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GREGORY T PONTONE MD
NPI 1023280526
Internal Medicine - Cardiovascular Disease in New Hyde Park, NY

Active since March 25, 2008PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1999 MARCUS AVE, SUITE 110, NEW HYDE PARK, NY 11042(516) 355-5525 Get Directions Write a Review

NPPES record last updated: October 8, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gregory T Pontone Md NPPES

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

GREGORY T PONTONE MD (NPI 1023280526) is an individual cardiovascular disease provider in New Hyde Park, New York, licensed in New York (2307461) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS, is affiliated with White Plains Hospital Center, and is a graduate of Tufts University School Of Medicine (2001).

NPPES Registry Identity

NPI1023280526
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameGREGORY T PONTONECredential: MD
Location Address1999 MARCUS AVE, SUITE 110New Hyde Park, NY 11042-1017
Mailing Address141 Wickham RdGarden City, NY 11530-1141 · (917) 797-6631
Phone(516) 355-5525
Sole ProprietorYes
Medical School CMSTufts University School Of MedicineGraduated 2001
Enumeration DateMarch 25, 2008
Last NPPES UpdateOctober 8, 2013
✔ NPI 1023280526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in NY · 2307461
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1999 MARCUS AVE, New Hyde Park, NY 11042
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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

Gregory T Pontone Md 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 ID345310777
PECOS Enrollment IDI20080528000395
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.

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452
Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
105 services105 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
56 services41 patients
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.
44 services28 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
36 services36 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
35 services23 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

White Plains Hospital Center

Acute Care Hospitals · White Plains, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330304
Location41 East Post R0adWhite Plains, NY 10601 · Westchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11042 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
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$56.33 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

MITCHELL RUSS BERGER MD
Internal Medicine
1999 MARCUS AVE, SUITE M14
NEW HYDE PARK, NY 11042
Nassau County (516) 437-4360
REBECCA RAYE BITTMAN
Nurse Practitioner (Adult Health)
1999 MARCUS AVE
NEW HYDE PARK, NY 11042
Nassau County (516) 467-8600
RICHARD STARK MD
Internal Medicine (Hematology & Oncology)
1999 MARCUS AVE, STE 120
LAKE SUCCESS, NY 11042
Nassau County (516) 466-6611
AVITAL E FRIEDMAN
General Practice
1999 MARCUS AVE
NEW HYDE PARK, NY 11042
Nassau County (516) 233-3780
JEFFREY EZRA HALLER MD
Internal Medicine (Nephrology)
1999 MARCUS AVE, SUITE 216
NEW HYDE PARK, NY 11042
Nassau County (516) 775-4545
MRS. HEATHER SULZBACH
Nurse Practitioner
1999 MARCUS AVE, SUITE 120
LAKE SUCCESS, NY 11042
Nassau County (516) 466-6611
DR. BRIAN THOMAS MCNELIS M.D.
Internal Medicine (Hematology & Oncology)
1999 MARCUS AVE, SUITE 300
NEW HYDE PARK, NY 11042
Nassau County (516) 883-0122
DR. JOHN J SANTUCCI M.D.
Internal Medicine (Cardiovascular Disease)
1999 MARCUS AVE, SUITE 110
LAKE SUCCESS, NY 11042
Nassau County (516) 355-5525

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 Gregory Pontone's NPI number?

The NPI number for Gregory Pontone is 1023280526. It was assigned to this individual provider in the NPPES registry on March 25, 2008.

Where is Gregory Pontone located?

Gregory Pontone practices at 1999 Marcus Ave Suite 110, New Hyde Park, NY 11042. The listed phone number is (516) 355-5525.

What is Gregory Pontone's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Gregory Pontone enrolled in Medicare?

Yes. Gregory Pontone 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 Gregory Pontone affiliated with any hospitals?

According to CMS data, Gregory Pontone is affiliated with White Plains Hospital Center.

When was this NPI record last updated?

The NPPES record for Gregory Pontone was last updated on October 8, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.