DR. JOHN J SANTUCCI M.D.
NPI 1194728063
Internal Medicine - Cardiovascular Disease in Lake Success, NY

Active since May 24, 2005PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
1999 MARCUS AVE, SUITE 110, LAKE SUCCESS, NY 11042(516) 355-5525(516) 355-5531 Get Directions Write a Review

NPPES record last updated: March 26, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John J Santucci M.d. NPPES

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

DR. JOHN J SANTUCCI M.D. (NPI 1194728063) is an individual cardiovascular disease provider in Lake Success, New York, licensed in New York (176343) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Loyola University Medical Center, and is a graduate of Georgetown University School Of Medicine (1987).

NPPES Registry Identity

NPI1194728063
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. JOHN J SANTUCCICredential: M.D.
Location Address1999 MARCUS AVE, SUITE 110Lake Success, NY 11042-1017
Mailing Address1999 Marcus AveNew Hyde Park, NY 11042-1033
Fax(516) 355-5531
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1987
Enumeration DateMay 24, 2005
Last NPPES UpdateMarch 26, 2021
NPPES CertifiedMarch 26, 2021
NPI 1194728063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NY · 176343
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

1999 MARCUS AVE, Lake Success, NY 11042

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. John J Santucci 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 ID244250348
PECOS Enrollment IDI20051205000451
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 15

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
1,937 services828 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.
1,350 services642 patients
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.
1,268 services645 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
325 services264 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
203 services190 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
153 services152 patients

Hospital Affiliations CMS Care Compare 2

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

Loyola University Medical Center

Acute Care Hospitals · Maywood, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140276
Location2160 S 1st AvenueMaywood, IL 60153 · Cook County
Emergency services Birthing friendly

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11042 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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Referred Medical Equipment & Supplies CMS DME claims 2

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
7 suppliers16 claims36 services$5.79 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$215.60 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 20

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

Internal Medicine (Cardiovascular Disease)
1999 MARCUS AVE, SUITE 110
NEW HYDE PARK, NY 11042
Internal Medicine
1999 MARCUS AVE, SUITE M14
NEW HYDE PARK, NY 11042
Nurse Practitioner (Adult Health)
1999 MARCUS AVE
NEW HYDE PARK, NY 11042
Internal Medicine (Hematology & Oncology)
1999 MARCUS AVE, STE 120
LAKE SUCCESS, NY 11042
General Practice
1999 MARCUS AVE
NEW HYDE PARK, NY 11042
Internal Medicine (Nephrology)
1999 MARCUS AVE, SUITE 216
NEW HYDE PARK, NY 11042
Nurse Practitioner
1999 MARCUS AVE, SUITE 120
LAKE SUCCESS, NY 11042
Internal Medicine (Hematology & Oncology)
1999 MARCUS AVE, SUITE 300
NEW HYDE PARK, NY 11042

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 John Santucci's NPI number?

The NPI number for John Santucci is 1194728063. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is John Santucci located?

John Santucci practices at 1999 Marcus Ave Suite 110, Lake Success, NY 11042. The listed phone number is (516) 355-5525.

What is John Santucci's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is John Santucci enrolled in Medicare?

Yes. John Santucci 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 John Santucci affiliated with any hospitals?

According to CMS data, John Santucci is affiliated with Loyola University Medical Center and Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for John Santucci was last updated on March 26, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.