2026 NPPES data Legal Medicine NPI 1164450557 M.D
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MICHAEL GOLDSTEIN, M.D

Legal Medicine in NEW YORK, New York. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
25
Medicare Part D claims · Legal Medicine avg: 3K
MIPS score
40.8333/100
▼ 42 pts below national avg 83.1 · [object Object]

What the federal data shows

MICHAEL GOLDSTEIN, M.D reported a CMS MIPS final score of 40.8333/100 — below the 83.1 national average — and filed 25 Medicare Part D claims in 2023.

40.8333/100
MIPS score · -42 vs avg
25
Part D claims, 2023

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

MICHAEL GOLDSTEIN, M.D's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

41 4th percentile higher than 4% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). This entry sits in this band. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

What does the federal data show about MICHAEL GOLDSTEIN, M.D?

Below national average

NPI registry status

Active

Issued 06/28/2006

NPI 1164450557

Primary specialty

Legal Medicine

Niche

1,067 US NPIs in this specialty

Medicare Part D claims

25 99% vs specialty avg

2023 prescription claims

Specialty avg: 2,821

MIPS final score

40.8333/100 42.26669999999999% pts

Below average band

vs 83.1 national avg

Specialty distribution in New York

How Legal Medicine compares to other specialties among New York providers

New York providers

Legal Medicine share within New York

1. Legal Medicine42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Legal Medicine share within New York

Medicare quality performance — MIPS

MICHAEL GOLDSTEIN, M.D's 2023 MIPS final score plotted against the Legal Medicine national average

Below national average
MIPS Final Score
40.8333/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Legal Medicine) — 40.8333/100 vs national avg 83.1

0%100%National avg83%40.8%
MIPS final score (Legal Medicine) — 40.8333/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

MICHAEL GOLDSTEIN, M.D appears in the CMS NPPES registry as a Legal Medicine provider holding M.D credentials at 317 E 17TH ST, NEW YORK, NY, 10003, with a listed phone of (212) 420-2585. NPI 1164450557 was issued on 06/28/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GOLDSTEIN most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 25 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $411 in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 40.8333/100 for the 2023 performance year (Quality 61.6667), compared with the national average of 83.1.

Legal Medicine is a narrow specialty nationwide, with 1,067 enrolled providers across 51 states and an average of 2,821 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

317 E 17TH ST
NEW YORK, NY 10003

Provider Details

NPI 1164450557
Specialty Legal Medicine
Credentials M.D
Gender Male
NPI Issued 06/28/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

40.8333
Final Score
Avg: 83.1
61.6667
Quality

Reporting: Individual

License & disciplinary context — New York NYSBPMC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~100K New York medical licensees in 2023 — they are NOT specific to MICHAEL GOLDSTEIN, M.D. To verify MICHAEL GOLDSTEIN, M.D's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

25
Total Claims
$411
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
25
Total Day Supply
592
Brand Drug Cost
$0
Generic Drug Cost
$411

Patient Demographics

Average Patient Age
67.5 years
Avg HCC Risk Score
0.59

Legal Medicine Overview

How MICHAEL GOLDSTEIN, M.D fits within the Legal Medicine landscape nationally.

1,067
Legal Medicine Providers in US
51
States with Legal Medicine
2,821
Avg Claims per Provider

MICHAEL GOLDSTEIN, M.D's 25 claims are below the specialty average of 2,821.

Nearby Legal Medicine Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as GOLDSTEIN.

Compare Legal Medicine nationally: see state-by-state distribution →

Frequently Asked Questions

What is MICHAEL GOLDSTEIN, M.D's specialty?
MICHAEL GOLDSTEIN, M.D specializes in Legal Medicine and practices in NEW YORK, New York. Credentials: M.D.
How much does MICHAEL GOLDSTEIN, M.D prescribe under Medicare Part D?
In 2023, MICHAEL GOLDSTEIN, M.D wrote 25 Medicare Part D claims totaling $411 in drug costs for N/A beneficiaries.
What is MICHAEL GOLDSTEIN, M.D's Medicare quality score?
MICHAEL GOLDSTEIN, M.D has a CMS MIPS Final Score of 40.8333/100 (Quality: 61.6667). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MICHAEL GOLDSTEIN, M.D located?
MICHAEL GOLDSTEIN, M.D is located at 317 E 17TH ST, NEW YORK, NY, 10003. Phone: (212) 420-2585.
What is MICHAEL GOLDSTEIN, M.D's NPI number?
MICHAEL GOLDSTEIN, M.D's National Provider Identifier (NPI) is 1164450557, issued on 06/28/2006.
How many Legal Medicine providers are there in the US?
There are 1,067 Legal Medicine providers across 51 states in the US. The average Legal Medicine provider writes 2,821 Medicare Part D claims per year.
Does MICHAEL GOLDSTEIN, M.D accept Medicare?
MICHAEL GOLDSTEIN, M.D appears in CMS Medicare data with 25 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MICHAEL GOLDSTEIN, M.D's credentials?
MICHAEL GOLDSTEIN, M.D's NPI is 1164450557 with credentials M.D. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology