DR. PETER ANTHONY ANDOLINA D.O.
NPI 1073893822
Plastic Surgery in New York, NY
About Dr. Peter Anthony Andolina D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PETER ANTHONY ANDOLINA D.O. (NPI 1073893822) is an individual plastic surgery provider in New York, New York, licensed in New York (269587) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS, is affiliated with Long Island Community Hospital, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2008).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Peter Anthony Andolina D.o. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Peter Andolina reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Port Jefferson Station, NY 11776
- Reassigned Medicare billing, New York enrollment
- 4 clinicians in this Medicare group
Williamsport, PA 17701
- Reassigned Medicare billing, Pennsylvania enrollment
- 48 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Long Island Community Hospital
Acute Care Hospitals · Patchogue, NYJohn T Mather Memorial Hospital Of Port Jefferson
Acute Care Hospitals · Port Jefferson, NYNyu Langone Hospitals
Acute Care Hospitals · New York, NYSt Charles Hospital
Acute Care Hospitals · Port Jefferson, NYSt Catherine Of Siena Hospital Medical Center
Acute Care Hospitals · Smithtown, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10018 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Peter Andolina's NPI number?
The NPI number for Peter Andolina is 1073893822. It was assigned to this individual provider in the NPPES registry on August 25, 2011.
Where is Peter Andolina located?
Peter Andolina practices at 53 W 36th St Rm 204, New York, NY 10018. The listed phone number is (212) 500-2163.
What is Peter Andolina's specialty?
The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.
Is Peter Andolina enrolled in Medicare?
Yes. Peter Andolina 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.
Which organizations bill Medicare for Peter Andolina's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Peter Andolina reassigns Medicare benefits to 2 organizations: Town Surgery Ny PLLC (Port Jefferson Station, NY) and Susquehanna Physician Services (Williamsport, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Peter Andolina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Peter Andolina accept?
Health plans from CareSource list Peter Andolina as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Peter Andolina affiliated with any hospitals?
According to CMS data, Peter Andolina is affiliated with Long Island Community Hospital, John T Mather Memorial Hospital Of Port Jefferson, Nyu Langone Hospitals, St Charles Hospital and St Catherine Of Siena Hospital Medical Center.
When was this NPI record last updated?
The NPPES record for Peter Andolina was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.
# Dr. Peter Anthony Andolina, D.O. · NPI 1073893822
Plastic Surgery physician in New York, New York. Individual provider, active in the CMS NPPES registry since August 25, 2011.
## Identity
- **NPI:** 1073893822 (Entity type: Individual)
- **Enumerated:** August 25, 2011
- **Primary specialty:** Plastic Surgery · taxonomy 208200000X
- **State license:** 269587 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 53 W 36TH ST RM 204, New York, NY 10018-7624
- **Phone:** (212) 500-2163
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Town Surgery Ny PLLC (NPI 1225762503, Port Jefferson Station, NY); Susquehanna Physician Services (NPI 1881622868, Williamsport, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York College Of Osteo Medicine Of New York Institute Of Technology, class of 2008
## Record status
- **NPPES last updated:** December 10, 2024
- **Other identifiers:** Medicaid 04108898 (NY); Medicaid 7100508950 (KY)
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Source: [NPI Profile](https://npiprofile.com/npi/1073893822) · Data from the CMS NPPES public registry.