MARC R KIRSCHNER MD
NPI 1871571216
Internal Medicine - Cardiovascular Disease in West Islip, NY

Active since January 05, 2006PECOS EnrolledAccepts Medicare Assignment
84.39/100
CMS Quality Rating
540 UNION BLVD, WEST ISLIP, NY 11795(631) 669-2555(631) 669-3051 Get Directions Write a Review

NPPES record last updated: August 25, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marc R Kirschner Md NPPES

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

MARC R KIRSCHNER MD (NPI 1871571216) is an individual cardiovascular disease provider in West Islip, New York, licensed in New York (1273161) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with St Francis Hospital - The Heart Center, and is a graduate of Icahn School Of Medicine At Mount Sinai (1975).

NPPES Registry Identity

NPI1871571216
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameMARC R KIRSCHNERCredential: MD
Location Address540 UNION BLVDWest Islip, NY 11795-3105
Mailing Address540 Union BlvdWest Islip, NY 11795-3105 · (631) 669-2555 · Fax (631) 669-3051
Fax(631) 669-3051
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 1975
Enumeration DateJanuary 5, 2006
Last NPPES UpdateAugust 25, 2014
NPI 1871571216 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 NY · 1273161
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.

540 UNION BLVD, West Islip, NY 11795

Other Identifiers 2

Medicaid00635305NY
Medicare PINA400029329NY

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

Marc R Kirschner 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 ID6406880236
PECOS Enrollment IDI20090912000074
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 10

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.
928 services505 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
762 services519 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.
190 services183 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
147 services142 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.
110 services89 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.
91 services84 patients

Hospital Affiliations CMS Care Compare 2

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

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

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330286
Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11795 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.

84.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.34
Promoting Interoperability100
Improvement Activities40
Cost57.02

Referred Medical Equipment & Supplies CMS DME claims 2

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

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
2 suppliers24 claims24 services$67.92 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers24 claims24 services$36.13 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 20

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

Internal Medicine (Cardiovascular Disease)
540 UNION BLVD
WEST ISLIP, NY 11795
Internal Medicine (Cardiovascular Disease)
540 UNION BLVD
WEST ISLIP, NY 11795
Internal Medicine (Cardiovascular Disease)
540 UNION BLVD
WEST ISLIP, NY 11795
Internal Medicine (Cardiovascular Disease)
540 UNION BLVD
WEST ISLIP, NY 11795
Physician Assistant (Medical)
540 UNION BLVD
WEST ISLIP, NY 11795
Internal Medicine (Cardiovascular Disease)
540 UNION BLVD
WEST ISLIP, NY 11795
Physician Assistant
540 UNION BLVD
WEST ISLIP, NY 11795
Nurse Practitioner (Family)
540 UNION BLVD
WEST ISLIP, NY 11795

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 Marc Kirschner's NPI number?

The NPI number for Marc Kirschner is 1871571216. It was assigned to this individual provider in the NPPES registry on January 5, 2006.

Where is Marc Kirschner located?

Marc Kirschner practices at 540 Union Blvd, West Islip, NY 11795. The listed phone number is (631) 669-2555.

What is Marc Kirschner's specialty?

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

Is Marc Kirschner enrolled in Medicare?

Yes. Marc Kirschner 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 Marc Kirschner affiliated with any hospitals?

According to CMS data, Marc Kirschner is affiliated with St Francis Hospital - The Heart Center and Good Samaritan Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Marc Kirschner was last updated on August 25, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.