Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RICARDO QUINTANILLA PA-C
NPI 1083411326
Physician Assistant in Riverhead, NY

Q: What is Ricardo Quintanilla's NPI number?

The NPI number for Ricardo Quintanilla is 1083411326. It was assigned to this individual provider in the NPPES registry on February 25, 2025.

Q: What is Ricardo Quintanilla's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since February 25, 2025PECOS Enrolled

170 OLD COUNTRY RD, RIVERHEAD, NY 11901(631) 208-4460 Get Directions Write a Review

NPPES record last updated: October 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 17, 2026, Mar 31, 2025, Mar 3, 2025 and 1 more (4 updates tracked since 2025).

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About Ricardo Quintanilla Pa-c NPPES

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

RICARDO QUINTANILLA PA-C (NPI 1083411326) is an individual physician assistant in Riverhead, New York, licensed in New York (033371) and active in the NPI registry since February 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083411326

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameRICARDO QUINTANILLACredential: PA-C

Location Address170 OLD COUNTRY RDRiverhead, NY 11901-2198

Mailing Address170 Old Country RdRiverhead, NY 11901-2198 · (631) 208-4460

Phone(631) 208-4460

Sole ProprietorNo

Enumeration DateFebruary 25, 2025

Last NPPES UpdateOctober 17, 20264 updates tracked since enumeration

NPPES CertifiedOctober 17, 2026

✔ NPI 1083411326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NY · 033371

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

170 OLD COUNTRY RD, Riverhead, NY 11901

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ricardo Quintanilla Pa-c 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 11901 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.

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.

OSHRAT KAPLAN LMSW

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