1. Home
  2. Directory
  3. New York
  4. Binghamton
  5. Pediatrics
  6. NPI Profile

GREGORY P SCAGNELLI MD
NPI 1093707481
Pediatrics - Pediatric Gastroenterology in Binghamton, NY

Active since August 22, 2005PECOS EnrolledAccepts Medicare Assignment
84.63/100
CMS Quality Rating
40 MITCHELL AVE, BINGHAMTON, NY 13903(607) 772-0639(607) 722-4610 Get Directions Write a Review

NPPES record last updated: July 13, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gregory P Scagnelli Md NPPES

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

GREGORY P SCAGNELLI MD (NPI 1093707481) is an individual pediatric gastroenterology provider in Binghamton, New York, licensed in New York (163234) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with United Health Services Hospitals, Inc, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1093707481
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameGREGORY P SCAGNELLICredential: MD
Location Address40 MITCHELL AVEBinghamton, NY 13903-1678
Mailing Address40 Mitchell AveBinghamton, NY 13903-1678 · (607) 772-0639 · Fax (607) 722-4610
Phone(607) 772-0639
Fax(607) 722-4610
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateAugust 22, 2005
Last NPPES UpdateJuly 13, 2011
✔ NPI 1093707481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in NY · 163234
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
40 MITCHELL AVE, Binghamton, NY 13903
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINE55174
Medicare PIN52839SNY
Medicaid01140138NY

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

Gregory P Scagnelli Md 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 ID6305996752
PECOS Enrollment IDI20090605000601
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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

United Health Services Hospitals, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330394
Location10-42 Mitchell AvenueBinghamton, NY 13903 · Broome County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13903 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

84.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.96
Promoting Interoperability100
Improvement Activities40
Cost54.42

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
93%28 patients4/55-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 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALI MARHABA MD
Internal Medicine (Gastroenterology)
40 MITCHELL AVE
BINGHAMTON, NY 13903
Broome County (607) 772-0639
LESLIE BANK M.D.
Internal Medicine (Gastroenterology)
40 MITCHELL AVE
BINGHAMTON, NY 13903
Broome County (607) 772-0639
YAN LIU MD
Internal Medicine
40 MITCHELL AVE
BINGHAMTON, NY 13903
Broome County (607) 723-1676
MINHAZ AHMAD MD
Internal Medicine (Gastroenterology)
40 MITCHELL AVE, FL 3
BINGHAMTON, NY 13903
Broome County (607) 772-0639
BINGHAMTON GASTROENTEROLOGY ASSOCIATES, PC
Internal Medicine (Gastroenterology)
40 MITCHELL AVE, 3RD FLOOR
BINGHAMTON, NY 13903
Broome County (607) 772-0639
DR. TOSEEF JAVAID M.D.
Internal Medicine (Gastroenterology)
40 MITCHELL AVE, 3RD FL
BINGHAMTON, NY 13903
Broome County (607) 772-0639
MARK SHUMEYKO MD
Internal Medicine (Gastroenterology)
40 MITCHELL AVE
BINGHAMTON, NY 13903
Broome County (607) 772-0639
AMINE HILA MD
Internal Medicine (Gastroenterology)
40 MITCHELL AVE, THIRD FLOOR
BINGHAMTON, NY 13903
Broome County (607) 772-0639

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 Gregory Scagnelli's NPI number?

The NPI number for Gregory Scagnelli is 1093707481. It was assigned to this individual provider in the NPPES registry on August 22, 2005.

Where is Gregory Scagnelli located?

Gregory Scagnelli practices at 40 Mitchell Ave, Binghamton, NY 13903. The listed phone number is (607) 772-0639.

What is Gregory Scagnelli's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Gregory Scagnelli enrolled in Medicare?

Yes. Gregory Scagnelli 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.

Is Gregory Scagnelli affiliated with any hospitals?

According to CMS data, Gregory Scagnelli is affiliated with United Health Services Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Gregory Scagnelli was last updated on July 13, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.