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NEIL D THEISE M.D.
NPI 1912906025
Pathology - Anatomic Pathology in New York, NY

Active since July 20, 2005PECOS Enrolled
84.47/100
CMS Quality Rating
10 NATHAN D PERLMAN PLACE, SUITE 12S34, NEW YORK, NY 10003(212) 420-2124(212) 420-3449 Get Directions Write a Review

NPPES record last updated: February 1, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Neil D Theise M.d. NPPES

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

NEIL D THEISE M.D. (NPI 1912906025) is an individual anatomic pathology provider in New York, New York, licensed in New York (171759) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912906025
Entity TypeIndividualMale
Primary Taxonomy207ZP0101X
Provider Legal NameNEIL D THEISECredential: M.D.
Location Address10 NATHAN D PERLMAN PLACE, SUITE 12S34New York, NY 10003-3851
Mailing Address1900 Hempstead Tpke, Suite 500East Meadow, NY 11554-1724 · (516) 542-1090 · Fax (770) 666-9097
Phone(212) 420-2124
Fax(212) 420-3449
Sole ProprietorNo
Enumeration DateJuly 20, 2005
Last NPPES UpdateFebruary 1, 2012
✔ NPI 1912906025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0101X
License✔ Licensed in NY · 171759
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
10 NATHAN D PERLMAN PLACE, New York, NY 10003
Open in Google Maps ↗

Other Identifiers 6

Medicare ID-Type Unspecified92F891NY
Medicaid02441078NY
Medicare PIN92F8975252NY
Medicare UPINE92142NY
Other92F8970211NY · Ngs
Medicare UPINE92142

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Neil D Theise M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Neil Theise reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fpa Hospital Based
4.5 mi
Diagnostic Radiology
1176 5TH AVE, #1235
New York, NY 10029
  • Reassigned Medicare billing, New York enrollment
  • 1,067 clinicians in this Medicare group
NPI 1487995700 (212) 241-6381
New York University
1,038 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964

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 8

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
643 services201 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
623 services180 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
273 services46 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
138 services32 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
67 services57 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
58 services55 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10003 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Other Providers at the Same Location NPPES 11

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

REGINA BACCHUS
Registered Nurse (Emergency)
10 NATHAN D PERLMAN PLACE
NEW YORK, NY 10003
New York County (212) 844-1871
WEN FAN M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
10 NATHAN D PERLMAN PLACE, SUITE 12S34
NEW YORK, NY 10003
New York County (212) 420-2124
VIJAY P SHAH M.D.
Pathology (Hematology)
10 NATHAN D PERLMAN PLACE, SUITE 12S34
NEW YORK, NY 10003
New York County (212) 420-2124
HENRY J VOTAVA M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
10 NATHAN D PERLMAN PLACE, SUITE 12S34
NEW YORK, NY 10003
New York County (212) 420-2124
BEVERLY Y WANG M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
10 NATHAN D PERLMAN PLACE, SUITE 12S34
NEW YORK, NY 10003
New York County (212) 420-2124
JEAN-MARC COHEN M.D.
Pathology (Anatomic Pathology)
10 NATHAN D PERLMAN PLACE, SUITE 12S34
NEW YORK, NY 10003
New York County (212) 420-2124
BETH ISRAEL MEDICAL CENTER
Clinical Medical Laboratory
10 NATHAN D PERLMAN PLACE
SUITE 12S34, NY 10003
New York County (212) 420-2124
VIOLETTE S GHALI M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
10 NATHAN D PERLMAN PLACE, SUITE 12S34
NEW YORK, NY 10003
New York County (212) 420-2124

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 Neil Theise's NPI number?

The NPI number for Neil Theise is 1912906025. It was assigned to this individual provider in the NPPES registry on July 20, 2005.

Where is Neil Theise located?

Neil Theise practices at 10 Nathan D Perlman Place Suite 12s34, New York, NY 10003. The listed phone number is (212) 420-2124.

What is Neil Theise's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology, with taxonomy code 207ZP0101X.

Is Neil Theise enrolled in Medicare?

Yes. Neil Theise is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Neil Theise's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Neil Theise reassigns Medicare benefits to 2 organizations: Fpa Hospital Based (New York, NY) and New York University (Boynton Beach, FL). Each 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 Neil Theise's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Neil Theise was last updated on February 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.