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BLAISE C. NAPOLITANO M.D.
NPI 1033318449
Family Medicine in Riverhead, NY

Active since July 16, 2007PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
34 COMMERCE AVE, RIVERHEAD, NY 11901(631) 727-1600(631) 727-8320 Get Directions Write a Review

NPPES record last updated: February 16, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 16, 2017, Dec 28, 2015 (2 updates tracked since 2015).

About Blaise C. Napolitano M.d. NPPES

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

BLAISE C. NAPOLITANO M.D. (NPI 1033318449) is an individual family medicine provider in Riverhead, New York, licensed in New York (244569) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Peconic Bay Medical Center, and is a graduate of Ponce School Of Medicine (2003).

NPPES Registry Identity

NPI1033318449
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBLAISE C. NAPOLITANOCredential: M.D.
Location Address34 COMMERCE AVERiverhead, NY 11901-3118
Mailing Address185 Old Country Rd, Ste 2Riverhead, NY 11901-2121 · (631) 298-4479 · Fax (631) 591-3047
Phone(631) 727-1600
Fax(631) 727-8320
Sole ProprietorNo
Medical School CMSPonce School Of MedicineGraduated 2003
Enumeration DateJuly 16, 2007
Last NPPES UpdateFebruary 16, 20172 updates tracked since enumeration
✔ NPI 1033318449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 244569
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
34 COMMERCE AVE, Riverhead, NY 11901
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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

Blaise C. Napolitano M.d. 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 ID42309619
PECOS Enrollment IDI20071204000770
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 10

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 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.
183 services106 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.
145 services79 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
134 services69 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
23 services23 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
23 services23 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.
18 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Peconic Bay Medical Center

Acute Care Hospitals · Riverhead, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330107
Location1 Heros WayRiverhead, NY 11901 · Suffolk County
Emergency services Birthing friendly

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 11901 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
$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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier13 claims13 services$39.10 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$14.89 avg. paid by Medicare
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
3 suppliers33 claims33 services$65.55 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 10

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

FATEMA MEAH MD
Pediatrics
34 COMMERCE AVE
RIVERHEAD, NY 11901
Suffolk County (631) 722-8880
DR. JENNIFER SHAER MD
Pediatrics (Adolescent Medicine)
34 COMMERCE AVE, SUITE 2
RIVERHEAD, NY 11901
Suffolk County (631) 722-8880
DR. LISA VISENTIN M.D.
Pediatrics
34 COMMERCE AVE, SUITE 2
RIVERHEAD, NY 11901
Suffolk County (631) 722-8880
ROGELIO S LAO MD
Pediatrics
34 COMMERCE AVE, SUITE 2
RIVERHEAD, NY 11901
Suffolk County (631) 722-8880
JENNIFER RICH MD
Pediatrics
34 COMMERCE AVE
RIVERHEAD, NY 11901
Suffolk County (631) 722-8880
MARK J CORONEL MD PC
Internal Medicine (Gastroenterology)
34 COMMERCE AVE
RIVERHEAD, NY 11901
Suffolk County (631) 591-3000
DR. ANNE G HANSEN D.O.
Pediatrics
34 COMMERCE AVE, SUITE 2
RIVERHEAD, NY 11901
Suffolk County (631) 722-8880
DAHLIA EL-MATARY RD
Dietitian, Registered
34 COMMERCE AVE, STE 2
RIVERHEAD, NY 11901
Suffolk County (631) 722-8880

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 Blaise Napolitano's NPI number?

The NPI number for Blaise Napolitano is 1033318449. It was assigned to this individual provider in the NPPES registry on July 16, 2007.

Where is Blaise Napolitano located?

Blaise Napolitano practices at 34 Commerce Ave, Riverhead, NY 11901. The listed phone number is (631) 727-1600.

What is Blaise Napolitano's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Blaise Napolitano enrolled in Medicare?

Yes. Blaise Napolitano 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 Blaise Napolitano affiliated with any hospitals?

According to CMS data, Blaise Napolitano is affiliated with Peconic Bay Medical Center and Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Blaise Napolitano was last updated on February 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.