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Compare the published Medicare service mix of Nicole Marcell Astill, M.D. with clinicians in the same registry specialty: Obstetrics/Gynecology (CMS).

NY · Exact areaEdit location

2024 published service data · 106 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Karen F Brodman, M.D.

Obstetrics/Gynecology (CMS) · New York, NY

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204)
70%Service-mix similarityView profile →

Mark David Adelson, M.D.

Gynecological Oncology · Obstetrics/Gynecology (CMS) · Syracuse, NY

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204)
69%Service-mix similarityView profile →

Yelena Havryliuk, M.D

Gynecological Oncology · Obstetrics/Gynecology (CMS) · New York, NY

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Biopsy of lining of uterus and/or removal of polyp using an endoscope (58558)
62%Service-mix similarityView profile →

Rachel L Friedman, MD

Obstetrics/Gynecology (CMS) · New York, NY

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204)
60%Service-mix similarityView profile →

Ilene Gewirtz, M.D.

Obstetrics/Gynecology (CMS) · East Islip, NY

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204)
59%Service-mix similarityView profile →

Renita Kim

Obstetrics/Gynecology (CMS) · Astoria, NY

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204)
54%Service-mix similarityView profile →

Anna Cioczek, DO

Obstetrics/Gynecology (CMS) · Brooklyn, NY

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204)
52%Service-mix similarityView profile →

Patrick Michael Schreiber, MD

Obstetrics/Gynecology (CMS) · Manhasset, NY

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204)
51%Service-mix similarityView profile →

Laura Carinci, M.D.

Obstetrics/Gynecology (CMS) · Bellmore, NY

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204)
50%Service-mix similarityView profile →

Milagros Diaz, MD

Obstetrics/Gynecology (CMS) · Woodbury, NY

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204)
49%Service-mix similarityView profile →

Beth M Houck, MD

Obstetrics/Gynecology (CMS) · Syracuse, NY

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204)
48%Service-mix similarityView profile →

Charles J. Ascher-Walsh, M.D.

Obstetrics/Gynecology (CMS) · New York, NY

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204)
48%Service-mix similarityView profile →
How this comparison works

We use the same calendar year of CMS Medicare Physician & Other Practitioners data for both providers. Published non-drug service counts are combined by HCPCS code across places of service. We apply log(1 + count), normalize the vectors, and compare them using cosine similarity.

Candidates share the reference provider’s current NPPES primary taxonomy and match the location you enter. We examine up to 500 candidates in NPI order, then show up to 12 with the highest positive similarity within that set. The score is not a percentile, medical recommendation, or prediction. Suppressed services are not estimated. Medicare fee-for-service data does not describe a provider’s entire practice.

Source: CMS Medicare Physician & Other Practitioners - by Provider and Service : 2024-12-01 · Published May 21, 2026.