DR. JEROME ANTHONY MOLITOR M.D.
NPI 1104845916
Radiology - Diagnostic Radiology in Middletown, NY
About Dr. Jerome Anthony Molitor M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JEROME ANTHONY MOLITOR M.D. (NPI 1104845916) is an individual diagnostic radiology provider in Middletown, New York, licensed in New York (246993-1) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Saint Louis University School Of Medicine (1968).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 6
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
Dr. Jerome Anthony Molitor 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jerome Molitor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Allentown, PA 18103
- Reassigned Medicare billing, Pennsylvania enrollment
- 122 clinicians in this Medicare group
Tampa, FL 33613
- Reassigned Medicare billing, Pennsylvania enrollment
- 15 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 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10941 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
MIDDLETOWN, NY 10941
MIDDLETOWN, NY 10941
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 Jerome Molitor's NPI number?
The NPI number for Jerome Molitor is 1104845916. It was assigned to this individual provider in the NPPES registry on July 19, 2006.
Where is Jerome Molitor located?
Jerome Molitor practices at 155 Crystal Run Rd, Middletown, NY 10941. The listed phone number is (845) 703-6999.
What is Jerome Molitor's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Jerome Molitor enrolled in Medicare?
Yes. Jerome Molitor 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 Jerome Molitor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jerome Molitor reassigns Medicare benefits to 2 organizations: Medical Imaging Of Lehigh Valley PC (Allentown, PA) and Simonmed Imaging Florida LLC (Tampa, 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 Jerome Molitor'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 Jerome Molitor was last updated on February 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Dr. Jerome Anthony Molitor, M.D. · NPI 1104845916
Diagnostic Radiology physician in Middletown, New York. Individual provider, active in the CMS NPPES registry since July 19, 2006.
## Identity
- **NPI:** 1104845916 (Entity type: Individual)
- **Enumerated:** July 19, 2006
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** 246993-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 155 CRYSTAL RUN RD, Middletown, NY 10941-4028
- **Phone:** (845) 703-6999 · **Fax:** (845) 703-2023
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Medical Imaging Of Lehigh Valley PC (NPI 1134178023, Allentown, PA); Simonmed Imaging Florida LLC (NPI 1477830818, Tampa, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Saint Louis University School Of Medicine, class of 1968
## Record status
- **NPPES last updated:** February 25, 2015
- **Other identifiers:** Medicare UPIN C59108; Medicare PIN A400023022 (NY); Medicaid 3694607 (NJ); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1104845916) · Data from the CMS NPPES public registry.