JOHN STEVEN WALCZYK M.D.
NPI 1043233166
Dermatology in Manhasset, NY

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
91.86/100
CMS Quality Rating
1165 NORTHERN BLVD, SUITE 405, MANHASSET, NY 11030(516) 365-8030(516) 365-8058 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About John Steven Walczyk M.d. NPPES

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

JOHN STEVEN WALCZYK M.D. (NPI 1043233166) is an individual dermatology provider in Manhasset, New York, licensed in New York (191586) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Columbia University College Of Physicians And Surgeons (1990).

NPPES Registry Identity

NPI1043233166
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameJOHN STEVEN WALCZYKCredential: M.D.
Location Address1165 NORTHERN BLVD, SUITE 405Manhasset, NY 11030-3048
Mailing Address1165 Northern Blvd, Suite 405Manhasset, NY 11030-3048 · (516) 365-8030 · Fax (516) 365-8058
Fax(516) 365-8058
Sole ProprietorYes
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1990
Enumeration DateJuly 26, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1043233166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in NY · 191586
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

1165 NORTHERN BLVD, Manhasset, NY 11030

Other Identifiers 2

Medicare UPINF81219NY
Medicare ID-Type Unspecified2K3881NY

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

John Steven Walczyk 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 ID2961393301
PECOS Enrollment IDI20040323002038
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 11

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
20,229 services733 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
1,561 services734 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
1,353 services602 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.
1,351 services775 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
894 services558 patients
Biopsy of related skin growth, each additional growth 11103
A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.
594 services300 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11030 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.

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.

91.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality83.73
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
100%41 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
89%7,730 patients2/55-star benchmark: 100%
Melanoma: Coordination of Care
100%24 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 1,607 patients
Patients screened: 100% · 1,607 patients
100%57 patients5/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients combinedPopulations: 68% · 1,607 patients
Patients screened: 40% · 1,607 patients
100%638 patients
Tobacco Use and Help with Quitting Among Adolescents
100%130 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Chiropractor
1165 NORTHERN BLVD, SUITE 300
MANHASSET, NY 11030
Chiropractor
1165 NORTHERN BLVD, SUITE 300
MANHASSET, NY 11030
Specialist
1165 NORTHERN BLVD, SUITE 300
MANHASSET, NY 11030
Internal Medicine (Cardiovascular Disease)
1165 NORTHERN BLVD, SUITE 400
MANHASSET, NY 11030
Acupuncturist
1165 NORTHERN BLVD, SUITE 300
MANHASSET, NY 11030
Speech-Language Pathologist
1165 NORTHERN BLVD, SUITE 403
MANHASSET, NY 11030
Nutritionist
1165 NORTHERN BLVD, SUITE 300
MANHASSET, NY 11030
Speech-Language Pathologist
1165 NORTHERN BLVD
MANHASSET, NY 11030

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 John Walczyk's NPI number?

The NPI number for John Walczyk is 1043233166. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is John Walczyk located?

John Walczyk practices at 1165 Northern Blvd Suite 405, Manhasset, NY 11030. The listed phone number is (516) 365-8030.

What is John Walczyk's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is John Walczyk enrolled in Medicare?

Yes. John Walczyk 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.

When was this NPI record last updated?

The NPPES record for John Walczyk was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.