DR. JUSTIN MICHAEL PETROCELLI M.D.
NPI 1154558856
Obstetrics & Gynecology in Manhasset, NY

Active since June 19, 2009PECOS EnrolledAccepts Medicare Assignment
81.08/100
CMS Quality Rating
1615 NORTHERN BLVD STE 106, MANHASSET, NY 11030(516) 365-2500 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Dec 3, 2019 (2 updates tracked since 2019).

About Dr. Justin Michael Petrocelli M.d. NPPES

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

DR. JUSTIN MICHAEL PETROCELLI M.D. (NPI 1154558856) is an individual obstetrics & gynecology provider in Manhasset, New York and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of New York Medical College (2009).

NPPES Registry Identity

NPI1154558856
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. JUSTIN MICHAEL PETROCELLICredential: M.D.
Location Address1615 NORTHERN BLVD STE 106Manhasset, NY 11030-3033
Mailing Address900 Merchants Concourse Ste 216Westbury, NY 11590-5114 · (516) 226-8373
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 2009
Enumeration DateJune 19, 2009
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1154558856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1615 NORTHERN BLVD STE 106, Manhasset, NY 11030

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. Justin Michael Petrocelli 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 ID3274777511
PECOS Enrollment IDI20130926000370
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 3

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
79 services79 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
73 services73 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.
14 services12 patients

Hospital Affiliations CMS Care Compare 2

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

St Francis Hospital - The Heart Center

Acute Care Hospitals · Roslyn, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330182
Location100 Port Washington BoulevardRoslyn, NY 11576 · Nassau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11030 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
$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.

81.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.01
Promoting Interoperability100
Improvement Activities40
Cost50.92

Reported Quality Measures

Breast Cancer Screening
84%453 patients4/55-star benchmark: 93%
Cervical Cancer Screening
99%1,794 patients5/55-star benchmark: 98%
e-Prescribing
100%472 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
44%1,707 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
54%2,092 patients4/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 1% · 1,807 patients
1%1,807 patients
Provide Patients Electronic Access to Their Health Information
95%901 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

Radiology (Diagnostic Radiology)
1615 NORTHERN BLVD STE 106
MANHASSET, NY 11030
Obstetrics & Gynecology
1615 NORTHERN BLVD STE 106
MANHASSET, NY 11030

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 Justin Petrocelli's NPI number?

The NPI number for Justin Petrocelli is 1154558856. It was assigned to this individual provider in the NPPES registry on June 19, 2009.

Where is Justin Petrocelli located?

Justin Petrocelli practices at 1615 Northern Blvd Ste 106, Manhasset, NY 11030. The listed phone number is (516) 365-2500.

What is Justin Petrocelli's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Justin Petrocelli enrolled in Medicare?

Yes. Justin Petrocelli 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 Justin Petrocelli affiliated with any hospitals?

According to CMS data, Justin Petrocelli is affiliated with North Shore University Hospital and St Francis Hospital - The Heart Center.

When was this NPI record last updated?

The NPPES record for Justin Petrocelli was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.