Marc Braunstein, M.D., PH.D.
NPI 1568761336 · Hematology & Oncology Physician · Mineola, NY
Enrolled with Medicare as Practitioner - Hematology/Oncology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marc Braunstein, M.D., PH.D. is a Hematology & Oncology Physician provider in Mineola, NY (NPI 1568761336).
Provider details
- NPI number
- 1568761336
- Entity type
- Individual
- Primary specialty
- Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D., PH.D.
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
15 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
2,165 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 721 | $146 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 520 | $9 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 274 | $18 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 140 | $108 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 133 | $205 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Acyclovir | 214 | 56 |
| Dexamethasone | 98 | 46 |
| Rivaroxabanbrand: Xarelto | 15 | — |
| Apixabanbrand: Eliquis | 15 | — |
| Hydroxyurea | 13 | — |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 13 | — |
| Allopurinol | 12 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$22,381 across 23 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 300 Community DrManhasset, NY 11030-3816Phone: (516) 562-0100
Registry dates
- Enumerated
- 2011-03-20
- Last updated
- 2021-02-26
- Certified
- 2021-02-26
Frequently asked questions
- What is Marc Braunstein's NPI number?
- Marc Braunstein's National Provider Identifier (NPI) is 1568761336, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marc Braunstein's specialty?
- Marc Braunstein is listed in the NPPES registry with a primary specialty of Hematology & Oncology Physician (Allopathic & Osteopathic Physicians).
- Where is Marc Braunstein located?
- Marc Braunstein's practice location on file with NPPES is 120 Mineola Blvd Ste 500, Mineola, NY 11501-4074.
- What is Marc Braunstein's phone number?
- The practice phone number listed in the NPPES registry for Marc Braunstein is (516) 663-4606.
- Does Marc Braunstein accept Medicare?
- Marc Braunstein is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marc Braunstein's NPI active?
- Yes — Marc Braunstein's NPI (1568761336) is active in the NPPES registry as of the last update on 2021-02-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.