PETER OTTAVIO D.O.
NPI 1093750028
Internal Medicine - Pulmonary Disease in Port Jefferson Station, NY

Active since June 16, 2006PECOS EnrolledAccepts Medicare Assignment
84.14/100
CMS Quality Rating
1500 ROUTE 112 STE B, PORT JEFFERSON STATION, NY 11776(631) 978-7633(631) 621-4115 Get Directions Write a Review

NPPES record last updated: October 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peter Ottavio D.o. NPPES

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

PETER OTTAVIO D.O. (NPI 1093750028) is an individual pulmonary disease provider in Port Jefferson Station, New York, licensed in New York (232660) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Hauppauge, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1093750028
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NamePETER OTTAVIOCredential: D.O.
Location Address1500 ROUTE 112 STE BPort Jefferson Station, NY 11776-8055
Mailing Address500 Commack RdCommack, NY 11725-5020 · (631) 675-2125 · Fax (631) 675-2628
Fax(631) 621-4115
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJune 16, 2006
Last NPPES UpdateOctober 22, 2020
NPPES CertifiedOctober 22, 2020
NPI 1093750028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in NY · 232660
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 232660 (NY)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 232660 (NY)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 232660 (NY)
1500 ROUTE 112 STE B, Port Jefferson Station, NY 11776

Secondary Practice Location 1

Location 1200 Motor Pkwy Ste C-16Hauppauge, NY 11788-5114 · Phone (631) 978-7633 · Fax (631) 621-4115

Other Identifiers 1

Other232660NY · License Number

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

Peter Ottavio 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.

PECOS PAC ID2961506076
PECOS Enrollment IDI20070329000565
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 19

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.
439 services302 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.
279 services211 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
242 services224 patients
Test to measure rate of airflow 94375
This test, known as spirometry, measures how much air you can breathe in and out, and how quickly you can do so. It helps assess your lung function and can be used to diagnose or monitor conditions like asthma or COPD.
193 services184 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
161 services156 patients
Sleep study including heart rate, breathing, airflow, and effort 95806
A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.
133 services130 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11776 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
$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.

84.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.11
Promoting Interoperability100
Improvement Activities40
Cost69.05

Referred Medical Equipment & Supplies CMS DME claims 22

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
21 suppliers586 claims586 services$33.24 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
12 suppliers322 claims322 services$75.31 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
11 suppliers308 claims871 services$27.50 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
17 suppliers346 claims1,942 services$15.46 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
5 suppliers71 claims402 services$12.70 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
18 suppliers474 claims474 services$45.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine (Pulmonary Disease)
1500 ROUTE 112 STE B
PORT JEFFERSON STATION, NY 11776
Internal Medicine (Pulmonary Disease)
1500 ROUTE 112 STE B
PORT JEFFERSON STATION, NY 11776
Internal Medicine (Pulmonary Disease)
1500 ROUTE 112 STE B
PORT JEFFERSON STATION, NY 11776
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1500 ROUTE 112 STE B
PORT JEFFERSON STATION, NY 11776
Internal Medicine (Pulmonary Disease)
1500 ROUTE 112 STE B
PORT JEFFERSON STATION, NY 11776
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1500 ROUTE 112 STE B
PORT JEFFERSON STATION, NY 11776
Internal Medicine (Pulmonary Disease)
1500 ROUTE 112 STE B
PORT JEFFERSON STATION, NY 11776
Specialist
1500 ROUTE 112 STE B
PORT JEFFERSON STATION, NY 11776

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 Ottavio's NPI number?

The NPI number for Peter Ottavio is 1093750028. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Peter Ottavio located?

Peter Ottavio practices at 1500 Route 112 Ste B, Port Jefferson Station, NY 11776. The listed phone number is (631) 978-7633.

What is Peter Ottavio's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Peter Ottavio enrolled in Medicare?

Yes. Peter Ottavio 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.

When was this NPI record last updated?

The NPPES record for Peter Ottavio was last updated on October 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.