MR. TIMOTHY RICHARD DACKOW NURSE PRACTITIONER
NPI 1144700741
Nurse Practitioner - Adult Health in East Moriches, NY

Active since August 14, 2018PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
7 NEWPOINT LN, EAST MORICHES, NY 11940(516) 322-8850 Get Directions Write a Review

NPPES record last updated: August 14, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Timothy Richard Dackow Nurse Practitioner NPPES

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

MR. TIMOTHY RICHARD DACKOW NURSE PRACTITIONER (NPI 1144700741) is an individual adult health provider in East Moriches, New York, licensed in New York (F3088261) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2018).

NPPES Registry Identity

NPI1144700741
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMR. TIMOTHY RICHARD DACKOWCredential: NURSE PRACTITIONER
Location Address7 NEWPOINT LNEast Moriches, NY 11940-1565
Mailing Address7 Newpoint LnEast Moriches, NY 11940-1565 · (516) 322-8850
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2018
Enumeration DateAugust 14, 2018
NPI 1144700741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NY · F3088261
7 NEWPOINT LN, East Moriches, NY 11940

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

Mr. Timothy Richard Dackow Nurse Practitioner 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 ID6406107002
PECOS Enrollment IDI20180920002132
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

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.

Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
15 services14 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 11940 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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

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 Timothy Dackow's NPI number?

The NPI number for Timothy Dackow is 1144700741. It was assigned to this individual provider in the NPPES registry on August 14, 2018.

Where is Timothy Dackow located?

Timothy Dackow practices at 7 Newpoint Ln, East Moriches, NY 11940. The listed phone number is (516) 322-8850.

What is Timothy Dackow's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Timothy Dackow enrolled in Medicare?

Yes. Timothy Dackow 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 Timothy Dackow affiliated with any hospitals?

According to CMS data, Timothy Dackow is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Timothy Dackow was last updated on August 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.