MR. JOHN MICHAEL DEPIETRO NP
NPI 1194856120
Nurse Practitioner - Adult Health in Manhasset, NY

Active since March 08, 2007PECOS EnrolledAccepts Medicare Assignment
139 PLANDOME RD, MANHASSET, NY 11030(516) 365-4949 Get Directions Write a Review

NPPES record last updated: April 4, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mr. John Michael Depietro Np NPPES

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

MR. JOHN MICHAEL DEPIETRO NP (NPI 1194856120) is an individual adult health provider in Manhasset, New York, licensed in New York (304358) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with St Francis Hospital - The Heart Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1194856120
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMR. JOHN MICHAEL DEPIETROCredential: NP
Location Address139 PLANDOME RDManhasset, NY 11030-2331
Mailing Address2200 Northern Blvd, Ste 133Greenvale, NY 11548-1226 · (516) 352-8100 · Fax (516) 352-7348
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMarch 8, 2007
Last NPPES UpdateApril 4, 2016
✔ NPI 1194856120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 304358
139 PLANDOME RD, Manhasset, NY 11030

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

Mr. John Michael Depietro Np 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 ID4880756360
PECOS Enrollment IDI20081217000217
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.

Medicare Billing Reassignments

2

Medicare enrollment records show John Depietro reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
100 PORT WASHINGTON BLVD, SUITE 105
Roslyn, NY 11576
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Chs Physician Partners PC
  • 944 clinicians in this Medicare group
Physician Assistant
1000 MONTAUK HWY
West Islip, NY 11795
  • Reassigned Medicare billing, New York enrollment
  • 395 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.

Hospital Affiliations CMS Care Compare

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, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330182
Location100 Port Washington BoulevardRoslyn, NY 11576 · Nassau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11030 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.

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.

Internal Medicine (Cardiovascular Disease)
139 PLANDOME RD
MANHASSET, NY 11030
Plastic Surgery
139 PLANDOME RD
MANHASSET, NY 11030

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 Depietro's NPI number?

The NPI number for John Depietro is 1194856120. It was assigned to this individual provider in the NPPES registry on March 8, 2007.

Where is John Depietro located?

John Depietro practices at 139 Plandome Rd, Manhasset, NY 11030. The listed phone number is (516) 365-4949.

What is John Depietro's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is John Depietro enrolled in Medicare?

Yes. John Depietro 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 John Depietro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Depietro reassigns Medicare benefits to 2 organizations: Chs Physician Partners, P.C (Roslyn, NY) and Good Samaritan Hospital Medical Center (West Islip, 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 John Depietro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is John Depietro affiliated with any hospitals?

According to CMS data, John Depietro is affiliated with St Francis Hospital - The Heart Center.

When was this NPI record last updated?

The NPPES record for John Depietro was last updated on April 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.