MONTE J NUSSBAUM MD
NPI 1194710319
Family Medicine in Lynbrook, NY

Active since September 14, 2005PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
185 MERRICK RD, SUITE 1A, LYNBROOK, NY 11563(516) 593-3535(516) 593-4259 Get Directions Write a Review

NPPES record last updated: March 6, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Monte J Nussbaum Md NPPES

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

MONTE J NUSSBAUM MD (NPI 1194710319) is an individual family medicine provider in Lynbrook, New York, licensed in New York (16189811) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Columbia University College Of Physicians And Surgeons (1982).

NPPES Registry Identity

NPI1194710319
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMONTE J NUSSBAUMCredential: MD
Location Address185 MERRICK RD, SUITE 1ALynbrook, NY 11563-2700
Mailing Address185 Merrick Rd, Suite 1aLynbrook, NY 11563-2700 · (516) 593-3535 · Fax (516) 593-4259
Fax(516) 593-4259
Sole ProprietorYes
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1982
Enumeration DateSeptember 14, 2005
Last NPPES UpdateMarch 6, 2008
NPI 1194710319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 16189811
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
185 MERRICK RD, Lynbrook, NY 11563

Other Identifiers 2

Medicare UPINA62690
Medicare PIN9X6471NY

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

Monte J Nussbaum Md 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 ID4284648148
PECOS Enrollment IDI20060130000880
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 12

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
800 services564 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.
594 services410 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
318 services318 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.
168 services141 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
70 services70 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
65 services65 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11563 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.

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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
15 suppliers32 claims88 services$5.70 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

Specialist
185 MERRICK RD, SUITE 2A
LYNBROOK, NY 11563
Family Medicine
185 MERRICK RD, SUITE1A
LYNBROOK, NY 11563
Internal Medicine
185 MERRICK RD, SUITE 2E
LYNBROOK, NY 11563
Family Medicine
185 MERRICK RD
LYNBROOK, NY 11563
Nurse Practitioner (Family)
185 MERRICK RD
LYNBROOK, NY 11563
Counselor (Addiction (Substance Use Disorder))
185 MERRICK RD, SUITE 2D
LYNBROOK, NY 11563
Nurse Practitioner (Primary Care)
185 MERRICK RD, SUITE 1A
LYNBROOK, NY 11563
Family Medicine
185 MERRICK RD
LYNBROOK, NY 11563

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 Monte Nussbaum's NPI number?

The NPI number for Monte Nussbaum is 1194710319. It was assigned to this individual provider in the NPPES registry on September 14, 2005.

Where is Monte Nussbaum located?

Monte Nussbaum practices at 185 Merrick Rd Suite 1A, Lynbrook, NY 11563. The listed phone number is (516) 593-3535.

What is Monte Nussbaum's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Monte Nussbaum enrolled in Medicare?

Yes. Monte Nussbaum 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 Monte Nussbaum affiliated with any hospitals?

According to CMS data, Monte Nussbaum is affiliated with North Shore University Hospital.

When was this NPI record last updated?

The NPPES record for Monte Nussbaum was last updated on March 6, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.