TERRY PONTINO NP
NPI 1093089542
Nurse Practitioner - Acute Care in East Patchogue, NY

Active since March 01, 2012PECOS EnrolledAccepts Medicare Assignment
72.09/100
CMS Quality Rating
475 E MAIN ST, EAST PATCHOGUE, NY 11772(631) 475-7700(631) 307-9911 Get Directions Write a Review

NPPES record last updated: August 22, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 22, 2018, Aug 31, 2017 (2 updates tracked since 2017).

About Terry Pontino Np NPPES

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

TERRY PONTINO NP (NPI 1093089542) is an individual acute care provider in East Patchogue, New York, licensed in New York (431103) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1093089542
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameTERRY PONTINOCredential: NP
Location Address475 E MAIN STEast Patchogue, NY 11772
Mailing Address475 E Main StEast Patchogue, NY 11772-3121 · (631) 475-7700 · Fax (631) 307-9911
Fax(631) 307-9911
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 1, 2012
Last NPPES UpdateAugust 22, 20182 updates tracked since enumeration
✔ NPI 1093089542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in NY · 431103
475 E MAIN ST, East Patchogue, NY 11772

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

Terry Pontino Np 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 ID8921412214
PECOS Enrollment IDI20210127003122
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Terry Pontino reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neurological Surgery
285 SILLS RD BLDG 5-6
E Patchogue, NY 11772
  • Reassigned Medicare billing, New York enrollment
  • 6 clinicians in this Medicare group
Clinic/Center
5976 ROUTE 25A
Wading River, NY 11792
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 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.

Areas of Expertise CMS Part B claims 6

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.

Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes G0396
This service involves a structured evaluation of your alcohol or substance use habits. It identifies potential issues and provides brief counseling to help modify harmful behaviors. It's a short, 15-30 minute process, focused on promoting healthier choices.
283 services61 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.
187 services46 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.
155 services50 patients
Injection of trigger points, 1-2 muscles 20552
Trigger point injection is a procedure used to treat painful areas of muscle that contain trigger points, or knots of muscle that form when muscles do not relax. 1-2 muscles are typically treated in one session. The procedure involves injecting medications into these points to alleviate pain.
49 services28 patients
Injection, methylprednisolone acetate, 40 mg J1030
Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.
19 services18 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11772 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
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
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.

72.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.11
Improvement Activities40
Cost33.39

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.

Social Worker
475 E MAIN ST
PATCHOGUE, NY 11772
Anesthesiology (Pain Medicine)
475 E MAIN ST, SUITE 114
PATCHOGUE, NY 11772
Counselor (Addiction (Substance Use Disorder))
475 E MAIN ST
PATCHOGUE, NY 11772
Counselor (Mental Health)
475 E MAIN ST, SUITE 200
PATCHOGUE, NY 11772
Optometrist
475 E MAIN ST, 104
PATCHOGUE, NY 11772
Physical Therapist
475 E MAIN ST
PATCHOGUE, NY 11772
Clinic/Center (Physical Therapy)
475 E MAIN ST, SUITE 103-105
PATCHOGUE, NY 11772
Clinic/Center (Radiology)
475 E MAIN ST, SUITE 100
PATCHOGUE, NY 11772

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 Terry Pontino's NPI number?

The NPI number for Terry Pontino is 1093089542. It was assigned to this individual provider in the NPPES registry on March 1, 2012.

Where is Terry Pontino located?

Terry Pontino practices at 475 E Main St, East Patchogue, NY 11772. The listed phone number is (631) 475-7700.

What is Terry Pontino's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Terry Pontino enrolled in Medicare?

Yes. Terry Pontino 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 Terry Pontino's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Terry Pontino reassigns Medicare benefits to 3 organizations: Long Island Neuroscience Specialists LLP (E Patchogue, NY), J N Brodbeck Dc PLLC (Wading River, NY) and New York University (Boynton Beach, FL). 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 Terry Pontino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Terry Pontino was last updated on August 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.