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DR. NORMAN EDELMAN M.D.
NPI 1881629582
Internal Medicine - Pulmonary Disease in East Setauket, NY

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
98.52/100
CMS Quality Rating
26 RESEARCH WAY, EAST SETAUKET, NY 11733(631) 444-0580 Get Directions Write a Review

NPPES record last updated: June 7, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Norman Edelman M.d. NPPES

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

DR. NORMAN EDELMAN M.D. (NPI 1881629582) is an individual pulmonary disease provider in East Setauket, New York, licensed in New York (147471) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of New York University Medical College - Nlg (1961).

NPPES Registry Identity

NPI1881629582
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. NORMAN EDELMANCredential: M.D.
Location Address26 RESEARCH WAYEast Setauket, NY 11733
Mailing AddressP.o. Box 1559Stony Brook, NY 11790 · (631) 444-0580
Phone(631) 444-0580
Sole ProprietorNo
Medical School CMSNew York University Medical College - NlgGraduated 1961
Enumeration DateJuly 11, 2006
Last NPPES UpdateJune 7, 2013
✔ NPI 1881629582 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 · 147471
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.
26 RESEARCH WAY, East Setauket, NY 11733
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Other Identifiers 5

Medicare UPINC58009NY
Other43831NY · Empire Bc.bs
Medicaid00530887NY
Medicare PIN4383116231NY
Other5607735NY · Aetna

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

Dr. Norman Edelman 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 ID9638210826
PECOS Enrollment IDI20100111000246
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 2

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 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.
55 services51 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11733 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.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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
5 suppliers42 claims42 services$60.86 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.

MS. HAKSOO KIM NURSE PRACTITIONER
Nurse Practitioner (Adult Health)
26 RESEARCH WAY
EAST SETAUKET, NY 11733
Suffolk County (631) 444-0502
MS. JENNIFER M MULVEY FITZGERALD NP, CDE
Nurse Practitioner (Family)
26 RESEARCH WAY, SUITE 1
EAST SETAUKET, NY 11733
Suffolk County (914) 649-9993
DR. LEONARD ARBEIT M.D.
Internal Medicine (Nephrology)
26 RESEARCH WAY
EAST SETAUKET, NY 11733
Suffolk County (631) 444-0580
DR. EDWARD NORD M.D.
Internal Medicine (Nephrology)
26 RESEARCH WAY
EAST SETAUKET, NY 11733
Suffolk County (631) 444-0580
DR. RAJEEV BALWANT PATEL M.D.
Internal Medicine (Pulmonary Disease)
26 RESEARCH WAY
EAST SETAUKET, NY 11733
Suffolk County (631) 444-9953
DR. HAROLD CARLSON M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
26 RESEARCH WAY
EAST SETAUKET, NY 11733
Suffolk County (631) 444-0580
DR. MOHAMED MOHSEN MANSOUR M.D.
Internal Medicine (Pulmonary Disease)
26 RESEARCH WAY
EAST SETAUKET, NY 11733
Suffolk County (631) 444-1750
MRS. FATIMA SHEIKH D.O
Internal Medicine (Nephrology)
26 RESEARCH WAY
EAST SETAUKET, NY 11733
Suffolk County (631) 444-0580

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 Norman Edelman's NPI number?

The NPI number for Norman Edelman is 1881629582. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Norman Edelman located?

Norman Edelman practices at 26 Research Way, East Setauket, NY 11733. The listed phone number is (631) 444-0580.

What is Norman Edelman's specialty?

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

Is Norman Edelman enrolled in Medicare?

Yes. Norman Edelman 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 Norman Edelman affiliated with any hospitals?

According to CMS data, Norman Edelman is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Norman Edelman was last updated on June 7, 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.