58/100

CMS Quality Rating

8114 SANDPIPER CIR STE 206, NOTTINGHAM, MD 21236(410) 933-4923(410) 933-8659 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Jerald Insel M.d. NPPES

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

DR. JERALD INSEL M.D. (NPI 1871561043) is an individual cardiovascular disease provider in Nottingham, Maryland, licensed in Maryland (D37280) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Maryland Medical Center, and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1871561043

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. JERALD INSELCredential: M.D.

Location Address8114 SANDPIPER CIR STE 206Nottingham, MD 21236-5902

Mailing Address8114 Sandpiper Cir Ste 206Baltimore, MD 21236-5902 · (410) 933-4923 · Fax (410) 933-8659

Phone(410) 933-4923

Fax(410) 933-8659

Sole ProprietorYes

Medical School CMSState University Of New York Downstate Medical CenterGraduated 1979

Enumeration DateMarch 14, 2006

Last NPPES UpdateNovember 19, 2024

NPPES CertifiedNovember 19, 2024

✔ NPI 1871561043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in MD · D37280

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

8114 SANDPIPER CIR STE 206, Nottingham, MD 21236

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Secondary Practice Location 1

Location 15601 Loch Raven Blvd, Russell Morgan Bldg., Suite 206Baltimore, MD 21239-2905 · Phone (410) 464-5600 · Fax (410) 532-4606

Other Identifiers 1

Medicaid283701300MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jerald Insel 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 ID1557486214

PECOS Enrollment IDI20100917000680

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.

Medicare Billing Reassignment

Medicare enrollment records show Jerald Insel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lifebridge Community Physicians, Inc

3.6 mi

Pediatrics

8114 HARFORD RD
Parkville, MD 21234

Reassigned Medicare billing, Maryland enrollment
317 clinicians in this Medicare group

NPI 1609299890 (410) 661-5800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 17

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

1,234 services592 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.

866 services439 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.

390 services58 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.

276 services233 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

205 services149 patients

Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report 93351

This procedure involves using ultrasound technology to create images of your heart while you rest, exercise, or undergo drug-induced stress. An ECG continuously monitors your heart's electrical activity. It helps doctors assess heart health and function.

203 services192 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

198 services175 patients

Evaluation of cardiac rhythm monitor system, remote up to 30 days 93298

This procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.

164 services29 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

110 services72 patients

Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional 93228

An Electrocardiogram (ECG) is a non-invasive test that records the electrical signals in your heart. For up to 30 days, a small device will continuously monitor your heart's activity. A healthcare professional will then review the data and provide a report on your heart's function.

79 services77 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system 93288

An evaluation of a pacemaker system examines how well your heart device is working. Single, dual, multiple lead, or leadless refers to the wires that deliver electrical pulses from the pacemaker to your heart. This check ensures your heart is receiving the right amount of support from the device.

49 services36 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.

42 services42 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

34 services33 patients

Evaluation of single, dual, or multiple lead implantable defibrillator system 93289

This procedure evaluates your implantable defibrillator system, which helps regulate your heart rhythm. It can involve single, dual, or multiple lead systems. It's essential to ensure the device is working correctly and adjusting to your heart's needs.

30 services16 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

30 services30 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

29 services25 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

18 services18 patients

Hospital Affiliations CMS Care Compare 4

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

University Of Maryland Medical Center

Acute Care Hospitals · Baltimore, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210002

Location22 South Greene StreetBaltimore, MD 21201 · Baltimore City County

Emergency services Birthing friendly

Johns Hopkins Hospital, The

Acute Care Hospitals · Baltimore, MD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210009

Location600 North Wolfe StreetBaltimore, MD 21287 · Baltimore City County

Emergency services Birthing friendly

Sinai Hospital Of Baltimore

Acute Care Hospitals · Baltimore, MD

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210012

Location2401 West Belvedere AvenueBaltimore, MD 21215 · Baltimore City County

Emergency services Birthing friendly

Medstar Good Samaritan Hospital

Acute Care Hospitals · Baltimore, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number210056

Location5601 Loch Raven BoulevardBaltimore, MD 21239 · Baltimore City County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21236 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

$139.05 typical visit price

range $60.73 – $183.44

Typical copayment $34.76 (range $15.18 – $45.86)

Most-billed visit code 99204

Established Patient

$75.47 typical visit price

range $19.60 – $149.17

Typical copayment $18.86 (range $4.90 – $37.29)

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.

83.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

75.15

Promoting Interoperability

100

Improvement Activities

Cost

62.64

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers14 claims14 services$15.28 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$71.58 avg. paid by Medicare

Automatic external defibrillator, with integrated electrocardiogram analysis, garment type K0606

DME-Other DME · category DE013N

1 supplier12 claims12 services$2,228.55 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

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

LIFEBRIDGE COMMUNITY PHYSICIANS INC

Internal Medicine (Cardiovascular Disease)

8114 SANDPIPER CIR STE 206
NOTTINGHAM, MD 21236

Baltimore County (410) 933-4923

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 Jerald Insel's NPI number?

The NPI number for Jerald Insel is 1871561043. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Jerald Insel located?

Jerald Insel practices at 8114 Sandpiper Cir Ste 206, Nottingham, MD 21236. The listed phone number is (410) 933-4923.

What is Jerald Insel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Jerald Insel enrolled in Medicare?

Yes. Jerald Insel 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.

Which organization bills Medicare for Jerald Insel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerald Insel reassigns Medicare benefits to Lifebridge Community Physicians, Inc (Parkville, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jerald Insel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jerald Insel affiliated with any hospitals?

According to CMS data, Jerald Insel is affiliated with University Of Maryland Medical Center, Johns Hopkins Hospital, The, Sinai Hospital Of Baltimore and Medstar Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Jerald Insel was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.