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DR. DONNA MELTZER M.D.
NPI 1144258500
Family Medicine in East Setauket, NY

Active since June 28, 2006PECOS EnrolledAccepts Medicare Assignment
98.52/100
CMS Quality Rating
181 N BELLE MEAD RD, EAST SETAUKET, NY 11733(631) 444-0624 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Donna Meltzer M.d. NPPES

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

DR. DONNA MELTZER M.D. (NPI 1144258500) is an individual family medicine provider in East Setauket, New York, licensed in New York (173966) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of Albany Medical College Of Union University (1986).

NPPES Registry Identity

NPI1144258500
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DONNA MELTZERCredential: M.D.
Location Address181 N BELLE MEAD RDEast Setauket, NY 11733-3495
Mailing AddressPo Box 1559Stony Brook, NY 11790-0989 · (631) 444-0624
Phone(631) 444-0624
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1986
Enumeration DateJune 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1144258500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 173966
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
181 N BELLE MEAD RD, East Setauket, NY 11733
Open in Google Maps ↗

Other Identifiers 5

Medicare UPINE97223NY
Medicare ID-Type Unspecified00G511NY
Other5409156NY · Aetna
Medicaid01272215NY
Other00G51NY · Empire Bc.bs

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. Donna Meltzer 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 ID1355478538
PECOS Enrollment IDI20100420000381
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 6

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.
237 services133 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
71 services53 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
31 services30 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
28 services28 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
17 services17 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11733 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.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$215.65 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.

JOSEPH S CIRRONE MD
Radiology (Radiation Oncology)
181 N BELLE MEAD RD, SUITE 1
EAST SETAUKET, NY 11733
Suffolk County (631) 689-6776
MS. LORRAINE DANOWSKI R.D.
Dietitian, Registered
181 N BELLE MEAD RD
EAST SETAUKET, NY 11733
Suffolk County (111) 111-1111
DR. VIVICA VOLLMER M.D.
Family Medicine
181 N BELLE MEAD RD
EAST SETAUKET, NY 11733
Suffolk County (631) 444-5858
BEVERLY ANN DEAN NP
Nurse Practitioner (Family)
181 N BELLE MEAD RD, SUITE 2
EAST SETAUKET, NY 11733
Suffolk County (631) 444-5858
DR. SUSAN DEBEVOISE D.O.
Family Medicine
181 N BELLE MEAD RD
EAST SETAUKET, NY 11733
Suffolk County (631) 444-0624
SHERYLL ANN POLLO BALTAZAR NP-C
Nurse Practitioner (Adult Health)
181 N BELLE MEAD RD
EAST SETAUKET, NY 11733
Suffolk County (631) 444-2599
DR. MARCIA TONNESEN M.D.
Dermatology
181 N BELLE MEAD RD
EAST SETAUKET, NY 11733
Suffolk County (631) 444-4200
NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES
Clinic/Center (Oncology, Radiation)
181 N BELLE MEAD RD
EAST SETAUKET, NY 11733
Suffolk County (631) 751-3000

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 Donna Meltzer's NPI number?

The NPI number for Donna Meltzer is 1144258500. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Donna Meltzer located?

Donna Meltzer practices at 181 N Belle Mead Rd, East Setauket, NY 11733. The listed phone number is (631) 444-0624.

What is Donna Meltzer's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Donna Meltzer enrolled in Medicare?

Yes. Donna Meltzer 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 Donna Meltzer affiliated with any hospitals?

According to CMS data, Donna Meltzer is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Donna Meltzer was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.