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DR. ALISON CARUANA D.O.
NPI 1003295163
Psychiatry & Neurology - Vascular Neurology in East Setauket, NY

Active since May 22, 2015PECOS EnrolledAccepts Medicare Assignment
98.52/100
CMS Quality Rating
181 BELLEMEADE RD, EAST SETAUKET, NY 11733(631) 444-2599 Get Directions Write a Review

NPPES record last updated: July 20, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Alison Caruana D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ALISON CARUANA D.O. (NPI 1003295163) is an individual vascular neurology provider in East Setauket, New York, licensed in New York (304832) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1003295163
Entity TypeIndividualFemale
Primary Taxonomy2084V0102X
Provider Legal NameDR. ALISON CARUANACredential: D.O.
Location Address181 BELLEMEADE RDEast Setauket, NY 11733-3495
Mailing Address101 Nicholls Rd Hcs 12 TowerStony Brook, NY 11794-1955 · (973) 975-5030
Phone(631) 444-2599
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 22, 2015
Last NPPES UpdateJuly 20, 2020
NPPES CertifiedJuly 20, 2020
✔ NPI 1003295163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Vascular NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084V0102X
License✔ Licensed in NY · 304832
Definition
Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
181 BELLEMEADE RD, East Setauket, NY 11733
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Alison Caruana D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446567986
PECOS Enrollment IDI20200908001698
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
206 services154 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
110 services108 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
92 services53 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
82 services82 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
49 services49 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
31 services22 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11733 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIMBERLY MELANIE NOEL MD IN (5/ 2011)
Family Medicine
181 BELLEMEADE RD
EAST SETAUKET, NY 11733
Suffolk County (631) 444-6250
DR. LOUIS THOMAS VERARDO MD
Family Medicine (Geriatric Medicine)
181 BELLEMEADE RD, STONYBROOK FAMMED PC
SETAUKET, NY 11733
Suffolk County (631) 444-5858

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alison Caruana's NPI number?

The NPI number for Alison Caruana is 1003295163. It was assigned to this individual provider in the NPPES registry on May 22, 2015.

Where is Alison Caruana located?

Alison Caruana practices at 181 Bellemeade Rd, East Setauket, NY 11733. The listed phone number is (631) 444-2599.

What is Alison Caruana's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Vascular Neurology, with taxonomy code 2084V0102X.

Is Alison Caruana enrolled in Medicare?

Yes. Alison Caruana is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Alison Caruana affiliated with any hospitals?

According to CMS data, Alison Caruana is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Alison Caruana was last updated on July 20, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.