NEIL A HALPERN MD
NPI 1922079169
Internal Medicine - Critical Care Medicine in New York, NY

Active since January 27, 2006PECOS EnrolledAccepts Medicare Assignment
87.06/100
CMS Quality Rating
1275 YORK AVE, NEW YORK, NY 10021(212) 639-2000 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Neil A Halpern Md NPPES

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

NEIL A HALPERN MD (NPI 1922079169) is an individual critical care medicine provider in New York, New York, licensed in New York (150672) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Icahn School Of Medicine At Mount Sinai (1981).

NPPES Registry Identity

NPI1922079169
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameNEIL A HALPERNCredential: MD
Location Address1275 YORK AVENew York, NY 10021-6007
Mailing Address633 3rd Ave, Box 3New York, NY 10017-6706
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 1981
Enumeration DateJanuary 27, 2006
Last NPPES UpdateOctober 30, 2025
NPPES CertifiedOctober 30, 2025
NPI 1922079169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in NY · 150672
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
1275 YORK AVE, New York, NY 10021

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

Neil A Halpern 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 ID3870767429
PECOS Enrollment IDI20111117000431
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 3

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
81 services34 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
40 services15 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
23 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 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.

87.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.48
Improvement Activities40

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.

Dermatology
1275 YORK AVE
NEW YORK, NY 10021
Nurse Anesthetist, Certified Registered
1275 YORK AVE
NEW YORK, NY 10021
Nurse Anesthetist, Certified Registered
1275 YORK AVE
NEW YORK, NY 10021
Pediatrics (Pediatric Hematology-Oncology)
1275 YORK AVE
NEW YORK, NY 10021
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10021
Radiology (Diagnostic Radiology)
1275 YORK AVE, DEPARTMENT OF RADIOLOGY
NEW YORK, NY 10021
Internal Medicine (Medical Oncology)
1275 YORK AVE
NEW YORK, NY 10021
Internal Medicine (Hematology & Oncology)
1275 YORK AVE
NEW YORK, NY 10021

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 Halpern's NPI number?

The NPI number for Neil Halpern is 1922079169. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Neil Halpern located?

Neil Halpern practices at 1275 York Ave, New York, NY 10021. The listed phone number is (212) 639-2000.

What is Neil Halpern's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Neil Halpern enrolled in Medicare?

Yes. Neil Halpern 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.

When was this NPI record last updated?

The NPPES record for Neil Halpern was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.