DR. MICHAEL J. MARMULSTEIN M.D.
NPI 1760480057
Internal Medicine - Cardiovascular Disease in Albany, NY
NPI Status: Active since July 11, 2005
Contact Information
2 PALISADES DR
ALBANY, NY
ZIP 12205
Phone: (518) 458-2000
Fax: (518) 458-1524
- Individual
- Male
- Internal Medicine
- Cardiovascular Disease
- PECOS Enrolled
- Medicare Quality Reporting
About MICHAEL MARMULSTEIN
This page provides the complete NPI Profile along with additional information for Michael Marmulstein, an internist established in Albany, New York with a medical specialization in Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1760480057 assigned on July 2005. The practitioner's primary taxonomy code is 207RC0000X with license number 142556 (NY). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1760480057
- Provider Name
- DR. MICHAEL J. MARMULSTEIN M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2 PALISADES DR ALBANY, NY 12205
- Location Phone
- (518) 458-2000
- Location Fax
- (518) 458-1524
- Mailing Address
- 2 PALISADES DR ALBANY, NY 12205
- Mailing Phone
- (518) 458-2000
- Mailing Fax
- (518) 458-1524
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-11-2005
- Last Update Date
- 08-29-2012
- Code Navigator
An internist like Michael Marmulstein is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
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
Internal Medicine Cardiovascular Disease
- Taxonomy Code
- 207RC0000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 142556
- License State
- NY
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207RI0011X | Allopathic & Osteopathic Physicians | Internal Medicine | 142556 (NY) |
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 |
|---|---|---|---|
| 1003580 | MEDICAID (05) | VT | |
| B82036 | MEDICARE UPIN (02) | NY | |
| 01120396 | MEDICAID (05) | NY | |
| RA2959 | MEDICARE PIN (08) | NY |
Medicare Participation & PECOS Enrollment Status
Michael Marmulstein 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
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 12205 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $126.4
- Minimum New Patient Price $54.87
- Maximum New Patient Price $166.88
- Average New Patient Copayment $31.6
- Minimum New Patient Copayment $13.71
- Maximum New Patient Copayment $41.72
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.57
- Minimum Established Patient Price $17.54
- Maximum Established Patient Price $136.14
- Average Established Patient Copayment $17.14
- Minimum Established Patient Copayment $4.38
- Maximum Established Patient Copayment $34.03
* 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.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Chronic Care and Preventative Care Management for Empaneled Patients | Yes | N/A |
| Proactively manage chronic and preventive care for empaneled patients that could include one or more of the following: • Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions; • Use condition-specific pathways for care of chronic conditions (e.g., hypertension, diabetes, depression, asthma and heart failure) with evidence-based protocols to guide treatment to target; such as a CDC-recognized diabetes prevention program; • Use pre-visit planning to optimize preventive care and team management of patients with chronic conditions; • Use panel support tools (registry functionality) to identify services due; • Use predictive analytical models to predict risk, onset and progression of chronic diseases; or • Use reminders and outreach (e.g., phone calls, emails, postcards, patient portals and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation. | ||
| Documentation of Current Medications in the Medical Record | 97% | 2215 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| e-Prescribing | 93% | 2957 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Implementation of medication management practice improvements | Yes | N/A |
| Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews. | ||
| Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
| Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
| Medication Reconciliation | 97% | 229 |
| The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
| Patient-Specific Education | 58% | 1459 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 68% | 1490 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 86% | 464 |
| Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user | ||
| Provide Patient Access | 72% | 1458 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Secure Messaging | 15% | 1458 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Use of decision support and standardized treatment protocols | Yes | N/A |
| Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs. | ||
Reviews for DR. MICHAEL J. MARMULSTEIN M.D.
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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 | 7 | 6 | 0 | 4 | 8 | 0 | 0 | 5 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 12 | 0 | 8 | 8 | 0 | 0 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 2 + 0 + 8 + 8 + 0 + 0 + 1 + 0 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1760480057 is valid because the calculated check digit 7 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 |
|---|---|---|---|
| 1336147651 | DR. JOHN D. BENNETT JR. M.D. Individual | Internal Medicine (Cardiovascular Disease) | 2 PALISADES DR ALBANY, NY 12205 (518) 458-2000 |
| 1710985874 | MS. JUDY J. RIEKER RPA-C Individual | Physician Assistant (Medical) | 2 PALISADES DR ALBANY, NY 12205 (518) 458-2000 |
| 1750389623 | MS. CAROLYN C. RAND RPA-C Individual | Physician Assistant (Medical) | 2 PALISADES DR ALBANY, NY 12205 (518) 458-2000 |
| 1134115462 | MR. ALI ASGHER KHANSHAB RPA-C Individual | Physician Assistant (Medical) | 2 PALISADES DR ALBANY, NY 12205 (518) 458-2000 |
| 1225065733 | MR. EVAN EDWARD WOLF RPA-C Individual | Physician Assistant (Medical) | 2 PALISADES DR AAC, A DIVISION OF PRIME CARE PHYSICIANS, PLLC ALBANY, NY 12205 (518) 458-2000 |
| 1437169562 | MRS. AMY M GORMAN RPA-C Individual | Physician Assistant | 2 PALISADES DR ALBANY, NY 12205 (518) 458-2000 |
| 1912127903 | PRIME CARE PHYSICIANS, P.L.L.C. Organization | Internal Medicine (Cardiovascular Disease) | 2 PALISADES DR ALBANY, NY 12205 (518) 458-2000 |
| 1053608893 | MS. RACHEL C MARCHAND RPA-C Individual | Physician Assistant (Medical) | 2 PALISADES DR ALBANY, NY 12205 (518) 458-2000 |
| 1558369983 | DR. BRUCE E. COPLIN M.D. Individual | Internal Medicine (Cardiovascular Disease) | 2 PALISADES DR ALBANY, NY 12205 (518) 458-2000 |
| 1184622516 | MR. MATTHEW K. FAIRBANK RPA-C Individual | Physician Assistant (Medical) | 2 PALISADES DR ALBANY, NY 12205 (518) 458-2000 |
| 1083612147 | MRS. AMANDA B TENHULZEN ANP-C Individual | Nurse Practitioner (Adult Health) | 2 PALISADES DR ALBANY, NY 12205 (518) 458-2000 |
| 1346248408 | DR. ANTHONY R. TURI M.D. Individual | Internal Medicine (Cardiovascular Disease) | 2 PALISADES DR ALBANY, NY 12205 (518) 458-2000 |
| 1063411783 | DR. ALFONSO F.J. PRIETO MD Individual | Internal Medicine (Clinical Cardiac Electrophysiology) | 2 PALISADES DR ALBANY, NY 12205 (518) 458-2000 |
| 1508850017 | DR. SERGIO RAPISARDA MD Individual | Internal Medicine (Cardiovascular Disease) | 2 PALISADES DR ALBANY, NY 12205 (518) 458-2000 |
| 1306003314 | DR. ZOE A ORECKI MD MPH Individual | Internal Medicine (Cardiovascular Disease) | 2 PALISADES DR ALBANY, NY 12205 (518) 458-2000 |
| 1538551197 | MS. MARCELLA K ANTONIEWICZ NP Individual | Nurse Practitioner (Adult Health) | 2 PALISADES DR ALBANY, NY 12205 (518) 458-2000 |
| 1821096983 | DR. MICHAEL J. MARTINELLI M.D. Individual | Internal Medicine (Interventional Cardiology) | 2 PALISADES DR ALBANY, NY 12205 (518) 458-2000 |
| 1285149005 | KELSEY R LEDER PA-C Individual | Physician Assistant | 2 PALISADES DR ALBANY, NY 12205 (518) 458-2000 |
| 1548268881 | MR. JOHN P. KEEFE RPA Individual | Physician Assistant (Medical) | 2 PALISADES DR ALBANY, NY 12205 (518) 458-2000 |
| 1831197268 | JONATHAN MICHAEL DESANTIS M.D. Individual | Internal Medicine (Cardiovascular Disease) | 2 PALISADES DR ALBANY, NY 12205 (518) 458-2000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760480057, enumerated in the NPI registry as an "individual" on July 11, 2005
The provider is located at 2 Palisades Dr Albany, Ny 12205 and the phone number is (518) 458-2000
The provider's speciality is Internal Medicine with taxonomy code 207RC0000X with a focus in Cardiovascular Disease
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 $126.4 with an average copayment of $31.6 for new patient appointments. Established patients should expect a typical charge of $68.57 and an average copayment of 17.14. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on July 11, 2005. 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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