DR. PHILIP D DEGAETANO D.O.
NPI 1174810436
Family Medicine in West Islip, NY
About Dr. Philip D Degaetano D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PHILIP D DEGAETANO D.O. (NPI 1174810436) is an individual family medicine provider in West Islip, New York, licensed in Connecticut (052971) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with St Francis Hospital - The Heart Center, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2011).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Philip D Degaetano D.o. 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.
Medicare Billing Reassignments
4Medicare enrollment records show Philip Degaetano reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Plainview, NY 11803
- Reassigned Medicare billing, New York enrollment
- 2 clinicians in this Medicare group
Sayville, NY 11782
- Reassigned Medicare billing, New York enrollment
Jericho, NY 11753
- Reassigned Medicare billing, New York enrollment
- 413 clinicians in this Medicare group
Mount Kisco, NY 10549
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Optum Medical Care PC
- 1,601 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 14
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Francis Hospital - The Heart Center
Acute Care Hospitals · Roslyn, NYGood Samaritan Hospital Medical Center
Acute Care Hospitals · West Islip, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11795 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
WEST ISLIP, NY 11795
WEST ISLIP, NY 11795
WEST ISLIP, NY 11795
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 Philip Degaetano's NPI number?
The NPI number for Philip Degaetano is 1174810436. It was assigned to this individual provider in the NPPES registry on July 6, 2011.
Where is Philip Degaetano located?
Philip Degaetano practices at 1000 Montauk Hwy, West Islip, NY 11795. The listed phone number is (631) 806-1357.
What is Philip Degaetano's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Philip Degaetano enrolled in Medicare?
Yes. Philip Degaetano 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.
Which organizations bill Medicare for Philip Degaetano's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Philip Degaetano reassigns Medicare benefits to 4 organizations: Jared Hertz Do PC (Plainview, NY), Philip Degaetano D.O.P.C. (Sayville, NY), Optum Urgent Care, PLLC (Jericho, NY) and Optum Medical Care, P.C. (Mount Kisco, NY). Each 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 Philip Degaetano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Philip Degaetano affiliated with any hospitals?
According to CMS data, Philip Degaetano is affiliated with St Francis Hospital - The Heart Center and Good Samaritan Hospital Medical Center.
When was this NPI record last updated?
The NPPES record for Philip Degaetano was last updated on June 3, 2014. 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.
# Dr. Philip D Degaetano, D.O. · NPI 1174810436
Family Medicine physician in West Islip, New York. Individual provider, active in the CMS NPPES registry since July 6, 2011.
## Identity
- **NPI:** 1174810436 (Entity type: Individual)
- **Enumerated:** July 6, 2011
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 052971 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 MONTAUK HWY, West Islip, NY 11795-4927
- **Phone:** (631) 806-1357
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Jared Hertz Do PC (NPI 1881393452, Plainview, NY); Philip Degaetano D.O.P.C. (NPI 1881430932, Sayville, NY); Optum Urgent Care, PLLC (NPI 1285975797, Jericho, NY); Optum Medical Care, P.C. (NPI 1982643003, Mount Kisco, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York College Of Osteo Medicine Of New York Institute Of Technology, class of 2011
## Record status
- **NPPES last updated:** June 3, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1174810436) · Data from the CMS NPPES public registry.