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MR. ALEXANDER PEGUERO-MEDRANO NP
NPI 1033647623
Nurse Practitioner - Psychiatric/Mental Health in Stony Brook, NY

Active since May 26, 2017PECOS EnrolledAccepts Medicare Assignment
98.52/100
CMS Quality Rating
169 PUTNAM HALL, STONY BROOK, NY 11794(631) 632-9510(631) 632-5870 Get Directions Write a Review

NPPES record last updated: December 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 27, 2022, Feb 25, 2021, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

About Mr. Alexander Peguero-medrano Np NPPES

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

MR. ALEXANDER PEGUERO-MEDRANO NP (NPI 1033647623) is an individual psychiatric/mental health provider in Stony Brook, New York, licensed in New York (402196) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1033647623
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. ALEXANDER PEGUERO-MEDRANOCredential: NP
Location Address169 PUTNAM HALLStony Brook, NY 11794-3240
Mailing AddressPo Box 1559Stony Brook, NY 11790-0989 · (631) 632-9510 · Fax (631) 632-5870
Phone(631) 632-9510
Fax(631) 632-5870
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMay 26, 2017
Last NPPES UpdateDecember 27, 20225 updates tracked since enumeration
NPPES CertifiedDecember 27, 2022
✔ NPI 1033647623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 402196
169 PUTNAM HALL, Stony Brook, NY 11794
Open in Google Maps ↗

Other Names 1

Other Name (5)Mr. Alexander Peguero-medrano

Secondary Practice Locations 3

Location 1318 Jericho Tpke Apt 1Floral Park, NY 11001-2108 · Phone (516) 314-7056
Location 2430 Lakeville RdNew Hyde Park, NY 11042-1121 · Phone (516) 470-8910
Location 32590 Frisby AveBronx, NY 10461-3240 · Phone (718) 239-1610

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Providence Health Plan.Insurance ›

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

Mr. Alexander Peguero-medrano Np 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 ID5799030920
PECOS Enrollment IDI20180612001836
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 4

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
172 services46 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.
158 services44 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
22 services12 patients
Psychotherapy with evaluation and management visit, 45 minutes 90836
Psychotherapy with evaluation and management is a 45-minute session where a healthcare provider discusses your mental and emotional health. They assess your current state, manage any issues, and help you develop coping strategies. This service aims to improve your overall well-being.
17 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11794 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.

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 7

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

ALLISON SHANA NAHMIAS PHD
Psychologist (Clinical Child & Adolescent)
169 PUTNAM HALL
STONY BROOK, NY 11794
Suffolk County (631) 632-8850
DR. KENDALL MICHELLE CORCORAN PSYD
Psychologist
169 PUTNAM HALL
STONY BROOK, NY 11794
Suffolk County (631) 632-8850
CHRISTOPHER JAMES GRAFFITTI
Nurse Practitioner (Psychiatric/Mental Health)
169 PUTNAM HALL
STONY BROOK, NY 11794
Suffolk County (631) 632-2428
WILLIAM CALABRESE
Psychologist (Clinical)
169 PUTNAM HALL
STONY BROOK, NY 11794
Suffolk County (631) 632-8657
PROF. DAVID MAKOWSKI PH.D.
Psychologist (Clinical)
169 PUTNAM HALL, STONY BROOK UNIVERSITY - SOUTH CAMPUS
STONY BROOK, NY 11794
Suffolk County (631) 632-3096
JENNA T PALLADINO PSYD
Psychologist (Clinical)
169 PUTNAM HALL
STONY BROOK, NY 11794
Suffolk County (631) 632-9510
MR. BRIAN THOMAS WOOD PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
169 PUTNAM HALL
STONY BROOK, NY 11794
Suffolk County (631) 632-2428

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 Alexander Peguero-medrano's NPI number?

The NPI number for Alexander Peguero-medrano is 1033647623. It was assigned to this individual provider in the NPPES registry on May 26, 2017. The provider is also known as Mr. Alexander Peguero-Medrano.

Where is Alexander Peguero-medrano located?

Alexander Peguero-medrano practices at 169 Putnam Hall, Stony Brook, NY 11794. The listed phone number is (631) 632-9510.

What is Alexander Peguero-medrano's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Alexander Peguero-medrano enrolled in Medicare?

Yes. Alexander Peguero-medrano 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.

What insurance does Alexander Peguero-medrano accept?

Health plans from Anthem Blue Cross and Blue Shield and Providence Health Plan list Alexander Peguero-medrano as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alexander Peguero-medrano was last updated on December 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.