Active NPI
Jerry M Schreibstein, MD.
- Otolaryngology Physician
- Springfield, MA
National Provider Identifier
1265499370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 74188
- Practice address
- 100 Wason Avenue
Suite 100
Springfield, MA 01107 - Phone
- (413) 732-7426
- Fax
- (413) 734-2371
- NPI assigned
- May 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 74188 | MA | Primary |
Addresses
Primary practice location
100 Wason Avenue
Suite 100
Springfield, MA 01107
Mailing address
100 Wason Avenue
Suite 100
Springfield, MA 01107
Phone (413) 732-7426
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3079031 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Tufts University School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 Wason Ave
Suite 100
Springfield, MA 01107-1179
Phone (413) 233-2052
Hospital & facility affiliations
- Baystate Medical Center
- Mercy Medical Ctr
- Cooley Dickinson Hospital Inc,the
- Baystate Franklin Medical Center
- Baystate Wing Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.45 of 100
- Quality
- 69.96
- Promoting interoperability
- 79
- Improvement activities
- 40
- Cost
- 77.58
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74188 | MA | MD | Otolaryngology Physician |
Interoperability endpoints
- jschreibstein2381993@direct.trinity-health.org
- jerry.schreibstein.1@30149.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Otolaryngology Physician
- Springfield, MA
- NPI 1386685881
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greenfield, MA
- NPI 1508867391
-
- General Acute Care Hospital
- Springfield, MA
- NPI 1487655064
-
- General Acute Care Hospital
- Palmer, MA
- NPI 1962410233
-
- General Acute Care Hospital
- Northampton, MA
- NPI 1477596310
-
- Psychiatric Hospital Unit
- Northampton, MA
- NPI 1871512814
-
- General Acute Care Hospital
- Springfield, MA
- NPI 1043204316
-
- Rehabilitation Hospital Unit
- Springfield, MA
- NPI 1750360798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254700800000",
"number": "1265499370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WASON AVENUE",
"address_2": "SUITE 100",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "01107",
"telephone_number": "413-732-7426",
"fax_number": "413-734-2371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WASON AVENUE",
"address_2": "SUITE 100",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "01107",
"telephone_number": "413-732-7426",
"fax_number": "413-734-2371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHREIBSTEIN",
"first_name": "JERRY",
"middle_name": "M",
"credential": "MD.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2009-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MA",
"license": "74188",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3079031",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.