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MS. TALY GLAUBACH M.D.
NPI 1154553550
Pediatrics in Stony Brook, NY

Active since August 18, 2009PECOS Enrolled
DEPT OF PEDIATRICS HSC T11 060, STONY BROOK CHILDREN'S HOSPITAL, STONY BROOK, NY 11794(631) 444-7884 Get Directions Write a Review

NPPES record last updated: April 29, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 29, 2022, Mar 22, 2017, Feb 21, 2017 (3 updates tracked since 2017).

About Ms. Taly Glaubach M.d. NPPES

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

MS. TALY GLAUBACH M.D. (NPI 1154553550) is an individual pediatrics provider in Stony Brook, New York, licensed in New York (249239) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154553550
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMS. TALY GLAUBACHCredential: M.D.
Location AddressDEPT OF PEDIATRICS HSC T11 060, STONY BROOK CHILDREN'S HOSPITALStony Brook, NY 11794-8111
Mailing AddressDept Of Pediatrics Hsc T11 060, Stony Brook Children's HospitalStony Brook, NY 11794-8111 · (631) 444-7884
Phone(631) 444-7884
Sole ProprietorNo
Enumeration DateAugust 18, 2009
Last NPPES UpdateApril 29, 20223 updates tracked since enumeration
NPPES CertifiedApril 29, 2022
✔ NPI 1154553550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in NY · 249239✔ Licensed in IL · 036.124783
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Pediatric Hematology-OncologyTaxonomy 2080P0207X · License 036.124783 (IL)
DEPT OF PEDIATRICS HSC T11 060, Stony Brook, NY 11794
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Taly Glaubach M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Taly Glaubach reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stony Brook Children's Service, University Faculty Practice Corporatio
0.1 mi
Pediatrics
SUNY @ STONY BROOK, HSC, L11, RM 020
Stony Brook, NY 11794
  • Reassigned Medicare billing, New York enrollment
  • 191 clinicians in this Medicare group
NPI 1083660575 (631) 444-1362

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11794 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.

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 Taly Glaubach's NPI number?

The NPI number for Taly Glaubach is 1154553550. It was assigned to this individual provider in the NPPES registry on August 18, 2009.

Where is Taly Glaubach located?

Taly Glaubach practices at Dept Of Pediatrics Hsc T11 060 Stony Brook Children's Hospital, Stony Brook, NY 11794. The listed phone number is (631) 444-7884.

What is Taly Glaubach's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Taly Glaubach enrolled in Medicare?

Yes. Taly Glaubach is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Taly Glaubach's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Taly Glaubach reassigns Medicare benefits to Stony Brook Children's Service, University Faculty Practice Corporatio (Stony Brook, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Taly Glaubach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Taly Glaubach was last updated on April 29, 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.