DR. JOHN A PROCACCINO JR. MD
NPI 1114997939
Surgery in Great Neck, NY

Active since January 24, 2006PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
900 NORTHERN BLVD, GREAT NECK, NY 11021(516) 730-2100(516) 730-2121 Get Directions Write a Review

NPPES record last updated: September 23, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John A Procaccino Jr. Md NPPES

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

DR. JOHN A PROCACCINO JR. MD (NPI 1114997939) is an individual surgery provider in Great Neck, New York, licensed in New York (171315) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of New York Medical College (1984).

NPPES Registry Identity

NPI1114997939
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. JOHN A PROCACCINO JR.Credential: MD
Location Address900 NORTHERN BLVDGreat Neck, NY 11021-5302
Mailing Address972 Brush Hollow RdWestbury, NY 11590-1740 · (516) 876-5555 · Fax (516) 876-5539
Fax(516) 730-2121
Sole ProprietorYes
Medical School CMSNew York Medical CollegeGraduated 1984
Enumeration DateJanuary 24, 2006
Last NPPES UpdateSeptember 23, 2013
NPI 1114997939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in NY · 171315
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
900 NORTHERN BLVD, Great Neck, NY 11021

Other Identifiers 2

Medicare UPINE44712NY
Medicare ID-Type Unspecified36F231NY

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. John A Procaccino Jr. 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 ID8426047754
PECOS Enrollment IDI20040511000627
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 14

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
144 services143 patients
Diagnostic exam of rectum and lower large bowel using an endoscope 45300
This procedure, known as a sigmoidoscopy, involves using a thin, flexible instrument called an endoscope to examine your lower large bowel and rectum. This helps in identifying any abnormalities or issues that could affect your digestive health.
74 services66 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
72 services72 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.
70 services48 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.
54 services50 patients
Removal of external hemorrhoids by rubber banding 46221
Rubber band ligation is a procedure used to treat external hemorrhoids. A doctor places small rubber bands around the base of the hemorrhoids. This cuts off blood supply, causing them to shrink and fall off, typically within a week.
47 services21 patients

Hospital Affiliations CMS Care Compare 2

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11021 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
$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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 15

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

Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
4 suppliers23 claims730 services$3.35 avg. paid by Medicare
Ostomy belt, each A4367
DME-Orthotic Devices · category DF010N
4 suppliers15 claims21 services$5.41 avg. paid by Medicare
Ostomy skin barrier, powder, per oz A4371
DME-Orthotic Devices · category DF010N
5 suppliers37 claims76 services$3.29 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
5 suppliers42 claims1,301 services$4.75 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
4 suppliers54 claims1,200 services$2.32 avg. paid by Medicare
Ostomy skin barrier, pectin-based, paste, per ounce A4406
DME-Orthotic Devices · category DF010N
5 suppliers23 claims145 services$4.44 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 20

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

Radiology (Diagnostic Radiology)
900 NORTHERN BLVD, SUITE 110
GREAT NECK, NY 11021
Radiology (Diagnostic Radiology)
900 NORTHERN BLVD, SUITE 110
GREAT NECK, NY 11021
Dentist
900 NORTHERN BLVD, SUITE 240
GREAT NECK, NY 11021
Neurological Surgery
900 NORTHERN BLVD, SSTE 260
GREAT NECK, NY 11021
Nurse Practitioner (Family)
900 NORTHERN BLVD
GREAT NECK, NY 11021
Radiology (Diagnostic Radiology)
900 NORTHERN BLVD
GREAT NECK, NY 11021
Nurse Practitioner (Obstetrics & Gynecology)
900 NORTHERN BLVD
GREAT NECK, NY 11021
Dentist
900 NORTHERN BLVD, SUITE 240
GREAT NECK, NY 11021

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 John Procaccino's NPI number?

The NPI number for John Procaccino is 1114997939. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Where is John Procaccino located?

John Procaccino practices at 900 Northern Blvd, Great Neck, NY 11021. The listed phone number is (516) 730-2100.

What is John Procaccino's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is John Procaccino enrolled in Medicare?

Yes. John Procaccino 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 John Procaccino affiliated with any hospitals?

According to CMS data, John Procaccino is affiliated with North Shore University Hospital and Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for John Procaccino was last updated on September 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.