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DR. ANTHONY JOHN HESKETH M.D., M.S.
NPI 1194044719
Surgery in Stony Brook, NY

Active since May 21, 2010PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
STONY BROOK UNIVERSITY HOSPITAL, MEDICAL STAFF OFFICE T9, STONY BROOK, NY 11794(631) 444-2754(631) 444-6031 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2023, Aug 8, 2019 (2 updates tracked since 2019).

About Dr. Anthony John Hesketh M.d., M.s. NPPES

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

DR. ANTHONY JOHN HESKETH M.D., M.S. (NPI 1194044719) is an individual surgery provider in Stony Brook, New York, licensed in New York (267272) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with Winchester Hospital, and is a graduate of Wright State University Boonshoft School Of Medicine (2010).

NPPES Registry Identity

NPI1194044719
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. ANTHONY JOHN HESKETHCredential: M.D., M.S.
Location AddressSTONY BROOK UNIVERSITY HOSPITAL, MEDICAL STAFF OFFICE T9Stony Brook, NY 11794-7097
Mailing AddressStony Brook University Hospital, Medical Staff Office T9Stony Brook, NY 11794-7097 · (631) 444-2754 · Fax (631) 444-6031
Phone(631) 444-2754
Fax(631) 444-6031
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2010
Enumeration DateMay 21, 2010
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
✔ NPI 1194044719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in NY · 267272✔ Licensed in ME · MD23041
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
STONY BROOK UNIVERSITY HOSPITAL, Stony Brook, NY 11794
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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. Anthony John Hesketh M.d., M.s. 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 ID4587911797
PECOS Enrollment IDI20230620003206
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 9

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
38 services38 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
31 services31 patients
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.
28 services27 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
28 services19 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
23 services22 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Winchester Hospital

Acute Care Hospitals · Winchester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220105
Location41 Highland AvenueWinchester, MA 01890 · Middlesex County
Emergency services Birthing friendly

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
$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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

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.

DR. BENJAMIN RICHARD HODSON M.D.
Emergency Medicine
STONY BROOK UNIVERSITY HOSPITAL, MEDICAL STAFF OFFICE T9
STONY BROOK, NY 11794
Suffolk County (631) 444-2754
LUCAS JAMES MCARTHUR M.D.
Family Medicine
STONY BROOK UNIVERSITY HOSPITAL, MEDICAL STAFF OFFICE T14
STONY BROOK, NY 11794
Suffolk County (631) 444-2754
JEFF SEAN CHUANG MD
Student in an Organized Health Care Education/Training Program
STONY BROOK UNIVERSITY HOSPITAL, MEDICAL STAFF OFFICE
STONY BROOK, NY 11794
Suffolk County (631) 444-2754
MISS SARAH ROSE PESTIEAU M.D.
Internal Medicine
STONY BROOK UNIVERSITY HOSPITAL, DEPARTMENT OF MEDICINE HSC-T16 020
STONY BROOK, NY 11794
Suffolk County (631) 444-1106
DR. ELAINE FOX M.D.
Student in an Organized Health Care Education/Training Program
STONY BROOK UNIVERSITY HOSPITAL, MEDICAL STAFF OFFICE T14
STONY BROOK, NY 11794
Suffolk County (631) 444-2754
DR. LAWRENCE WILLIAM KELLY JR. MD
Emergency Medicine
STONY BROOK UNIVERSITY HOSPITAL, DEPARTMENT OF EMERGENCY MEDICINE, HSC, L-4, ROOM 080
STONY BROOK, NY 11794
Suffolk County (631) 444-3880
MRS. SUZETTE CATHERINE SMOOKLER M.S., R.D., CDN
Dietitian, Registered
STONY BROOK UNIVERSITY HOSPITAL, NICOLLS ROAD, LEVEL 1 RM 747
STONY BROOK, NY 11794
Suffolk County (631) 444-7757
MRS. JANINE ELIZABETH ROMEO RPA-C
Physician Assistant
STONY BROOK UNIVERSITY HOSPITAL, 1 EDMUND PELLIGRINO DRIVE
STONY BROOK, NY 11794
Suffolk County (631) 444-1444

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 Anthony Hesketh's NPI number?

The NPI number for Anthony Hesketh is 1194044719. It was assigned to this individual provider in the NPPES registry on May 21, 2010.

Where is Anthony Hesketh located?

Anthony Hesketh practices at Stony Brook University Hospital Medical Staff Office T9, Stony Brook, NY 11794. The listed phone number is (631) 444-2754.

What is Anthony Hesketh's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Anthony Hesketh enrolled in Medicare?

Yes. Anthony Hesketh 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.

What insurance does Anthony Hesketh accept?

Health plans from Anthem Blue Cross and Blue Shield list Anthony Hesketh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Anthony Hesketh affiliated with any hospitals?

According to CMS data, Anthony Hesketh is affiliated with Winchester Hospital.

When was this NPI record last updated?

The NPPES record for Anthony Hesketh was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.