LOUIS PETER DECUNZO JR. MD
NPI 1124000864
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Glens Falls, NY

Q: What is Louis Decunzo's NPI number?

The NPI number for Louis Decunzo is 1124000864. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Q: What is Louis Decunzo's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for Louis Decunzo was last updated on February 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since November 17, 2005PECOS Enrolled

93.92/100

CMS Quality Rating

14 HUDSON AVENUE, SURGICAL SPECIALISTS OF GLENS FALLS HOSPITAL, GLENS FALLS, NY 12801(518) 926-5600(518) 926-5605 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 10, 2022, Apr 25, 2019 (2 updates tracked since 2019).

On this page

About Louis Peter Decunzo Jr. Md NPPES

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

LOUIS PETER DECUNZO JR. MD (NPI 1124000864) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Glens Falls, New York, licensed in New York (201484) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124000864

Entity TypeIndividualMale

Primary Taxonomy208G00000X

Provider Legal NameLOUIS PETER DECUNZO JR.Credential: MD

Location Address14 HUDSON AVENUE, SURGICAL SPECIALISTS OF GLENS FALLS HOSPITALGlens Falls, NY 12801-4443

Mailing Address100 Park StreetGlens Falls, NY 12801-4413 · (518) 926-5924 · Fax (518) 926-6983

Phone(518) 926-5600

Fax(518) 926-5605

Sole ProprietorNo

Enumeration DateNovember 17, 2005

Last NPPES UpdateFebruary 10, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 10, 2022

✔ NPI 1124000864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

License✔ Licensed in NY · 201484

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

14 HUDSON AVENUE, Glens Falls, NY 12801

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Other Identifiers 2

Medicaid01617601NY

OtherP00402831NY · Rr Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Louis Peter Decunzo Jr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Louis Decunzo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Glens Falls Hospital Inc.

0.1 mi

Family Medicine

100 PARK ST
Glens Falls, NY 12801

Reassigned Medicare billing, New York enrollment
201 clinicians in this Medicare group

NPI 1336198217 (518) 926-6999

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 2

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 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.

14 services12 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12801 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

$166.88 typical visit price

range $54.87 – $166.88

Typical copayment $41.72 (range $13.71 – $41.72)

Most-billed visit code 99205

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

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.

93.92/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.28

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 8

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

DOUGLAS P KIRKPATRICK MD

Orthopaedic Surgery

14 HUDSON AVENUE, SURGICAL SPECIALISTS OF GLENS FALLS HOSPITAL - ORTHO
GLENS FALLS, NY 12801

Warren County (189) 265-6005

HARRY H. SLATCH M.D.

Urology

14 HUDSON AVENUE, SURGICAL SPECIALISTS OF GLENS FALLS HOSPITAL - UROLOGY
GLENS FALLS, NY 12801

Warren County (518) 926-5600

VINCENT T COOPER MD

Urology

14 HUDSON AVENUE, SURGICAL SPECIALISTS OF GLENS FALLS HOSPIAL
GLENS FALLS, NY 12801

Warren County (518) 926-5600

SEAN MICHAEL KENNEDY DO

Otolaryngology (Otolaryngology/Facial Plastic Surgery)

14 HUDSON AVENUE, ADIRONDACK ENT
GLENS FALLS, NY 12801

Warren County (518) 926-1380

DR. MATTHEW JORDAN DICKSON M.D.

Otolaryngology (Otolaryngology/Facial Plastic Surgery)

14 HUDSON AVENUE, ADIRONDACK ENT
GLENS FALLS, NY 12801

Warren County (518) 926-1380

MARK T KIRCHER MD

Orthopaedic Surgery

14 HUDSON AVENUE, SURGICAL SPECIALISTS OF GLENS FALLS HOSPITAL
GLENS FALLS, NY 12801

Warren County (518) 926-5600

JAMES G TODT RPAC

Physician Assistant (Surgical)

14 HUDSON AVENUE, SURGICAL SPECIALISTS OF GLENS FALLS HOSPITAL - ORTHO
GLENS FALLS, NY 12801

Warren County (518) 926-5600

DR. STEVEN VINCENT SCALIA M.D.

Surgery

14 HUDSON AVENUE, SURGICAL SPECIALISTS OF GLENS FALLS HOSPITAL
GLENS FALLS, NY 12801

Warren County (518) 926-5600

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 Louis Decunzo's NPI number?

The NPI number for Louis Decunzo is 1124000864. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Where is Louis Decunzo located?

Louis Decunzo practices at 14 Hudson Avenue Surgical Specialists Of Glens Falls Hospital, Glens Falls, NY 12801. The listed phone number is (518) 926-5600.

What is Louis Decunzo's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Louis Decunzo enrolled in Medicare?

Yes. Louis Decunzo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Louis Decunzo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Louis Decunzo reassigns Medicare benefits to Glens Falls Hospital Inc. (Glens Falls, NY). The 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 Louis Decunzo'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 Louis Decunzo was last updated on February 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.