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ANTONIO PICON M.D.,
NPI 1154353100
Colon & Rectal Surgery in Staten Island, NY

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
79.07/100
CMS Quality Rating
256 MASON AVE, STATEN ISLAND, NY 10305(718) 226-6398(718) 226-1247 Get Directions Write a Review

NPPES record last updated: November 22, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Antonio Picon M.d., NPPES

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

ANTONIO PICON M.D., (NPI 1154353100) is an individual colon & rectal surgery provider in Staten Island, New York, licensed in New York (002594-1) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1154353100
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameANTONIO PICONCredential: M.D.,
Location Address256 MASON AVEStaten Island, NY 10305-3408
Mailing Address256 Mason AveStaten Island, NY 10305-3408 · (718) 226-6398 · Fax (718) 226-1247
Phone(718) 226-6398
Fax(718) 226-1247
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateJuly 7, 2006
Last NPPES UpdateNovember 22, 2010
✔ NPI 1154353100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in NY · 002594-1
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
256 MASON AVE, Staten Island, NY 10305
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Other Identifiers 2

Medicare PINA400033477NY
Medicaid02799622NY

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

Antonio Picon 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 ID6305940800
PECOS Enrollment IDI20200625003180
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
69 services35 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.
57 services41 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
35 services33 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
23 services23 patients
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.
22 services22 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
21 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10305 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.

79.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.19
Promoting Interoperability99
Improvement Activities40
Cost57.89

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.

MRS. LAURA POLITO PA-C
Physician Assistant (Surgical)
256 MASON AVE, BUILDING B- 2ND FLOOR
STATEN ISLAND, NY 10305
Richmond County (718) 226-1271
DR. ALFRED CULLIFORD MD
Surgery (Plastic and Reconstructive Surgery)
256 MASON AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-1270
KATHLEEN DEL DUCA
Speech-Language Pathologist
256 MASON AVE, BUILDING C
STATEN ISLAND, NY 10305
Richmond County (718) 226-9000
MARIA DOMANTE RPA-C
Physician Assistant (Medical)
256 MASON AVE, BUILDING C
STATEN ISLAND, NY 10305
Richmond County (718) 226-6400
STATEN ISLAND UNIVERSITY HOSPITAL
General Acute Care Hospital
256 MASON AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-6400
MRS. LAURA FRANCES LONGO RN,NP
Nurse Practitioner (Family)
256 MASON AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-6400
DR. CHARLES CHOY MD
Surgery
256 MASON AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-6398
DR. MARY VESONIARAKI MD
Internal Medicine (Hematology & Oncology)
256 MASON AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-6400

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 Antonio Picon's NPI number?

The NPI number for Antonio Picon is 1154353100. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Antonio Picon located?

Antonio Picon practices at 256 Mason Ave, Staten Island, NY 10305. The listed phone number is (718) 226-6398.

What is Antonio Picon's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Antonio Picon enrolled in Medicare?

Yes. Antonio Picon 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.

When was this NPI record last updated?

The NPPES record for Antonio Picon was last updated on November 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.