Active NPI 1497838767 Individual Practitioner Male Practitioner

Dr. Richard Gerstein , MD

Emergency Medicine • Ware, MA

Professional Overview & Biography Verified Profile Summary

Dr. Richard Gerstein, MD is a registered healthcare professional specializing in Emergency Medicine in Ware, MA. Practice services are available at 85 SOUTH ST under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

85 South St

Ware, MA 010821667

Telephone 4139672275

Associated Practice Facility / Clinic

🏢 Baystate Mary Lane Hospital Corporation Facility NPI 1144221847

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Ware, MA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 40.0 Yrs

State Avg: 24.2 Yrs

Regional Practice Density

6 Specialists

Practicing in Ware, MA (1875 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	11	11	$464.55	$121.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	47	47	$466.36	$124.34
99285 Emergency department visit for life threatening or functioning severity	38	37	$582.11	$180.35
99283 Emergency department visit with low level of medical decision making	17	16	$290.00	$73.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	69	67	$452.62	$126.02
99285 Emergency department visit for life threatening or functioning severity	43	41	$564.98	$183.60
99283 Emergency department visit with low level of medical decision making	28	28	$282.29	$74.20
99291 Critical care, first 30-74 minutes	18	18	$1015.00	$225.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	102	101	$440.84	$123.98
99285 Emergency department visit for life threatening or functioning severity	79	79	$548.42	$180.14
99283 Emergency department visit with low level of medical decision making	39	38	$274.85	$67.82
99291 Critical care, first 30-74 minutes	13	13	$992.85	$231.44
99282 Emergency department visit with straightforward medical decision making	11	11	$165.82	$45.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	296	280	$421.97	$121.44
99285 Emergency department visit for life threatening or functioning severity	138	133	$530.00	$178.74
99283 Emergency department visit with low level of medical decision making	92	90	$264.25	$64.09
99282 Emergency department visit with straightforward medical decision making	30	30	$159.10	$42.89
99291 Critical care, first 30-74 minutes	21	21	$951.00	$230.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	201	188	$419.75	$118.07
99285 Emergency department visit for life threatening or functioning severity	126	124	$521.95	$174.89
99283 Emergency department visit with low level of medical decision making	60	56	$260.98	$62.72
99291 Critical care, first 30-74 minutes	25	25	$941.19	$226.12
99282 Emergency department visit with straightforward medical decision making	25	25	$156.76	$42.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	241	228	$412.94	$119.01
99285 Emergency department visit for life threatening or functioning severity	115	115	$520.94	$175.43
80307 Testing for presence of drug, by chemistry analyzers	67	11	$240.00	$62.85
99283 Emergency department visit with low level of medical decision making	46	46	$258.66	$62.83
99282 Emergency department visit with straightforward medical decision making	25	25	$155.13	$42.03
99291 Critical care, first 30-74 minutes	24	24	$931.56	$227.49

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License MA 58124

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License MA 58124

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners

Dr. Richard Romano , MD

Emergency Medicine

NPI 1083741896

Doctor of Medicine (M.D.)

Dr. Morris Leibowitz , MD

Emergency Medicine

NPI 1255379574

Doctor of Medicine (M.D.)

Dr. David Andrewes , MD

Emergency Medicine

NPI 1275649188

Doctor of Medicine (M.D.)

Dr. David Miller , MD

Emergency Medicine

NPI 1356478168

Doctor of Medicine (M.D.)

Dr. Roger Lafleur , MD

Emergency Medicine

NPI 1477691046

Doctor of Medicine (M.D.)

Dr. David Shenker , MD

Internal Medicine

NPI 1538250873

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active June 03, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location June 03, 2015

Registered at 85 SOUTH ST, WARE, MA 010821667 (Tel: 4139672275)

📍

Updated Business Mailing Address June 03, 2015

Registered at 280 CHESTNUT ST, 2ND FL, SPRINGFIELD, MA 011991619 (Tel: 4137949999)

👤

Provider Name / Credentials Updated June 03, 2015

Recorded as RICHARD GERSTEIN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2015

Emergency Medicine (License #58124 in MA)

🟢

Initial NPI Registration & Enumeration October 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497838767

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 23, 2006

Last Update: June 03, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

280 Chestnut St, 2nd Fl

Springfield, MA 011991619

Phone: 4137949999

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.