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Dr. David L. Epstein, MD

Accepting New Patients
(Dr. David Louis Epstein, MD)
Specializes in: Adult Nephrology
University of Miami, Miller School of Medicine (2005)
Professional interests include: chronic kidney failure, chronic kidney disease (CKD), end-stage renal disease (ESRD), and more.
505 E 70th Street
New York, NY 10021

Dr. David L. Epstein, MD is a nephrologist in New York, NY specializing in adult nephrology. He graduated from University of Miami, Miller School of Medicine in 2005 and has 21 years of experience. Dr. David L. Epstein, MD is affiliated with NewYork-Presbyterian, The Rogosin Institute and THE ROGOSIN INSTITUTE, INC.

View Doctor's Full Profile (212) 746-6974

Office Locations

505 E 70th Street
New York, NY 10021
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505 East 70th Street New York 2nd Floor
New York, NY 10021
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525 E 68th Street
New York, NY 10065
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Some issues Dr. David L. Epstein, MD can help you with:

Dialysis

Dialysis is a procedure that replicates renal (kidney) function by filtering patients' blood. When kidneys do not work properly, waste can accumulate in the blood and unbalanced chemicals can impair the body's critical functions. In order to stay healthy, a person without proper kidney function must receive dialysis. There are two forms of dialysis treatment: hemodialysis and peritoneal dialysis. Both forms of dialysis are recurring treatments that in many cases last throughout the lifetime of the affected patient. Patients who briefly lose renal function may slowly reduce the frequency of dialysis sessions until their kidneys recover. However, most patients who start on dialysis remain on dialysis for the rest of their lives or until they receive a kidney transplant.

A number of conditions can worsen renal function and lead to end-stage or acute kidney failure. When kidneys fail (i.e. nearly 90 percent of their function is lost), dialysis is typically prescribed. Conditions that cause chronic kidney failure (eventually requiring dialysis) include:

  • Type 1 and 2 Diabetes
  • Pyelonephritis, recurring kidney infection
  • Glomerulonephritis, inflammation of the kidney's filtering parts
  • Polycystic kidney disease
  • Interstitial nephritis, inflammation of the kidney's tubules
  • High blood pressure
  • Vesicoureteral reflux, improper bladder emptying

For hemodialysis (the more common form of dialysis), a patient will visit a hospital or clinic and be connected to a dialysis machine by a needle attached to a tube that draws blood from the arm. The drawn blood is transferred to the dialysis machine, where it is filtered and separated until clean. Waste products from the blood pass into a fluid called dialysate, which is pumped out of the machine into a waste receptacle. The machine also measures and helps ensure the blood has the appropriate level of fluid, electrolytes, and pH. A tube delivers the cleaned blood back into the patient's body. A dialysis session like this will typically last for three to four hours, with a patient undergoing dialysis around three times per week.

A second method of dialysis is known as peritoneal dialysis. Unlike hemodialysis, peritoneal dialysis can be performed at home by oneself after an initial surgery. To start, a physician (generally a surgeon) will make a small incision in the lower abdomen and insert and surgically attach a catheter (thin tube). At home, the patient connects a pump to the abdomen catheter, delivering dialysate (dialysis fluid) from a bag hanging on a wheeled stand. This fluid enters the peritoneal cavity (greater abdomen area containing the stomach, liver, and intestines) and collects waste through osmosis, where waste in the blood moves across a membrane and into the dialysate. This process continues for several hours until the fluid concentration is equal between the blood and dialysate, at which point the fluid can be drained. The fluid can then be passed through a machine called a cycler, which removes waste and allows for the dialysate to be reused. This process is repeated about four times per day. Dialysis patients must limit the amount of fluid they consume prior to receiving dialysis and should also avoid eating salty foods. The cycler cannot filter more than a certain amount of waste products from the blood.

Kidneys are important organs, and dialysis treatments are vital for those with renal dysfunction. For many, dialysis is not so much a medical procedure but a part of their normal life.

Kidney Stones

Kidney stones are hard deposits that form in the kidneys, made up of minerals that are normally present in urine. They can vary in size, from as small as a grain of sand to as large as a nickel, occasionally even larger. Sometimes they lodge in the kidney, and sometimes they break free and make their way out through the urinary tract, which can be extremely painful.

Kidney stones can be smooth or jagged and are yellow to brown in color. They are mostly comprised of the minerals calcium, oxalate, and phosphorus. Examining the stones to see what they are made of can show what caused the stone to be formed in the first place. For example, a stone made of mostly calcium, which is the most common type, can happen any time the urine becomes too concentrated due to dehydration or a blockage in the kidney. A uric acid stone forms when acid levels in the urine get too high, usually due to excessive consumption of animal protein such as meat and fish. A struvite stone is a sign of certain infections, and a cystine stone can be due to a genetic disorder that raises the risk of kidney stones.

The most common symptom of kidney stones is pain, either in the back or lower abdomen, or severe pain when urinating. There may also be blood in the urine. Treatment for kidney stones depends on how large the stone is. Very small stones can pass out of the body on their own, and they do not require treatment other than drinking adequate water and taking pain killers. Larger stones need to be broken apart and removed. The main treatment options are:

  • Shock wave lithotripsy, which uses sound wave vibrations to break apart the stone
  • Percutaneous nephrolithotomy, or the use of a very tiny tool (like a wire inserted through the back) to break apart and remove the stone
  • Ureteroscopy, a thin tube inserted through the urethra and bladder to the stone, where tiny tools can grasp the stone and remove

People who have had one kidney stone are at risk of developing another. To reduce this risk, patients are given instructions specific to the type of stone they developed. Generally the instructions will include drinking more water to dilute the urine, but it may also involve lowering sodium intake or eating less meat.

Noteworthy Medicare Patient Procedures Performed by Dr. David L. Epstein, MD in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 25%

By Volume:

inpatient hospital care

In 2012, Dr. David L. Epstein, MD performed more inpatient hospital care (for patient admitted to hospital) procedures for Medicare patients than 75% of providers in related specialties within New York.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. David L. Epstein, MD treated as a nephrologist in New York, NY during 2012 were hospital care and inpatient care.

Volume of procedures performed by Dr. David L. Epstein, MD for Medicare patients.

hospital care 169
inpatient care 169

Medicare Procedure and Patient Information

Conditions of Medicare patients treated by Dr. David L. Epstein, MD in 2013

Hypertension 75
High Cholesterol 75
Stroke 0
Ischemic Heart Disease 75
Depression 0
Chronic Kidney Disease 75
Asthma 0
Osteoperosis 0
Atrial Fibrilation 0
Heart Failure 0
Chronic Obstructive Pulmonary Disease 0
Diabetes 0
Dementia 0
Cancer 0

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. David L. Epstein, MD treated as a nephrologist in New York, NY during 2014 were hospital care, inpatient care and dialysis.

Volume of procedures performed by Dr. David L. Epstein, MD for Medicare patients.

dialysis 21
hospital care 224
inpatient care 224

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. David L. Epstein, MD.

Gender
Male 77
Female 63
Ethnicity
Non-Hispanic White 53
Black 37
Hispanic 26
Asian 0
Other 0
Native American 0
Age
From 65 to 74 42
From 75 to 84 29
85 and over 15
Less than 65 54

Conditions of Medicare patients treated by Dr. David L. Epstein, MD in 2014

Hypertension 75
High Cholesterol 75
Stroke 11
Ischemic Heart Disease 70
Depression 21
Chronic Kidney Disease 75
Asthma 11
Osteoperosis 0
Atrial Fibrilation 19
Heart Failure 59
Chronic Obstructive Pulmonary Disease 16
Diabetes 60
Dementia 15
Cancer 21

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. David L. Epstein, MD treated as a nephrologist in New York, NY during 2015 were hospital care, inpatient care, dialysis and blood draw.

Volume of procedures performed by Dr. David L. Epstein, MD for Medicare patients.

blood draw 171
dialysis 202
doctor visit 168
hospital care 432
inpatient care 432

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. David L. Epstein, MD.

Gender
Male 302
Female 224
Ethnicity
Non-Hispanic White 210
Black 168
Hispanic 96
Asian 28
Other 24
Native American 0
Age
From 65 to 74 154
From 75 to 84 116
85 and over 54
Less than 65 202

Conditions of Medicare patients treated by Dr. David L. Epstein, MD in 2015

Hypertension 75
High Cholesterol 75
Stroke 11
Ischemic Heart Disease 70
Depression 26
Chronic Kidney Disease 75
Asthma 12
Osteoperosis 6
Atrial Fibrilation 15
Heart Failure 56
Chronic Obstructive Pulmonary Disease 14
Diabetes 62
Dementia 17
Cancer 13

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. David L. Epstein, MD treated as a nephrologist in New York, NY during 2016 were hospital care, inpatient care, dialysis and blood draw.

Volume of procedures performed by Dr. David L. Epstein, MD for Medicare patients.

blood draw 148
dialysis 161
doctor visit 151
hospital care 444
inpatient care 444

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. David L. Epstein, MD.

Gender
Male 148
Female 112
Ethnicity
Non-Hispanic White 128
Black 67
Hispanic 43
Asian 0
Other 0
Native American 0
Age
From 65 to 74 78
From 75 to 84 59
85 and over 33
Less than 65 90

Conditions of Medicare patients treated by Dr. David L. Epstein, MD in 2016

Hypertension 75
High Cholesterol 75
Stroke 14
Ischemic Heart Disease 64
Depression 30
Chronic Kidney Disease 75
Asthma 21
Osteoperosis 8
Atrial Fibrilation 18
Heart Failure 57
Chronic Obstructive Pulmonary Disease 20
Diabetes 62
Dementia 20
Cancer 18

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. David L. Epstein, MD treated as a nephrologist in New York, NY during 2017 were hospital care, inpatient care, dialysis and blood draw.

Volume of procedures performed by Dr. David L. Epstein, MD for Medicare patients.

blood draw 139
dialysis 155
doctor visit 139
hospital care 465
inpatient care 465

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. David L. Epstein, MD.

Gender
Male 154
Female 105
Ethnicity
Non-Hispanic White 121
Black 66
Hispanic 41
Asian 18
Other 0
Native American 0
Age
From 65 to 74 99
From 75 to 84 59
85 and over 25
Less than 65 76

Conditions of Medicare patients treated by Dr. David L. Epstein, MD in 2017

Hypertension 75
High Cholesterol 75
Stroke 18
Ischemic Heart Disease 68
Depression 31
Chronic Kidney Disease 75
Asthma 9
Osteoperosis 6
Atrial Fibrilation 25
Heart Failure 59
Chronic Obstructive Pulmonary Disease 19
Diabetes 64
Dementia 24
Cancer 15

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. David L. Epstein, MD treated as a nephrologist in New York, NY during 2018 were hospital care, inpatient care, dialysis and blood draw.

Volume of procedures performed by Dr. David L. Epstein, MD for Medicare patients.

blood draw 102
dialysis 113
doctor visit 113
hospital care 429
inpatient care 429

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. David L. Epstein, MD.

Gender
Male 132
Female 126
Ethnicity
Non-Hispanic White 115
Black 72
Hispanic 43
Asian 17
Other 11
Native American 0
Age
From 65 to 74 91
From 75 to 84 62
85 and over 24
Less than 65 81

Conditions of Medicare patients treated by Dr. David L. Epstein, MD in 2018

Hypertension 75
High Cholesterol 75
Stroke 16
Ischemic Heart Disease 65
Depression 36
Chronic Kidney Disease 75
Asthma 10
Osteoperosis 10
Atrial Fibrilation 16
Heart Failure 54
Chronic Obstructive Pulmonary Disease 19
Diabetes 64
Dementia 23
Cancer 13

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. David L. Epstein, MD treated as a nephrologist in New York, NY during 2019 were hospital care, inpatient care, dialysis and blood draw.

Volume of procedures performed by Dr. David L. Epstein, MD for Medicare patients.

blood draw 152
dialysis 220
doctor visit 148
hemofiltration 44
hospital care 705
inpatient care 705

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. David L. Epstein, MD.

Gender
Male 156
Female 137
Ethnicity
Non-Hispanic White 120
Black 89
Hispanic 51
Asian 17
Other 16
Native American 0
Age
From 65 to 74 101
From 75 to 84 72
85 and over 28
Less than 65 92

Conditions of Medicare patients treated by Dr. David L. Epstein, MD in 2019

Hypertension 75
High Cholesterol 75
Stroke 17
Ischemic Heart Disease 72
Depression 38
Chronic Kidney Disease 75
Asthma 15
Osteoperosis 10
Atrial Fibrilation 20
Heart Failure 59
Chronic Obstructive Pulmonary Disease 20
Diabetes 62
Dementia 26
Cancer 13

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. David L. Epstein, MD treated as a nephrologist in New York, NY during 2020 were hospital care, inpatient care, dialysis and blood draw.

Volume of procedures performed by Dr. David L. Epstein, MD for Medicare patients.

blood draw 74
dialysis 125
doctor visit 104
hemofiltration 48
hospital care 481
inpatient care 481

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. David L. Epstein, MD.

Gender
Male 136
Female 127
Ethnicity
Non-Hispanic White 113
Black 74
Hispanic 47
Asian 0
Other 0
Native American 0
Age
From 65 to 74 98
From 75 to 84 56
85 and over 30
Less than 65 79

Conditions of Medicare patients treated by Dr. David L. Epstein, MD in 2020

Hypertension 75
High Cholesterol 75
Stroke 15
Ischemic Heart Disease 70
Depression 35
Chronic Kidney Disease 75
Asthma 13
Osteoperosis 10
Atrial Fibrilation 22
Heart Failure 57
Chronic Obstructive Pulmonary Disease 20
Diabetes 64
Dementia 32
Cancer 14

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. David L. Epstein, MD treated as a nephrologist in New York, NY during 2021 were hospital care, inpatient care, blood draw and dialysis.

Volume of procedures performed by Dr. David L. Epstein, MD for Medicare patients.

blood draw 173
dialysis 107
doctor visit 183
hospital care 613
inpatient care 613

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. David L. Epstein, MD.

Gender
Male 153
Female 141
Ethnicity
Non-Hispanic White 120
Black 89
Hispanic 45
Asian 27
Other 13
Native American 0
Age
From 65 to 74 97
From 75 to 84 57
85 and over 34
Less than 65 106

Conditions of Medicare patients treated by Dr. David L. Epstein, MD in 2021

Hypertension 75
High Cholesterol 75
Stroke 14
Ischemic Heart Disease 68
Depression 28
Chronic Kidney Disease 75
Asthma 13
Osteoperosis 12
Atrial Fibrilation 15
Heart Failure 59
Chronic Obstructive Pulmonary Disease 17
Diabetes 65
Dementia 22
Cancer 12

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. David L. Epstein, MD treated as a nephrologist in New York, NY during 2022 were hospital care, inpatient care, blood draw and dialysis.

Volume of procedures performed by Dr. David L. Epstein, MD for Medicare patients.

blood draw 210
dialysis 71
doctor visit 205
hospital care 749
inpatient care 749

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. David L. Epstein, MD.

Gender
Male 160
Female 125
Ethnicity
Non-Hispanic White 135
Black 62
Hispanic 43
Asian 19
Other 26
Native American 0
Age
From 65 to 74 95
From 75 to 84 73
85 and over 35
Less than 65 82

Conditions of Medicare patients treated by Dr. David L. Epstein, MD in 2022

Hypertension 75
High Cholesterol 75
Stroke 25
Ischemic Heart Disease 59
Depression 30
Chronic Kidney Disease 75
Asthma 18
Osteoperosis 20
Atrial Fibrilation 33
Heart Failure 55
Chronic Obstructive Pulmonary Disease 23
Diabetes 66
Dementia 20
Cancer 20

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. David L. Epstein, MD for Medicare patients.

The highest averages for the top procedures that Dr. David L. Epstein, MD treated as a nephrologist in New York, NY were hospital care, inpatient care, blood draw and dialysis.

blood draw 146
dialysis 130
doctor visit 151
hemofiltration 46
hospital care 471
inpatient care 471

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. David L. Epstein, MD.

Gender
Male 128
Female 105
Ethnicity
Black / African American 65
Asian / Pacific Islander 11
Non-Hispanic White 101
Native American / Alaskan Native 0
Hispanic 39
Other 8
Age
75 to 84 53
85 and over 25
Less than 65 78
65 to 74 77

Average of Total of Conditions of Medicare patients treated by Dr. David L. Epstein, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. David L. Epstein, MD treated were chronic kidney disease, high cholesterol, hypertension and ischemic heart disease.

Hypertension 68
High Cholesterol 68
Stroke 12
Ischemic Heart Disease 61
Depression 25
Chronic Kidney Disease 68
Asthma 11
Osteoporosis 7
Heart Failure 46
Chronic Obstructive Pulmonary Disease 15
Diabetes 51
Atrial Fibrillation 16
Dementia 18
Cancer 12

Education & Training

Dr. David L. Epstein, MD graduated from University of Miami, Miller School of Medicine in 2005. He completed residency at Rhode Island Hospital. He is certified by the Board Certification: Nephrology and has a state license in New York.

Medical School: University of Miami, Miller School of Medicine (2005)

Residency: Rhode Island Hospital

Board Certification: Board Certification: Nephrology

Licensed In: New York

Affiliations & Hospitals

Dr. David L. Epstein, MD is associated with these hospitals and organizations:

NewYork-Presbyterian
The Rogosin Institute
THE ROGOSIN INSTITUTE, INC

Ratings & Reviews

Dr. David L. Epstein, MD has an exceptional overall rating with an average of 4.98 out of 5 stars based on 44 ratings. We collect ratings and reviews of Dr. David L. Epstein, MD from all over the web to help you find the right in New York, NY. 

4.98
Overall Rating
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General Payments

These charts describe general payments received by Dr. David L. Epstein, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

Payments by Company
Boston Scientific Corporation $98 Vascular Intervention
$98
Amgen Inc. $55 Parsabiv
$55
Types of Payments
Food and Beverage $154

Biography

Dr. David Epstein's area of specialization is adult nephrology. His patients gave him an average rating of 5.0 stars (out of 5). His areas of expertise include chronic kidney failure, kidney stones, and hypertension (high blood pressure). Dr. Epstein's education and training includes medical school at the University of Miami, Miller School of Medicine and residency at Rhode Island Hospital. His professional affiliations include The Rogosin Institute and NewYork-Presbyterian. He has an open panel in NEW YORK, NY according to NewYork-Presbyterian.

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