MICHAEL FASTENBERG M.D.
NPI 1073735593
Dermatology in Smithtown, NY

Q: What is Michael Fastenberg's NPI number?

The NPI number for Michael Fastenberg is 1073735593. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Q: What is Michael Fastenberg's specialty?

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

Active since May 03, 2007PECOS EnrolledAccepts Medicare Assignment

77.9/100

CMS Quality Rating

260 MIDDLE COUNTRY RD, SUITE 208, SMITHTOWN, NY 11787(631) 863-3223(631) 863-3334 Get Directions Write a Review

NPPES record last updated: January 26, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Michael Fastenberg M.d. NPPES

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

MICHAEL FASTENBERG M.D. (NPI 1073735593) is an individual dermatology provider in Smithtown, New York, licensed in New York (252150-1) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2005).

NPPES Registry Identity

NPI1073735593

Entity TypeIndividualMale

Primary Taxonomy207N00000X

Provider Legal NameMICHAEL FASTENBERGCredential: M.D.

Location Address260 MIDDLE COUNTRY RD, SUITE 208Smithtown, NY 11787-2982

Mailing Address260 Middle Country Rd, Suite 208Smithtown, NY 11787-2982 · (631) 863-3223 · Fax (631) 863-3334

Phone(631) 863-3223

Fax(631) 863-3334

Sole ProprietorNo

Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2005

Enumeration DateMay 3, 2007

Last NPPES UpdateJanuary 26, 2011

✔ NPI 1073735593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

Licenses✔ Licensed in NY · 252150-1✔ Licensed in NC · 2006-01943

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.

260 MIDDLE COUNTRY RD, Smithtown, NY 11787

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Other Identifiers 1

Medicare PINA400015252

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

Michael Fastenberg 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 ID648325050

PECOS Enrollment IDI20090909000436

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 18

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.

2,851 services411 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

1,032 services740 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.

980 services718 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.

714 services504 patients

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.

364 services275 patients

Destruction of precancer skin growth, 15 or more growths 17004

This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.

299 services197 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.

246 services197 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.

232 services211 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.

72 services72 patients

Acne surgery 10040

Acne surgery is a procedure to clear up severe acne that doesn't respond to other treatments. It involves a dermatologist using specialized tools to remove blackheads, whiteheads, and pimples. This helps to reduce the appearance of acne and prevent future breakouts.

53 services51 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

53 services30 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.

42 services39 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.

41 services41 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

33 services33 patients

Destruction of skin growth, 15 or more growths 17111

"Destruction of skin growth" refers to a procedure where unwanted skin growths, such as warts or moles, are removed. In this case, 15 or more growths are treated. Techniques may include freezing, burning, or laser therapy. It's a safe, quick process to improve skin health.

29 services24 patients

Injection into skin growth, 1-7 growths 11900

This procedure involves injecting medication into 1-7 skin growths. The medication helps to reduce the size of the growths or completely eliminate them. It's a simple, quick, and usually painless process performed by a medical professional.

27 services22 patients

Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm 17262

This procedure involves removing a cancerous skin growth on the trunk, arms, or legs that is between 1.1 and 2.0 cm in size. The growth is destroyed using methods like surgery, laser, or freezing, aiming to eliminate cancer and prevent its spread.

27 services25 patients

Simple or single drainage of skin abscess 10060

A simple or single drainage of skin abscess is a procedure to remove pus from a skin infection. A small cut is made on the abscess, the pus is drained out, and the area is cleaned. This helps to reduce pain, speed up recovery, and prevent the spread of infection.

24 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11787 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.

77.9/100

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

Individually scored

Promoting Interoperability

Improvement Activities

Reported Quality Measures

e-Prescribing

100%1,044 patients5/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

62%1,644 patients3/55-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.

MS. TAMARA KOSS MD

Dermatology

260 MIDDLE COUNTRY RD, SUITE 208
SMITHTOWN, NY 11787

Suffolk County (631) 863-3223

MRS. JENNIFER CASSIDY FNP

Nurse Practitioner

260 MIDDLE COUNTRY RD, SUITE 214
SMITHTOWN, NY 11787

Suffolk County (631) 265-5050

NORTH SHORE MEDICAL & SURGICAL EYE CARE PC

Ophthalmology

260 MIDDLE COUNTRY RD, STE 201
SMITHTOWN, NY 11787

Suffolk County (631) 265-8780

MARJORIE C. RAVITZ DPM PC

Podiatrist

260 MIDDLE COUNTRY RD, SUITE 104
SMITHTOWN, NY 11787

Suffolk County (631) 724-1166

SMITHTOWN PRESCRIPTION CENTER INC

Pharmacy (Community/Retail Pharmacy)

260 MIDDLE COUNTRY RD, SUITE 105
SMITHTOWN, NY 11787

Suffolk County (631) 979-7575

DR. SHERI BETH GLAZER D.D.S.

Dentist (General Practice)

260 MIDDLE COUNTRY RD, SUITE 202
SMITHTOWN, NY 11787

Suffolk County (631) 361-3666

EILEEN RAE BISHOP M.D.

Specialist

260 MIDDLE COUNTRY RD, SUITE 214
SMITHTOWN, NY 11787

Suffolk County (631) 265-5050

EZRA DEUTSCH M.D.

Specialist

260 MIDDLE COUNTRY RD, SUITE 214
SMITHTOWN, NY 11787

Suffolk County (631) 265-5050

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 Michael Fastenberg's NPI number?

The NPI number for Michael Fastenberg is 1073735593. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Michael Fastenberg located?

Michael Fastenberg practices at 260 Middle Country Rd Suite 208, Smithtown, NY 11787. The listed phone number is (631) 863-3223.

What is Michael Fastenberg's specialty?

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

Is Michael Fastenberg enrolled in Medicare?

Yes. Michael Fastenberg 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 Michael Fastenberg was last updated on January 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.