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DR. LENORE J BRANCATO MD
NPI 1154367886
Internal Medicine - Rheumatology in Roslyn, NY

Active since June 21, 2006PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
1044 NORTHERN BLVD, SUITE 104, ROSLYN, NY 11576(516) 484-6880(516) 484-6882 Get Directions Write a Review

NPPES record last updated: March 1, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 1, 2021, Feb 26, 2021, Nov 6, 2020 (3 updates tracked since 2020).

About Dr. Lenore J Brancato Md NPPES

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

DR. LENORE J BRANCATO MD (NPI 1154367886) is an individual rheumatology provider in Roslyn, New York, licensed in New York (167757) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of Boston University School Of Medicine (1984).

NPPES Registry Identity

NPI1154367886
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameDR. LENORE J BRANCATOCredential: MD
Location Address1044 NORTHERN BLVD, SUITE 104Roslyn, NY 11576-1514
Mailing Address1044 Northern Blvd, Suite 104Roslyn, NY 11576-1514 · (516) 484-6880 · Fax (516) 484-6882
Phone(516) 484-6880
Fax(516) 484-6882
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 1984
Enumeration DateJune 21, 2006
Last NPPES UpdateMarch 1, 20213 updates tracked since enumeration
NPPES CertifiedMarch 1, 2021
✔ NPI 1154367886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in NY · 167757
Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

1044 NORTHERN BLVD, Roslyn, NY 11576
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Other Identifiers 11

OtherP1090151NY · Oxford
Other346AG1NY · Empire Bc Bs
Medicaid01839445NY
Other1141896NY · Aetna
Other225818PNY · Hip
Other113662047NY · Empire Plan
Other113662047NY · Cigna
Other167757NY · Vytra
Other5C3722NY · Healthnet
Other113662047NY · United Healthcare
Other1799286NY · Ghi

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. Lenore J Brancato Md 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 ID2860412848
PECOS Enrollment IDI20051206000351
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.

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.
212 services137 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
135 services98 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.
65 services65 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.
15 services14 patients

Hospital Affiliations CMS Care Compare

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

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11576 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
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

Other Providers at the Same Location NPPES 14

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

DR. STEWART J GRAUER DDS MS
Dentist (Orthodontics and Dentofacial Orthopedics)
1044 NORTHERN BLVD, SUITE 301
ROSLYN, NY 11576
Nassau County (516) 484-0234
DR. BARBRA BERWALD D.D.S.
Dentist (Periodontics)
1044 NORTHERN BLVD
ROSLYN, NY 11576
Nassau County (516) 672-1881
DR. STEVEN ALAN TALERMAN DDS
Dentist (General Practice)
1044 NORTHERN BLVD, SUITE 103
ROSLYN, NY 11576
Nassau County (516) 484-4450
ANDREW J PORGES, MD PC
Specialist
1044 NORTHERN BLVD, SUITE 104
ROSLYN, NY 11576
Nassau County (516) 484-6880
IRA GOLDBERG, D.M.D., PLLC
Dentist (Orthodontics and Dentofacial Orthopedics)
1044 NORTHERN BLVD, SUITE 108
ROSLYN, NY 11576
Nassau County (516) 484-1123
GARY R FRIEDMAN MD PC
Internal Medicine (Cardiovascular Disease)
1044 NORTHERN BLVD, SUITE 303
ROSLYN, NY 11576
Nassau County (516) 621-5249
DR. IRA NEWMAN DDS
Dentist
1044 NORTHERN BLVD, SUITE 106
ROSLYN, NY 11576
Nassau County (516) 625-0088
MS. LISA MARIE MUSCARA
Nurse Practitioner (Adult Health)
1044 NORTHERN BLVD, SUITE 102
ROSLYN, NY 11576
Nassau County (516) 801-6959

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 Lenore Brancato's NPI number?

The NPI number for Lenore Brancato is 1154367886. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is Lenore Brancato located?

Lenore Brancato practices at 1044 Northern Blvd Suite 104, Roslyn, NY 11576. The listed phone number is (516) 484-6880.

What is Lenore Brancato's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Lenore Brancato enrolled in Medicare?

Yes. Lenore Brancato 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 Lenore Brancato affiliated with any hospitals?

According to CMS data, Lenore Brancato is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Lenore Brancato was last updated on March 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.