DR. NICHOLAS SPARTAN SANTAVICCA M.D.
NPI 1124313374
Emergency Medicine in Bronx, NY

Active since June 16, 2011PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
111 E 210TH ST, BRONX, NY 10467(718) 920-5731 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 8, 2017 (3 updates tracked since 2017).

About Dr. Nicholas Spartan Santavicca M.d. NPPES

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

DR. NICHOLAS SPARTAN SANTAVICCA M.D. (NPI 1124313374) is an individual emergency medicine provider in Bronx, New York, licensed in New York (288543) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Montefiore New Rochelle Hospital, and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1124313374
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. NICHOLAS SPARTAN SANTAVICCACredential: M.D.
Location Address111 E 210TH STBronx, NY 10467-2401
Mailing Address51 Tower PlYonkers, NY 10703-2264 · (914) 469-6434
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 2011
Enumeration DateJune 16, 2011
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1124313374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in NY · 288543
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
111 E 210TH ST, Bronx, NY 10467

Secondary Practice Location 1

Location 122 S Greene StBaltimore, MD 21201-1544 · Phone (410) 328-8025

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. Nicholas Spartan Santavicca 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.

PECOS PAC ID8022381110
PECOS Enrollment IDI20170912002706
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
112 services110 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
94 services90 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
60 services60 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
36 services35 patients

Hospital Affiliations CMS Care Compare 2

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

Montefiore New Rochelle Hospital

Acute Care Hospitals · New Rochelle, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330184
Location16 Guion PlaceNew Rochelle, NY 10802 · Westchester County
Emergency services Birthing friendly

White Plains Hospital Center

Acute Care Hospitals · White Plains, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330304
Location41 East Post R0adWhite Plains, NY 10601 · Westchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10467 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
$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.

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

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.

Pediatrics (Pediatric Cardiology)
111 E 210TH ST, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467
Pediatrics (Adolescent Medicine)
111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467
Internal Medicine (Infectious Disease)
111 E 210TH ST
BRONX, NY 10467
Radiology (Diagnostic Neuroimaging)
111 E 210TH ST
BRONX, NY 10467
Psychiatry & Neurology (Neurology)
111 E 210TH ST
BRONX, NY 10467
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Nurse Practitioner (Family)
111 E 210TH ST
BRONX, NY 10467
Anesthesiology
111 E 210TH ST
BRONX, NY 10467

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 Nicholas Santavicca's NPI number?

The NPI number for Nicholas Santavicca is 1124313374. It was assigned to this individual provider in the NPPES registry on June 16, 2011.

Where is Nicholas Santavicca located?

Nicholas Santavicca practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (718) 920-5731.

What is Nicholas Santavicca's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Nicholas Santavicca enrolled in Medicare?

Yes. Nicholas Santavicca 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 Nicholas Santavicca affiliated with any hospitals?

According to CMS data, Nicholas Santavicca is affiliated with Montefiore New Rochelle Hospital and White Plains Hospital Center.

When was this NPI record last updated?

The NPPES record for Nicholas Santavicca was last updated on July 21, 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.