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DR. ANTHONY MASSIMILLO M.D.
NPI 1043277692
Internal Medicine - Gastroenterology in Mineola, NY

Active since April 27, 2006PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
300 OLD COUNTRY RD STE 31, MINEOLA, NY 11501(516) 294-9380(516) 294-5351 Get Directions Write a Review

NPPES record last updated: January 27, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Anthony Massimillo M.d. NPPES

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

DR. ANTHONY MASSIMILLO M.D. (NPI 1043277692) is an individual gastroenterology provider in Mineola, New York, licensed in New York (169701) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and maintains a secondary practice location in Garden City.

NPPES Registry Identity

NPI1043277692
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. ANTHONY MASSIMILLOCredential: M.D.
Location Address300 OLD COUNTRY RD STE 31Mineola, NY 11501-4112
Mailing Address300 Old Country Rd Ste 31Mineola, NY 11501-4112 · (516) 294-9380 · Fax (516) 294-5351
Phone(516) 294-9380
Fax(516) 294-5351
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1985
Enumeration DateApril 27, 2006
Last NPPES UpdateJanuary 27, 2021
NPPES CertifiedJanuary 27, 2021
✔ NPI 1043277692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NY · 169701
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

300 OLD COUNTRY RD STE 31, Mineola, NY 11501
Open in Google Maps ↗

Secondary Practice Location 1

Location 1901 Stewart Ave, Suite 235Garden City, NY 11530-4893 · Phone (516) 742-5252 · Fax (516) 742-7623

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

Dr. Anthony Massimillo 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 ID7012922826
PECOS Enrollment IDI20110317000062
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.

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.
181 services145 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
121 services121 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
71 services71 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
38 services38 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
26 services26 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
24 services24 patients

Hospital Affiliations CMS Care Compare 2

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11501 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
$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

Other Providers at the Same Location NPPES 3

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

SUSHIL K SHARMA M.D.
Internal Medicine (Gastroenterology)
300 OLD COUNTRY RD STE 31
MINEOLA, NY 11501
Nassau County (516) 742-5252
JOSEPH L. TROMBA M.D.
Internal Medicine (Gastroenterology)
300 OLD COUNTRY RD STE 31
MINEOLA, NY 11501
Nassau County (516) 742-5252
NORTHWELL HEALTH
Internal Medicine (Gastroenterology)
300 OLD COUNTRY RD STE 31
MINEOLA, NY 11501
Nassau County (516) 742-5252

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 Anthony Massimillo's NPI number?

The NPI number for Anthony Massimillo is 1043277692. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Anthony Massimillo located?

Anthony Massimillo practices at 300 Old Country Rd Ste 31, Mineola, NY 11501. The listed phone number is (516) 294-9380.

What is Anthony Massimillo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Anthony Massimillo enrolled in Medicare?

Yes. Anthony Massimillo 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 Anthony Massimillo affiliated with any hospitals?

According to CMS data, Anthony Massimillo is affiliated with North Shore University Hospital and Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Anthony Massimillo was last updated on January 27, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.