DR. JEFFREY M PINES M.D.
NPI 1457383010
Psychiatry & Neurology - Psychiatry in New York, NY
NPI Status: Active since July 06, 2006
Contact Information
161 FORT WASHINGTON AVE
NEW YORK, NY
ZIP 10032
Phone: (212) 579-1913
Fax: (212) 305-4724
- Individual
- Male
- Psychiatry & Neurology
- Psychiatry
- PECOS Enrolled
- Opted-Out Medicare
About JEFFREY PINES
This page provides the complete NPI Profile along with additional information for Jeffrey Pines, a provider established in New York, New York with a medical specialization in Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1457383010 assigned on July 2006. The practitioner's primary taxonomy code is 2084P0800X with license number 120416 (NY). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1457383010
- Provider Name
- DR. JEFFREY M PINES M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 161 FORT WASHINGTON AVE NEW YORK, NY 10032
- Location Phone
- (212) 579-1913
- Location Fax
- (212) 305-4724
- Mailing Address
- 161 FORT WASHINGTON AVE NEW YORK, NY 10032
- Mailing Phone
- (212) 579-1913
- Mailing Fax
- (212) 305-4724
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-06-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A psychiatrist like Jeffrey Pines are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Jeffrey Pines opted out of Medicare effective on 07-01-2013 until 07-01-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Psychiatry
- Taxonomy Code
- 2084P0800X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 120416
- License State
- NY
- Taxonomy Description
- A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 32A171 | MEDICARE ID-TYPE UNSPECIFIED (04) | NY | |
| 00581920 | MEDICAID (05) | NY | |
| C08377 | MEDICARE UPIN (02) | NY |
Medicare Participation & PECOS Enrollment Status
Jeffrey Pines is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 07-01-2013
Opt-Out End Date: 07-01-2025
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 10032 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $198.19
- Minimum New Patient Price $65.69
- Maximum New Patient Price $198.19
- Average New Patient Copayment $49.54
- Minimum New Patient Copayment $16.42
- Maximum New Patient Copayment $49.54
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $81.44
- Minimum Established Patient Price $21.2
- Maximum Established Patient Price $160.66
- Average Established Patient Copayment $20.36
- Minimum Established Patient Copayment $5.3
- Maximum Established Patient Copayment $40.16
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 5 | 7 | 3 | 8 | 3 | 0 | 1 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 10 | 7 | 6 | 8 | 6 | 0 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 0 + 7 + 6 + 8 + 6 + 0 + 2 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1457383010 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1295732824 | DR. JOSHUA ROBERT SONETT Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 161 FORT WASHINGTON AVE NEW YORK, NY 10032 (212) 305-3408 |
| 1699776948 | DR. LARRY L SCHULMAN MD Individual | Internal Medicine | 161 FORT WASHINGTON AVE SUITE 3-312 NEW YORK, NY 10032 (212) 305-5346 |
| 1477520369 | DR. MICHAEL FLAMM M.D. Individual | Internal Medicine (Medical Oncology) | 161 FORT WASHINGTON AVE NEW YORK, NY 10032 (212) 305-0526 |
| 1396785879 | DR. STANLEY RABAN FRANKEL M.D. Individual | Internal Medicine (Medical Oncology) | 161 FORT WASHINGTON AVE NINTH FLOOR NEW YORK, NY 10032 (212) 305-0566 |
| 1205877818 | DR. LIONEL GROSSBARD M.D. Individual | Internal Medicine (Hematology & Oncology) | 161 FORT WASHINGTON AVE NEW YORK, NY 10032 (212) 305-8399 |
| 1972547065 | DR. STANLEY JAY SCHNELLER M.D. Individual | Internal Medicine (Cardiovascular Disease) | 161 FORT WASHINGTON AVE SUITE 546 NEW YORK, NY 10032 (212) 305-5490 |
| 1124057377 | JACK MAIDMAN M.D. Individual | Obstetrics & Gynecology (Maternal & Fetal Medicine) | 161 FORT WASHINGTON AVE NEW YORK, NY 10032 (212) 305-7334 |
| 1750310942 | HAMID MOOTABAR M.D. Individual | Obstetrics & Gynecology (Maternal & Fetal Medicine) | 161 FORT WASHINGTON AVE NEW YORK, NY 10032 (212) 305-7334 |
| 1265461222 | ANNE DAVIS M.D. Individual | Obstetrics & Gynecology (Gynecology) | 161 FORT WASHINGTON AVE NEW YORK, NY 10032 (212) 305-9368 |
| 1245262989 | RICHARD BERKOWITZ M.D. Individual | Obstetrics & Gynecology (Maternal & Fetal Medicine) | 161 FORT WASHINGTON AVE NEW YORK, NY 10032 (212) 305-7334 |
| 1386676575 | CAROLYN WESTHOFF M.D. Individual | Obstetrics & Gynecology | 161 FORT WASHINGTON AVE NEW YORK, NY 10032 (212) 305-9368 |
| 1932131166 | CARMEL COHEN M.D. Individual | Obstetrics & Gynecology (Gynecologic Oncology) | 161 FORT WASHINGTON AVE NEW YORK, NY 10032 (212) 305-3410 |
| 1720010994 | JOSHUA HOLDEN M.D. Individual | Obstetrics & Gynecology | 161 FORT WASHINGTON AVE NEW YORK, NY 10032 (212) 305-1517 |
| 1689606576 | JOHN EVANKO M.D. Individual | Obstetrics & Gynecology (Gynecology) | 161 FORT WASHINGTON AVE NEW YORK, NY 10032 (212) 305-1107 |
| 1295767671 | ROBERT HADDEN M.D. Individual | Obstetrics & Gynecology | 161 FORT WASHINGTON AVE NEW YORK, NY 10032 (212) 305-1517 |
| 1306871553 | ELISABETH VISSER CNP Individual | Nurse Practitioner (Adult Health) | 161 FORT WASHINGTON AVE NEW YORK, NY 10032 (212) 305-1107 |
| 1790702884 | TRUSTEES OF COLUMBIA IN THE CITY OF NEW YORK Organization | Dermatology | 161 FORT WASHINGTON AVE 12TH FLOOR NEW YORK, NY 10032 (212) 305-2752 |
| 1821016239 | DR. CHARLES ARTHUR KAUFMANN M.D. Individual | Psychiatry & Neurology (Psychiatry) | 161 FORT WASHINGTON AVE SUITE 211 NEW YORK, NY 10032 (914) 238-7909 |
| 1417976267 | DR. JAMES A REIFFEL M.D. Individual | Internal Medicine (Cardiovascular Disease) | 161 FORT WASHINGTON AVE NEW YORK, NY 10032 (212) 305-5206 |
| 1578571469 | DR. ROY S LACKEY MD Individual | Internal Medicine | 161 FORT WASHINGTON AVE SUITE 421 NEW YORK, NY 10032 (212) 305-2001 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457383010, enumerated in the NPI registry as an "individual" on July 06, 2006
The provider is located at 161 Fort Washington Ave New York, Ny 10032 and the phone number is (212) 579-1913
The provider's speciality is Psychiatry & Neurology with taxonomy code 2084P0800X with a focus in Psychiatry
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $198.19 with an average copayment of $49.54 for new patient appointments. Established patients should expect a typical charge of $81.44 and an average copayment of 20.36. Please review your insurance plan or contact the provider directly to determine your specific costs.
No, the provider signed an affidavit on July 01, 2013 to opt-out of the Medicare program. The provider is excluded from the Medicare program until July 01, 2025.
This NPI record was last updated on July 06, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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