Dr. David Edelstein, MD
1421 3rd Ave, 4th Flr, New York, NY 10028 • +1-547-555-4174
Medical Education: Accredited U.S. Medical School (Class of 2016)
What This Doctor Actually Performs: CMS Medicare Utilization & New York Percentiles
NPI #1063570083 • CBSA 35620 • Otolaryngology
Operating out of New York, NY (1421 3rd Ave, 4th Flr), Otolaryngology clinician Dr. David Edelstein, MD (accredited MD/DO training, 2016) maintains a top-decile high-throughput specialist (92.66th percentile in New York) (92.96th NY percentile; Z-score +1.53σ across 5,227 documented services) with sub-specialty concentration in 44 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1063570083 highlights 1777 annual claims for 99213 (92.66th New York percentile; $155–$213 self-pay corridor) plus 1307 encounters under 31231 and 993 under 31575.
Self-pay new patient consultations with Dr. Edelstein (CPT 99204 GPCI-adjusted benchmark) estimate around $239.00 (community reported average: $239.00) with in-person clinic visits only, 14-minute average reception wait, and a 4.84/5 modern protocol openness score across 12 patient logs.
Credentialed as an MD specialist with 10 years post-graduation experience since completing medical school at an LCME/COCA institution (2016), Dr. Edelstein coordinates 44 Active CMS HCPCS Codes workups from 1421 3rd Ave, 4th Flr (+1-547-555-4174).
Top 10% Otolaryngology volume leader in New York, NY
5,227 annual services across 702 beneficiaries
Standard deviations from NY Otolaryngology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Ear, Nose, Sinus & Throat Examination | 1,777 | 92.66th | $155 – $213 |
| 31231 | Diagnostic Rigid/Flexible Nasal & Sinus Endoscopy | 1,307 | 94.66th | $312 – $428 |
| 31575 | Flexible Fiberoptic Laryngoscopy Vocal Cord Inspection | 993 | 95.66th | $228 – $312 |
| 92557 | Comprehensive Pure-Tone Audiometry & Speech Recognition | 680 | 92.66th | $110 – $150 |
| 69210 | Instrumented Impacted Cerumen Removal Under Microscopy | 470 | 89.66th | $98 – $134 |
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Dr. David Edelstein, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Edelstein National Provider Identifier | NPI #1063570083 (MD) | CMS NPPES Registry (10028) |
| Dr. Edelstein New York CMS Volume Rank | 92.66th Pct (5,227 CMS svcs; Z +1.527σ) | CMS Medicare Part B (NY Otolaryngology) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (New York, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 14 min lobby wait | 12 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.59/5 Listening • 4.84/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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