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KIARA LYNN ODDO PA-C
NPI 1215673710
Physician Assistant in Stony Brook, NY

Active since May 08, 2022PECOS Enrolled
98.52/100
CMS Quality Rating
100 NICOLLS ROAD HSC T12 RM 080, STONY BROOK, NY 11794(631) 444-1116(631) 444-1535 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 15, 2024, May 20, 2022, May 8, 2022 (3 updates tracked since 2022).

About Kiara Lynn Oddo Pa-c NPPES

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

KIARA LYNN ODDO PA-C (NPI 1215673710) is an individual physician assistant in Stony Brook, New York and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215673710
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIARA LYNN ODDOCredential: PA-C
Location Address100 NICOLLS ROAD HSC T12 RM 080Stony Brook, NY 11794
Mailing Address100 Nicolls Road Hsc T12 Rm 080Stony Brook, NY 11794 · (631) 774-1398
Phone(631) 444-1116
Fax(631) 444-1535
Sole ProprietorNo
Enumeration DateMay 8, 2022
Last NPPES UpdateAugust 15, 20243 updates tracked since enumeration
NPPES CertifiedJuly 1, 2022
✔ NPI 1215673710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
100 NICOLLS ROAD HSC T12 RM 080, Stony Brook, NY 11794
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Other Names 1

Other Name (5)Kiara Lynn Blandeburgo

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kiara Lynn Oddo Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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.

Emergency department visit with straightforward medical decision making 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
24 services24 patients

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.

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

Other Providers at the Same Location NPPES

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

BRIANNE HARMAN FNP-BC
Nurse Practitioner (Family)
100 NICOLLS ROAD HSC T12 RM 080
STONY BROOK, NY 11794
Suffolk County (631) 444-1116

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 Kiara Oddo's NPI number?

The NPI number for Kiara Oddo is 1215673710. It was assigned to this individual provider in the NPPES registry on May 8, 2022. The provider is also known as Kiara Lynn Blandeburgo.

Where is Kiara Oddo located?

Kiara Oddo practices at 100 Nicolls Road Hsc T12 Rm 080, Stony Brook, NY 11794. The listed phone number is (631) 444-1116.

What is Kiara Oddo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kiara Oddo enrolled in Medicare?

Yes. Kiara Oddo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kiara Oddo was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.