MS. JACQUELINE PANDOLFI N.P.
NPI 1225197866
Nurse Practitioner - Women's Health in Port Jefferson Station, NY

Q: What is Jacqueline Pandolfi's NPI number?

The NPI number for Jacqueline Pandolfi is 1225197866. It was assigned to this individual provider in the NPPES registry on December 8, 2006.

Q: What is Jacqueline Pandolfi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Active since December 08, 2006PECOS EnrolledAccepts Medicare Assignment

81.08/100

CMS Quality Rating

12 MEDICAL DR, PORT JEFFERSON STATION, NY 11776(631) 331-4400(631) 331-3190 Get Directions Write a Review

NPPES record last updated: January 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Jacqueline Pandolfi N.p. NPPES

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

MS. JACQUELINE PANDOLFI N.P. (NPI 1225197866) is an individual women's health provider in Port Jefferson Station, New York, licensed in New York (388956-1) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Long Island Community Hospital, and maintains a secondary practice location in Bethpage.

NPPES Registry Identity

NPI1225197866

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameMS. JACQUELINE PANDOLFICredential: N.P.

Location Address12 MEDICAL DRPort Jefferson Station, NY 11776-1588

Mailing Address900 Merchants Concourse Ste 216Westbury, NY 11590-5114 · (516) 226-8373 · Fax (844) 632-8265

Phone(631) 331-4400

Fax(631) 331-3190

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateDecember 8, 2006

Last NPPES UpdateJanuary 14, 2021

NPPES CertifiedJanuary 14, 2021

✔ NPI 1225197866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in NY · 388956-1

12 MEDICAL DR, Port Jefferson Station, NY 11776

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Secondary Practice Location 1

Location 1807 S Oyster Bay RdBethpage, NY 11714-1030 · Phone (516) 822-0028 ext. 264 · Fax (516) 342-2480

Other Identifiers 1

Medicaid388956NY

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

Ms. Jacqueline Pandolfi N.p. 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 ID6507840428

PECOS Enrollment IDI20040616001583

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 5

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.

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

75 services75 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

54 services54 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

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.

33 services28 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.

21 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Long Island Community Hospital

Acute Care Hospitals · Patchogue, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330141

Location101 Hospital RoadPatchogue, NY 11772 · Suffolk County

Emergency services

John T Mather Memorial Hospital Of Port Jefferson

Acute Care Hospitals · Port Jefferson, NY

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330185

Location75 North Country RoadPort Jefferson, NY 11777 · Suffolk County

Emergency services

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 11776 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.

81.08/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

86.01

Promoting Interoperability

100

Improvement Activities

Cost

50.92

Reported Quality Measures

Breast Cancer Screening

90%376 patients4/55-star benchmark: 93%

Cervical Cancer Screening

99%759 patients5/55-star benchmark: 98%

e-Prescribing

100%367 patients5/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

39%1,087 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

49%1,302 patients4/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 62% · 923 patients

Patients screened: 64% · 923 patients

57%49 patients3/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

95%358 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 6

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

KATHERINE G ROTH MD

Psychiatry & Neurology (Neurology)

12 MEDICAL DR, STE D
PORT JEFFERSON STATION, NY 11776

Suffolk County (631) 928-1222

PORT JEFFERSON PEDIATRICS

Pediatrics