FREDERICK JOSEPH GANDOLFO M.D.
NPI 1053550079
Internal Medicine - Gastroenterology in Huntington, NY

Q: What is Frederick Gandolfo's NPI number?

The NPI number for Frederick Gandolfo is 1053550079. It was assigned to this individual provider in the NPPES registry on February 14, 2009.

Q: What is Frederick Gandolfo's specialty?

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

Active since February 14, 2009PECOS EnrolledAccepts Medicare Assignment

67.89/100

CMS Quality Rating

205 E MAIN ST STE 1-4, HUNTINGTON, NY 11743(631) 350-6077 Get Directions Write a Review

NPPES record last updated: February 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 22, 2022, Nov 28, 2018, Apr 30, 2018 and 1 more (4 updates tracked since 2018).

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About Frederick Joseph Gandolfo M.d. NPPES

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

FREDERICK JOSEPH GANDOLFO M.D. (NPI 1053550079) is an individual gastroenterology provider in Huntington, New York, licensed in New York (253535) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS, is affiliated with Ns/lij Hs Huntington Hospital, and maintains a secondary practice location in Huntington.

NPPES Registry Identity

NPI1053550079

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameFREDERICK JOSEPH GANDOLFOCredential: M.D.

Location Address205 E MAIN ST STE 1-4Huntington, NY 11743-7931

Mailing Address13 Central StHuntington, NY 11743-2680 · (631) 350-6077 · Fax (631) 271-2272

Phone(631) 350-6077

Sole ProprietorNo

Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2006

Enumeration DateFebruary 14, 2009

Last NPPES UpdateFebruary 22, 20224 updates tracked since enumeration

NPPES CertifiedFebruary 22, 2022

✔ NPI 1053550079 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 · 253535

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.

205 E MAIN ST STE 1-4, Huntington, NY 11743

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Secondary Practice Location 1

Location 1195 E Main StHuntington, NY 11743-2957 · Phone (631) 350-6077

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

Frederick Joseph Gandolfo 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 ID5092970731

PECOS Enrollment IDI20120703000484

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 15

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.

299 services198 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.

163 services163 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.

153 services134 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

93 services57 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.

87 services83 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

86 services78 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.

75 services75 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

68 services68 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.

49 services49 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.

41 services39 patients

Ultrasound scan of organ tissue for measuring elasticity 76981

An ultrasound scan of organ tissue measures elasticity, or flexibility. This non-invasive procedure uses sound waves to create images of the inside of your body. It helps in assessing the health of various organs by detecting changes in their stiffness or softness.

38 services33 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

23 services23 patients

Biopsy of large bowel using a flexible endoscope 45380

16 services16 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.

15 services15 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Ns/Lij Hs Huntington Hospital

Acute Care Hospitals · Huntington, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330045

Location270 Park AvenueHuntington, NY 11743 · Suffolk County

Emergency services Birthing friendly

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

St Charles Hospital

Acute Care Hospitals · Port Jefferson, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330246

Location200 Belle Terre RoadPort Jefferson, NY 11777 · Suffolk County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11743 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.

67.89/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

58.06

Promoting Interoperability

100

Improvement Activities

Cost

30.86

Reported Quality Measures

Advance Care Plan

0%576 patients1/55-star benchmark: 100%

Breast Cancer Screening

0%367 patients1/55-star benchmark: 93%

Colorectal Cancer Screening

70%849 patients4/55-star benchmark: 88%

Documentation of Current Medications in the Medical Record

87%2,584 patients4/55-star benchmark: 100%

e-Prescribing

100%549 patients5/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

30%1,447 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

22%2,110 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 87% · 559 patients

Patients screened: 91% · 559 patients

11%27 patients1/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

91%541 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

67%27 patients3/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 437 patients

Patients totalRate: 9% · 437 patients

9%437 patients4/55-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.

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Other Providers at the Same Location NPPES

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

PRECISION DIGESTIVE CARE, PC

Internal Medicine (Gastroenterology)

205 E MAIN ST STE 1-4
HUNTINGTON, NY 11743

Suffolk County (000) 000-0000

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 Frederick Gandolfo's NPI number?

The NPI number for Frederick Gandolfo is 1053550079. It was assigned to this individual provider in the NPPES registry on February 14, 2009.

Where is Frederick Gandolfo located?

Frederick Gandolfo practices at 205 E Main St Ste 1-4, Huntington, NY 11743. The listed phone number is (631) 350-6077.

What is Frederick Gandolfo's specialty?

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

Is Frederick Gandolfo enrolled in Medicare?

Yes. Frederick Gandolfo 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 Frederick Gandolfo affiliated with any hospitals?

According to CMS data, Frederick Gandolfo is affiliated with Ns/Lij Hs Huntington Hospital, North Shore University Hospital and St Charles Hospital.

When was this NPI record last updated?

The NPPES record for Frederick Gandolfo was last updated on February 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.