DR. DOUGLAS S KONDZIOLKA MD
NPI 1063486488
Neurological Surgery in New York, NY

Active since February 14, 2006PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
530 1ST AVE, SUITE 8R, NEW YORK, NY 10016(212) 263-2950 Get Directions Write a Review

NPPES record last updated: March 9, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Douglas S Kondziolka Md NPPES

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

DR. DOUGLAS S KONDZIOLKA MD (NPI 1063486488) is an individual neurological surgery provider in New York, New York, licensed in New York (267044) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1063486488
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. DOUGLAS S KONDZIOLKACredential: MD
Location Address530 1ST AVE, SUITE 8RNew York, NY 10016-6402
Mailing Address530 1st Ave, Suite 8rNew York, NY 10016-6402 · (212) 263-2950
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateFebruary 14, 2006
Last NPPES UpdateMarch 9, 2021
NPPES CertifiedMarch 9, 2021
NPI 1063486488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in NY · 267044
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.

Also ListedSpecialistTaxonomy 174400000X · License MD042521L (PA)
530 1ST AVE, New York, NY 10016

Other Identifiers 1

Medicaid001269761PA

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. Douglas S Kondziolka Md 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 ID1850588104
PECOS Enrollment IDI20121205000240
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 10

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 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.
247 services195 patients
Computer-assisted radiosurgery of simple growth of brain, each additional growth 61797
Computer-assisted radiosurgery is a non-invasive treatment for brain growths. It uses precise beams of radiation to target and destroy each growth without harming surrounding healthy tissue. For each additional growth, the process is repeated.
179 services60 patients
Computer-assisted radiosurgery of simple growth of brain, first growth 61796
Computer-assisted radiosurgery is a non-invasive treatment for brain growths. High-energy radiation beams are precisely targeted at the growth, destroying abnormal cells. This method is often used for the first growth, reducing risks associated with traditional surgery.
123 services107 patients
Computer-assisted radiosurgery application of headframe 61800
Computer-assisted radiosurgery with a headframe is a non-invasive procedure that treats brain conditions. A headframe is attached to your head to keep it still during treatment. Using advanced computer technology, precise high-dose radiation beams target the affected area without harming healthy tissues.
90 services86 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
89 services86 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.
61 services59 patients

Hospital Affiliations CMS Care Compare

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

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 10016 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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

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
530 1ST AVE, SUITE 7A
NEW YORK, NY 10016
Physician Assistant (Medical)
530 1ST AVE
NEW YORK, NY 10016
Nurse Practitioner (Acute Care)
530 1ST AVE, SUITE 9V
NEW YORK, NY 10016
Nurse Practitioner (Family)
530 1ST AVE, SUITE 10Q
NEW YORK, NY 10016
Nurse Practitioner (Acute Care)
530 1ST AVE, SUITE 9V
NEW YORK, NY 10016
Plastic Surgery
530 1ST AVE, SUITE 8Y
NEW YORK, NY 10016
Internal Medicine (Medical Oncology)
530 1ST AVE
NEW YORK, NY 10016
Thoracic Surgery (Cardiothoracic Vascular Surgery)
530 1ST AVE, SUITE 9V
NEW YORK, NY 10016

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 Douglas Kondziolka's NPI number?

The NPI number for Douglas Kondziolka is 1063486488. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Where is Douglas Kondziolka located?

Douglas Kondziolka practices at 530 1st Ave Suite 8R, New York, NY 10016. The listed phone number is (212) 263-2950.

What is Douglas Kondziolka's specialty?

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

Is Douglas Kondziolka enrolled in Medicare?

Yes. Douglas Kondziolka 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 Douglas Kondziolka affiliated with any hospitals?

According to CMS data, Douglas Kondziolka is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Douglas Kondziolka was last updated on March 9, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.