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DR. CORINNE BROOKE VIDULICH M.D.
NPI 1225491772
Family Medicine in Wading River, NY

Active since April 01, 2016PECOS EnrolledAccepts Medicare Assignment
271 ROUTE 25A STE 2, WADING RIVER, NY 11792(631) 727-4950 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 6, 2020, Apr 1, 2016 (2 updates tracked since 2016).

About Dr. Corinne Brooke Vidulich M.d. NPPES

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

DR. CORINNE BROOKE VIDULICH M.D. (NPI 1225491772) is an individual family medicine provider in Wading River, New York, licensed in New York (301007-01) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1225491772
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CORINNE BROOKE VIDULICHCredential: M.D.
Location Address271 ROUTE 25A STE 2Wading River, NY 11792-2014
Mailing Address37 Front St Apt 5Greenport, NY 11944-1639 · (917) 655-1312
Phone(631) 727-4950
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 1, 2016
Last NPPES UpdateApril 17, 20252 updates tracked since enumeration
NPPES CertifiedApril 17, 2025
✔ NPI 1225491772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 301007-01
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
271 ROUTE 25A STE 2, Wading River, NY 11792
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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

Dr. Corinne Brooke Vidulich 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 ID9436493087
PECOS Enrollment IDI20191014001338
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

3

Medicare enrollment records show Corinne Vidulich reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Planned Parenthood Hudson Peconic Inc.
19 mi
Ambulatory Family Planning Facility
70 MAPLE AVE
Smithtown, NY 11787
  • Reassigned Medicare billing, New York enrollment
  • 65 clinicians in this Medicare group
NPI 1285701672 (631) 361-7526
North Shore-Lij Medical PC
46 mi
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1053688572 (516) 321-7400
Sun River Health Inc
56 mi
Adult Day Care
1543-1545 INWOOD AVENUE, HUDSON RIVER HEALTHCARE ADULT DAY PROGRAM
Bronx, NY 10452
  • Reassigned Medicare billing, New York enrollment
  • 683 clinicians in this Medicare group
NPI 1740763275 (855) 681-8700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11792 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

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

PATRICIA L CLARK RPA-C
Physician Assistant (Medical)
271 ROUTE 25A STE 2
WADING RIVER, NY 11792
Suffolk County (631) 929-1256

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 Corinne Vidulich's NPI number?

The NPI number for Corinne Vidulich is 1225491772. It was assigned to this individual provider in the NPPES registry on April 1, 2016.

Where is Corinne Vidulich located?

Corinne Vidulich practices at 271 Route 25A Ste 2, Wading River, NY 11792. The listed phone number is (631) 727-4950.

What is Corinne Vidulich's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Corinne Vidulich enrolled in Medicare?

Yes. Corinne Vidulich 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 Corinne Vidulich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Corinne Vidulich reassigns Medicare benefits to 3 organizations: Planned Parenthood Hudson Peconic Inc. (Smithtown, NY), North Shore-Lij Medical PC (Great Neck, NY) and Sun River Health Inc (Bronx, 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 Corinne Vidulich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Corinne Vidulich was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.