SUSAN PANNULLO M.D.
NPI 1063438646
Neurological Surgery in New York, NY

Active since July 15, 2006PECOS Enrolled
100/100
CMS Quality Rating
525 E 68TH ST, ST 626/BOX 99, NEW YORK, NY 10021(212) 746-4776(212) 746-6607 Get Directions Write a Review

NPPES record last updated: September 14, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Susan Pannullo M.d. NPPES

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

SUSAN PANNULLO M.D. (NPI 1063438646) is an individual neurological surgery provider in New York, New York, licensed in New York (176302) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063438646
Entity TypeIndividualFemale
Primary Taxonomy207T00000X
Provider Legal NameSUSAN PANNULLOCredential: M.D.
Location Address525 E 68TH ST, ST 626/BOX 99New York, NY 10021-4870
Mailing Address575 Lexington Ave, 5thfl.New York, NY 10022-6102 · (212) 590-5152 · Fax (212) 590-7800
Fax(212) 746-6607
Sole ProprietorNo
Enumeration DateJuly 15, 2006
Last NPPES UpdateSeptember 14, 2011
NPI 1063438646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in NY · 176302
Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

525 E 68TH ST, New York, NY 10021

Other Identifiers 2

Medicaid01897158NY
Medicare ID-Type Unspecified90E232NY · Medicare Provider Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Susan Pannullo M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

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.

Pediatrics (Neonatal-Perinatal Medicine)
525 E 68TH ST, BOX 106
NEW YORK, NY 10021
Obstetrics & Gynecology
525 E 68TH ST, J-130
NEW YORK, NY 10021
Obstetrics & Gynecology
525 E 68TH ST, J-130
NEW YORK, NY 10021
Internal Medicine (Infectious Disease)
525 E 68TH ST, BOX 585
NEW YORK, NY 10021
Radiology (Diagnostic Radiology)
525 E 68TH ST
NEW YORK, NY 10021
Internal Medicine (Gastroenterology)
525 E 68TH ST
NEW YORK, NY 10021
Anesthesiology
525 E 68TH ST, BOX 124
NEW YORK, NY 10021
Pediatrics (Pediatric Cardiology)
525 E 68TH ST
NEW YORK, NY 10021

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 Susan Pannullo's NPI number?

The NPI number for Susan Pannullo is 1063438646. It was assigned to this individual provider in the NPPES registry on July 15, 2006.

Where is Susan Pannullo located?

Susan Pannullo practices at 525 E 68th St St 626/Box 99, New York, NY 10021. The listed phone number is (212) 746-4776.

What is Susan Pannullo's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Susan Pannullo enrolled in Medicare?

Yes. Susan Pannullo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Susan Pannullo was last updated on September 14, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.