IGOR LIZOGUBENKO P.A.
NPI 1033163035
Physician Assistant in Port Jefferson, NY

Active since May 22, 2006PECOS Enrolled
200 BELLE TERRE RD, PORT JEFFERSON, NY 11777(631) 474-6000 Get Directions Write a Review

NPPES record last updated: January 16, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Igor Lizogubenko P.a. NPPES

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

IGOR LIZOGUBENKO P.A. (NPI 1033163035) is an individual physician assistant in Port Jefferson, New York, licensed in New York (008125-1) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033163035
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameIGOR LIZOGUBENKOCredential: P.A.
Location Address200 BELLE TERRE RDPort Jefferson, NY 11777-1928
Mailing AddressPo Box 826207Philadelphia, PA 19182-6207 · (800) 377-8721 · Fax (304) 523-2241
Sole ProprietorNo
Enumeration DateMay 22, 2006
Last NPPES UpdateJanuary 16, 2008
NPI 1033163035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 008125-1
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

200 BELLE TERRE RD, Port Jefferson, NY 11777

Other Identifiers 3

Medicare PIN6237LBW991NY
Medicare PINP00315987NY
Medicare UPINP79831

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Igor Lizogubenko P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit for life threatening or functioning severity 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
59 services59 patients
Follow-up hospital inpatient care per day, typically 15 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
28 services25 patients
Emergency department visit for problem of high severity 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11777 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
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.

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.

Pediatrics
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Orthopaedic Surgery
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Psychologist
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Pediatrics
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Psychologist
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Psychologist
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Psychologist (Clinical)
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Clinical Neuropsychologist
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033163035, enumerated as an "individual" on May 22, 2006.

The provider is located at 200 BELLE TERRE RD PORT JEFFERSON, NY 11777 and the phone number is (631) 474-6000.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.