LUIS AUGUSTO MARCOS RAYMUNDO M.D.
NPI 1205161015
Internal Medicine - Infectious Disease in Stony Brook, NY

Active since October 12, 2009PECOS EnrolledAccepts Medicare Assignment
98.52/100
CMS Quality Rating
HSC T15 080, STONY BROOK, NY 11794(631) 444-3490(631) 638-7518 Get Directions Write a Review

NPPES record last updated: July 5, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Luis Augusto Marcos Raymundo M.d. NPPES

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

LUIS AUGUSTO MARCOS RAYMUNDO M.D. (NPI 1205161015) is an individual infectious disease provider in Stony Brook, New York, licensed in Mississippi (21387) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1205161015
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameLUIS AUGUSTO MARCOS RAYMUNDOCredential: M.D.
Location AddressHSC T15 080Stony Brook, NY 11794-8153
Mailing AddressPo Box 1554Stony Brook, NY 11790-0988 · (631) 444-0650 · Fax (631) 638-4170
Fax(631) 638-7518
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateOctober 12, 2009
Last NPPES UpdateJuly 5, 2015
NPI 1205161015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License Licensed in MS · 21387
Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

HSC T15 080, Stony Brook, NY 11794

Other Identifiers 5

Other06575513MS · Magnolia
Other302I449980MS · Medicare Ptan
Other9576702MS · Aetna
Medicaid06575513MS
Other3310476Uhc

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

Luis Augusto Marcos Raymundo 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 ID2567640634
PECOS Enrollment IDI20150814012987
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 6

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 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.
182 services179 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
154 services106 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
43 services39 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
35 services35 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.
31 services28 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
25 services18 patients

Hospital Affiliations CMS Care Compare

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

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk 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
$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
$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.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

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 Luis Marcos Raymundo's NPI number?

The NPI number for Luis Marcos Raymundo is 1205161015. It was assigned to this individual provider in the NPPES registry on October 12, 2009.

Where is Luis Marcos Raymundo located?

Luis Marcos Raymundo practices at Hsc T15 080, Stony Brook, NY 11794. The listed phone number is (631) 444-3490.

What is Luis Marcos Raymundo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Luis Marcos Raymundo enrolled in Medicare?

Yes. Luis Marcos Raymundo 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 Luis Marcos Raymundo affiliated with any hospitals?

According to CMS data, Luis Marcos Raymundo is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Luis Marcos Raymundo was last updated on July 5, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.