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Dr. David Avishay Hirschl, MD

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Specializes in: Interventional Radiology/Diagnostic Radiology (IR/DR) and Diagnostic Radiology

Albert Einstein College of Medicine of Yeshiva University

Professional interests include: varicose veins, liver ablation, stent placement (stenting), and more.

49 Lake Avenue
Greenwich, CT 06830

(203) 869-6220

Dr. David Avishay Hirschl, MD is a radiologist in Bronx, NY specializing in interventional radiology/diagnostic radiology (ir/dr) and diagnostic radiology. He graduated from Albert Einstein College of Medicine of Yeshiva University. Dr. David Avishay Hirschl, MD is affiliated with Yale New Haven Health, NewYork-Presbyterian Hudson Valley Hospital, NewYork-Presbyterian, ColumbiaDoctors, COLUMBIADOCTORS/NEWYORK-PRESBYTERIANIMAGING, TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK, NewYork-Presbyterian / Columbia University Irving Medical Center, NewYork-Presbyterian Westchester and NewYork-Presbyterian Allen Hospital.

Office Locations

Address:

111 E 210th Street
Bronx, NY 10467

Address:

177 Ft. Washington Avenue
City of New York, NY 10032

Address:

49 Lake Avenue
Greenwich, CT 06830

Address:

5 Perryridge Road
Greenwich, CT 06830

Some issues Dr. David Avishay Hirschl, MD can help you with:

Angioplasty

Angioplasty is a common, minimally invasive procedure performed to restore blood flow in arteries and veins that have become narrowed or blocked. Age or illness can cause plaque to build up at certain spots within the veins and arteries, and if enough collects, it can restrict the flow of blood. Angioplasty uses a tiny balloon at the end of a small, flexible tube to inflate within the narrowed section and open it up again.

Angioplasty may be performed in several different areas of the body and for a variety of reasons, most often:

Peripheral arterial disease, which reduces blood flow in the arms or legs
Atherosclerosis, or general hardening of the arteries
Carotid artery stenosis, or narrowing of the arteries in the neck that supply the brain
Coronary artery disease, or narrowing of the arteries near the heart
Renal vascular hypertension, or narrowing of the arteries in the kidney, leading to increased blood pressure

During angioplasty, a patient is given a sedative while lying on a table under an x-ray machine. A catheter (a thin, flexible, and hollow tube) is inserted into the patient's skin in the arm or groin and guided into the blocked artery. Dye is injected via the catheter, and x-rays are used to position the tip of the catheter exactly at the blockage. The tiny balloon is guided through the catheter and inflated with saline. It pushes the plaque out of the way, squishing it against the walls of the artery. The balloon may be inflated and deflated several times to let blood pass by. A stent, a tiny tube of metal mesh like a spring, may be inserted to help keep the artery open. Then the x-ray is used again to check that blood is flowing properly, the catheter is removed, and the tiny incision is bandaged.

There are no nerves within veins and arteries, so an angioplasty is generally not painful. However, there may be some discomfort at the site of the incision and when the balloon is inflated. Overall, angioplasty is a very effective and low-risk procedure, useful for helping patients avoid more difficult bypass surgery.

Benign Prostatic Hyperplasia (Enlarged Prostate)

Benign prostatic hyperplasia (BPH) is a noncancerous condition in which the prostate gland becomes enlarged. BPH affects about half of men between the ages of 50 and 60, and approximately 80% of men over 80. As the prostate grows in size, it can press down on the tube where urine flows out of the body (the urethra) and cause urinary problems.

Medication can relieve mild to moderate symptoms of BPH, such as frequent urination, incomplete bladder emptying, a weak urine stream, and straining while urinating. However, other forms of treatment may be more appropriate if an individual has pain with urination, frequent urinary tract infections, or is unable to urinate. The size of the prostate and the severity of their symptoms will determine the type of treatment they need. If the prostate is not very large, doctors will likely recommend a transurethral procedure. This minimally invasive technique involves the insertion of a scope into the urethra. The most common transurethral procedures for BPH are:

Transurethral incision of the prostate or TUIP, where the surgeon uses the scope to make small cuts in the area of the prostate that meets the bladder. These cuts will open up the pathway for urine and allow it to flow with more ease.
Transurethral needle ablation or TUNA, where needles are inserted through the scope and into the prostate. The needles use radiofrequency waves to destroy excess prostate tissue.
Laser prostate ablation, where lasers pass through the scope to melt away the part of the prostate causing urine blockage.
Transurethral resection of the prostate or TURP, where the inside of the prostate is trimmed and removed one tiny piece at a time using the scope.

If the prostate is too big for a transurethral procedure, an individual may need a simple prostatectomy, which can be done in one of three ways: laparoscopic, robotic, or open. During a laparoscopic simple prostatectomy, a surgeon makes several small incisions on the belly. Then they insert a long tube with a camera into one of the cuts and surgical instruments into the others. Using the camera to see inside the belly, they carefully removes the enlarged part of the prostate. Robotic simple prostatectomy uses the same techniques as the laparoscopic method, but the surgery is done with the help of a robot. For men with very large prostates, open simple prostatectomy may be the best treatment option. This surgery differs from the other approaches in that it requires a much larger incision.

Most transurethral treatments for BPH, like TUIP, TUNA, and laser prostate ablation, are done in the doctor's office or outpatient surgery center. TURP and simple prostatectomy, however, need to be performed in the hospital and require an average stay of one to three days. Patients should wait a week before doing any strenuous activities after a TUIP, TUNA, or laser prostate ablation, and about four to six weeks after a TURP or simple prostatectomy. Although these treatments improve BPH symptoms for most patients, it is important to be aware of the risks involved, such as urine control issues, tightening of the urethra, and erectile dysfunction.

Biopsy

A biopsy is a procedure performed to remove a small sample of cells for testing. The cells are examined in a laboratory to check for disease, or sometimes to see how badly a known disease is affecting them. Biopsy can be performed on any part of the body.

Although biopsy is most often associated with cancer, it can also be used to check for other diseases, such as infections. A biopsy sample can be scraped, cut, collected with a needle, taken with a machine that punches out a tiny piece, or removed with the tiny tools in an endoscope.

In most cases, a biopsy is a simple outpatient procedure. Depending on the procedure, patients may need to stop taking certain medications beforehand, such as blood thinners. It is important for patients to tell doctors if they are pregnant, as certain biopsies require the use of x-rays to guide the needle to the right location. There is usually very little pain associated with a biopsy. Patients will have to wait a few days to hear the results.

aspiration	29
catheterization	98
dialysis access procedures	10
pleural drainage	12
vascular procedures	8

**Gender**
Male	80
Female	94

**Ethnicity**
Non-Hispanic White	0
Black	117
Hispanic	27
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	55
From 75 to 84	46
85 and over	33
Less than 65	40

Hypertension	75
High Cholesterol	65
Stroke	16
Ischemic Heart Disease	69
Depression	30
Chronic Kidney Disease	67
Asthma	21
Osteoperosis	10
Atrial Fibrilation	18
Heart Failure	70
Chronic Obstructive Pulmonary Disease	26
Diabetes	66
Dementia	51
Cancer	20

aspiration	11
catheterization	41
pleural drainage	12

**Gender**
Male	42
Female	49

**Ethnicity**
Non-Hispanic White	14
Black	59
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	22
From 75 to 84	22
85 and over	21
Less than 65	26

Hypertension	75
High Cholesterol	75
Stroke	23
Ischemic Heart Disease	75
Depression	34
Chronic Kidney Disease	75
Asthma	16
Osteoperosis	0
Atrial Fibrilation	15
Heart Failure	63
Chronic Obstructive Pulmonary Disease	29
Diabetes	75
Dementia	64
Cancer	14

abdominal imaging	292
catheterization	49
CT scan	164
pelvic imaging	148
thoracic (chest) imaging	60
ultrasound (sonogram)	184
vascular procedures	26
X-rays	43

**Gender**
Male	496
Female	514

**Ethnicity**
Non-Hispanic White	240
Black	480
Hispanic	232
Asian	24
Other	34
Native American	0

**Age**
From 65 to 74	346
From 75 to 84	266
85 and over	194
Less than 65	204

Hypertension	75
High Cholesterol	61
Stroke	20
Ischemic Heart Disease	69
Depression	44
Chronic Kidney Disease	69
Asthma	28
Osteoperosis	9
Atrial Fibrilation	22
Heart Failure	62
Chronic Obstructive Pulmonary Disease	30
Diabetes	67
Dementia	49
Cancer	19

abdominal imaging	153
catheterization	41
CT scan	95
pelvic imaging	96
thoracic (chest) imaging	26
ultrasound (sonogram)	78
X-rays	25

**Gender**
Male	192
Female	173

**Ethnicity**
Non-Hispanic White	93
Black	171
Hispanic	84
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	143
From 75 to 84	90
85 and over	68
Less than 65	64

Hypertension	75
High Cholesterol	64
Stroke	17
Ischemic Heart Disease	67
Depression	43
Chronic Kidney Disease	70
Asthma	35
Osteoperosis	9
Atrial Fibrilation	22
Heart Failure	63
Chronic Obstructive Pulmonary Disease	30
Diabetes	70
Dementia	51
Cancer	17

abdominal imaging	57
catheterization	82
CT scan	32
device removal	12
minimally invasive procedures	9
pelvic imaging	33
thoracic (chest) imaging	54
ultrasound (sonogram)	21
urologic procedures	10
X-rays	54

**Gender**
Male	172
Female	196

**Ethnicity**
Non-Hispanic White	84
Black	164
Hispanic	100
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	123
From 75 to 84	85
85 and over	74
Less than 65	86

Hypertension	75
High Cholesterol	63
Stroke	21
Ischemic Heart Disease	63
Depression	46
Chronic Kidney Disease	75
Asthma	14
Osteoperosis	7
Atrial Fibrilation	18
Heart Failure	61
Chronic Obstructive Pulmonary Disease	31
Diabetes	74
Dementia	47
Cancer	15

abdominal imaging	84
catheterization	57
CT scan	73
pelvic imaging	63
thoracic (chest) imaging	7
ultrasound (sonogram)	18

**Gender**
Male	151
Female	162

**Ethnicity**
Non-Hispanic White	71
Black	141
Hispanic	76
Asian	0
Other	14
Native American	0

**Age**
From 65 to 74	123
From 75 to 84	76
85 and over	45
Less than 65	69

Hypertension	75
High Cholesterol	67
Stroke	17
Ischemic Heart Disease	59
Depression	43
Chronic Kidney Disease	72
Asthma	16
Osteoperosis	11
Atrial Fibrilation	19
Heart Failure	58
Chronic Obstructive Pulmonary Disease	22
Diabetes	71
Dementia	42
Cancer	16

abdominal imaging	34
blood draw	10
catheterization	68
CT scan	20
minimally invasive procedures	10
pelvic imaging	21
ultrasound (sonogram)	10
urologic procedures	11

**Gender**
Male	144
Female	130

**Ethnicity**
Non-Hispanic White	60
Black	120
Hispanic	78
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	87
From 75 to 84	83
85 and over	47
Less than 65	57

Hypertension	75
High Cholesterol	69
Stroke	23
Ischemic Heart Disease	63
Depression	44
Chronic Kidney Disease	75
Asthma	15
Osteoperosis	7
Atrial Fibrilation	18
Heart Failure	61
Chronic Obstructive Pulmonary Disease	33
Diabetes	72
Dementia	50
Cancer	17

anastomosis	11
blood draw	15
catheterization	80
device removal	11
gastrointestinal procedures	11
minimally invasive procedures	10

**Gender**
Male	112
Female	102

**Ethnicity**
Non-Hispanic White	43
Black	98
Hispanic	54
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	85
From 75 to 84	61
85 and over	24
Less than 65	44

Hypertension	75
High Cholesterol	75
Stroke	22
Ischemic Heart Disease	66
Depression	48
Chronic Kidney Disease	75
Asthma	13
Osteoperosis	10
Atrial Fibrilation	21
Heart Failure	61
Chronic Obstructive Pulmonary Disease	31
Diabetes	71
Dementia	44
Cancer	19

aspiration	35
catheterization	120
device removal	11
pleural drainage	17

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. David Avishay Hirschl, MD for Medicare patients.

The highest averages for the top procedures that Dr. David Avishay Hirschl, MD treated as a radiologist in Bronx, NY were abdominal imaging, CT scan, pelvic imaging and catheterization.

abdominal imaging	127
anastomosis	11
aspiration	25
blood draw	12
catheterization	73
CT scan	78
device removal	11
dialysis access procedures	10
gastrointestinal procedures	11
minimally invasive procedures	10
pelvic imaging	73
pleural drainage	13
thoracic (chest) imaging	38
ultrasound (sonogram)	65
urologic procedures	10
vascular procedures	18
X-rays	42

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. David Avishay Hirschl, MD.

**Gender**
Male	138
Female	142

**Ethnicity**
Black / African American	135
Asian / Pacific Islander	2
Non-Hispanic White	60
Native American / Alaskan Native	0
Hispanic	65
Other	4

**Age**
75 to 84	72
85 and over	50
Less than 65	59
65 to 74	98

Average of Total of Conditions of Medicare patients treated by Dr. David Avishay Hirschl, MD From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. David Avishay Hirschl, MD treated were hypertension, chronic kidney disease, diabetes and high cholesterol.

Hypertension	60
High Cholesterol	53
Stroke	15
Ischemic Heart Disease	53
Depression	33
Chronic Kidney Disease	57
Asthma	15
Osteoporosis	6
Heart Failure	49
Chronic Obstructive Pulmonary Disease	23
Diabetes	56
Atrial Fibrillation	15
Cancer	13
Dementia	39

Education & Training

Dr. David Avishay Hirschl, MD graduated from Albert Einstein College of Medicine of Yeshiva University. He completed residency at Montefiore Medical Center. He is certified by the Radiology - Diagnostic Radiology Radiology - Vascular and Interventional Radiology and has a state license in New York.

Medical School: Albert Einstein College of Medicine of Yeshiva University

Residency: Montefiore Medical Center

Board Certification: Radiology - Diagnostic Radiology Radiology - Vascular and Interventional Radiology

Licensed In: New York

Affiliations & Hospitals

Dr. David Avishay Hirschl, MD is associated with these hospitals and organizations:

Yale New Haven Health

NewYork-Presbyterian Hudson Valley Hospital

NewYork-Presbyterian

ColumbiaDoctors

COLUMBIADOCTORS/NEWYORK-PRESBYTERIANIMAGING

TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK

NewYork-Presbyterian / Columbia University Irving Medical Center

NewYork-Presbyterian Westchester

NewYork-Presbyterian Allen Hospital

Insurance Information

Please note: Insurance information may change at any time, and the provider may accept your insurance plan even if it is not listed below. Please contact the provider's office to confirm that your insurance is accepted.

Dr. David Avishay Hirschl, MD appears to accept the following insurance providers: MagnaCare, EmblemHealth, WellCare, Fidelis Care, MultiPlan, Amerigroup, Affinity Health Plan, Aetna, Medicare, Empire BlueCross BlueShield, Healthfirst, Cigna, Quality Health Management, 1199SEIU, MVP Health Care, UnitedHealthcare, Group Health Incorporated (GHI), RiverSpring, Amida Care, World Trade Center Health Plan, AgeWell and VNSNY CHOICE.

Insurance Accepted by Provider includes:

According to our sources, Dr. David Avishay Hirschl, MD accepts the following insurance providers:

MagnaCare

EmblemHealth

WellCare

Fidelis Care

MultiPlan

Amerigroup

Affinity Health Plan

Aetna

Medicare

Empire BlueCross BlueShield

Healthfirst

Cigna

Quality Health Management

1199SEIU

MVP Health Care

UnitedHealthcare

Group Health Incorporated (GHI)

RiverSpring

Amida Care

World Trade Center Health Plan

AgeWell

VNSNY CHOICE

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General Payments

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

**Payments by Company**
TERUMO MEDICAL CORPORATION	$2,391 AZUR $2,115	HydroPearl $172	$104
Boston Scientific Corporation	$979 Vascular Intervention $238	GENERAL - VASCULAR INTERVENTION $212	OBSIDIO $140	TRUSELECT $126	GENERAL VASCULAR INTERVENTION $125	Other $138
AngioDynamics, Inc.	$831 $831
Inari Medical, Inc.	$729 ClotTriever $307	CT THROMBECTOMY SYSTEM KIT $249	FLOWTRIEVER CATHETER, S $173
TriSalus Life Sciences, Inc.	$668 TRINAV INFUSION SYSTEM $668
Other	$3,555 SIR-Spheres microspheres $455	OPTION $266	VIABAHN Endoprosthesis with Hep $262	tips $214	Interventional Radiology $211	Other $2,148

**Types of Payments**
Food and Beverage	$7,340
Travel and Lodging	$1,812

Biography

Dr. David Hirschl's specialties are general practice and interventional radiology/diagnostic radiology (IR/DR). Dr. Hirschl is a graduate of Albert Einstein College of Medicine of Yeshiva University. His professional affiliations include ColumbiaDoctors and Yale New Haven Health. He has an open panel in City of New York, NY according to ColumbiaDoctors.