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DAVID CONWAY
NPI 1164850004
Physician Assistant in Port Jefferson Station, NY

Active since October 30, 2013PECOS Enrolled
10 MEDICAL DR, SUITE B, PORT JEFFERSON STATION, NY 11776(631) 474-1111 Get Directions Write a Review

NPPES record last updated: October 30, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David Conway NPPES

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

DAVID CONWAY (NPI 1164850004) is an individual physician assistant in Port Jefferson Station, New York, licensed in New York (017130-1) and active in the NPI registry since October 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164850004
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDAVID CONWAY
Location Address10 MEDICAL DR, SUITE BPort Jefferson Station, NY 11776-1590
Mailing Address10 Medical Dr, Suite BPort Jefferson Station, NY 11776-1590 · (631) 474-1111
Phone(631) 474-1111
Sole ProprietorNo
Enumeration DateOctober 30, 2013
✔ NPI 1164850004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 017130-1
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
10 MEDICAL DR, Port Jefferson Station, NY 11776
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Conway 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.

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.

Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11776 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.

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.

GERALD COLE,D.M.D.,P.C.
Dentist (General Practice)
10 MEDICAL DR
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 473-8700
GERALD COLE
Dentist (General Practice)
10 MEDICAL DR
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 473-8700

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 David Conway's NPI number?

The NPI number for David Conway is 1164850004. It was assigned to this individual provider in the NPPES registry on October 30, 2013.

Where is David Conway located?

David Conway practices at 10 Medical Dr Suite B, Port Jefferson Station, NY 11776. The listed phone number is (631) 474-1111.

What is David Conway's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is David Conway enrolled in Medicare?

Yes. David Conway is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Conway was last updated on October 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.