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DR. ANDRE PLAIR M.D.
NPI 1093158081
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Stony Brook, NY

Active since April 09, 2013PECOS EnrolledAccepts Medicare Assignment
98.52/100
CMS Quality Rating
STONY BROOK UNIVERSITY MEDICAL CTR, DEPARTMENT OF OB/GYN, HSC, T9, STONY BROOK, NY 11794(631) 444-4686(631) 444-4622 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 4, 2025, Aug 16, 2020, Jul 27, 2020 and 2 more (5 updates tracked since 2019).

About Dr. Andre Plair M.d. NPPES

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

DR. ANDRE PLAIR M.D. (NPI 1093158081) is an individual urogynecology and reconstructive pelvic surgery provider in Stony Brook, New York, licensed in New York (305582) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1093158081
Entity TypeIndividualMale
Primary Taxonomy207VF0040X
Provider Legal NameDR. ANDRE PLAIRCredential: M.D.
Location AddressSTONY BROOK UNIVERSITY MEDICAL CTR, DEPARTMENT OF OB/GYN, HSC, T9Stony Brook, NY 11794-8091
Mailing AddressPo Box 1559Stony Brook, NY 11790-0989 · (631) 444-3987 · Fax (631) 444-8954
Phone(631) 444-4686
Fax(631) 444-4622
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 9, 2013
Last NPPES UpdateNovember 4, 20255 updates tracked since enumeration
NPPES CertifiedNovember 4, 2025
✔ NPI 1093158081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207VF0040X
License✔ Licensed in NY · 305582
Definition
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 2017-01861 (NC), 305582-01 (NY)
STONY BROOK UNIVERSITY MEDICAL CTR, Stony Brook, NY 11794
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.Insurance ›

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. Andre Plair 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 ID3072886159
PECOS Enrollment IDI20200827000863
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 13

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.
196 services117 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.
120 services84 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
116 services102 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
53 services42 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.
43 services41 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.
27 services27 patients

Hospital Affiliations CMS Care Compare

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

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11794 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
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.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

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.

DR. SABINE BROUXHON MD
Emergency Medicine
STONY BROOK UNIVERSITY MEDICAL CTR, HSC L4 RM 080
STONY BROOK, NY 11794
Suffolk County (631) 444-2478
TERESA STABLES-CARNEY RNC, PNP
Nurse Practitioner (Pediatrics)
STONY BROOK UNIVERSITY MEDICAL CTR, HSC-T-11-080, DEPT. PEDIATRICS
STONY BROOK, NY 11794
Suffolk County (631) 444-8340
WEI HE PA
Physician Assistant (Surgical)
STONY BROOK UNIVERSITY MEDICAL CTR, HSC T19080
STONY BROOK, NY 11794
Suffolk County (631) 444-1820
MS. LISA JOANNE REPPER NP
Nurse Practitioner (Adult Health)
STONY BROOK UNIVERSITY MEDICAL CTR, 3 EDMUND PELLEGRINO DR.
STONY BROOK, NY 11794
Suffolk County (631) 638-1000
GISELE ELIZABETH ESCOBAR NP
Nurse Practitioner (Adult Health)
STONY BROOK UNIVERSITY MEDICAL CTR, 16S ROOM 087
STONY BROOK, NY 11794
Suffolk County (631) 444-2901
MS. INDIRA MICHELLE FROMM RPA-C
Physician Assistant (Surgical)
STONY BROOK UNIVERSITY MEDICAL CTR, HSC LEVEL 19 ROOM 060, DEPARTMENT OF SURGERY
STONY BROOK, NY 11794
Suffolk County (631) 444-8210
DR. JEFFREY MORGANSTERN M.D.
Pediatrics (Pediatric Gastroenterology)
STONY BROOK UNIVERSITY MEDICAL CTR, HEALTH SCIENCE CENTER T11-080
STONY BROOK, NY 11794
Suffolk County (631) 444-8115
LISA SARA WILKS-GALLO MD
Pediatrics
STONY BROOK UNIVERSITY MEDICAL CTR, DEPT OF PEDIATRICS, HSC 11, RM 060
STONY BROOK, NY 11794
Suffolk County (631) 444-7884

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 Andre Plair's NPI number?

The NPI number for Andre Plair is 1093158081. It was assigned to this individual provider in the NPPES registry on April 9, 2013.

Where is Andre Plair located?

Andre Plair practices at Stony Brook University Medical Ctr Department Of Ob/Gyn, Hsc, T9, Stony Brook, NY 11794. The listed phone number is (631) 444-4686.

What is Andre Plair's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Is Andre Plair enrolled in Medicare?

Yes. Andre Plair 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.

What insurance does Andre Plair accept?

Health plans from AmeriHealth Caritas Next list Andre Plair 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 Andre Plair affiliated with any hospitals?

According to CMS data, Andre Plair is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Andre Plair was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.