1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Thoracic Surgery Cardiothoracic Vascular Surgery
  6. NPI Profile

ROBERT J CERFOLIO MD
NPI 1245272483
Thoracic Surgery (Cardiothoracic Vascular Surgery) in New York, NY

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
550 1ST AVE FL HCC15, NEW YORK, NY 10016(205) 934-4011 Get Directions Write a Review

NPPES record last updated: March 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 2, 2021, Sep 14, 2018 (2 updates tracked since 2018).

About Robert J Cerfolio Md NPPES

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

ROBERT J CERFOLIO MD (NPI 1245272483) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in New York, New York, licensed in New York (182214) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of University Of Rochester School Of Medicine And Dentistry (1988).

NPPES Registry Identity

NPI1245272483
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameROBERT J CERFOLIOCredential: MD
Location Address550 1ST AVE FL HCC15New York, NY 10016-6402
Mailing AddressPo Box 55310Birmingham, AL 35255-5310 · (205) 731-9701
Phone(205) 934-4011
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 1988
Enumeration DateJune 12, 2006
Last NPPES UpdateMarch 2, 20212 updates tracked since enumeration
NPPES CertifiedMarch 2, 2021
✔ NPI 1245272483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses✔ Licensed in NY · 182214✔ Licensed in AL · 19866
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
550 1ST AVE FL HCC15, New York, NY 10016
Open in Google Maps ↗

Other Identifiers 4

Medicaid000036636AL
OtherF44661AL · Viva
Other000036636AL · Blue Cross
Other06736791MS · Mississippi Medicaid

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

Robert J Cerfolio Md 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 ID6406980499
PECOS Enrollment IDI20170426000319
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.

Removal of lymph nodes of chest cavity using an endoscope 32674
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to access and remove lymph nodes in the chest cavity. It's a minimally invasive method, which can help in diagnosing or treating certain conditions.
54 services54 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
46 services46 patients
Removal of segment of lung tissue using an endoscope 32669
This procedure involves using a thin, flexible tool called an endoscope to remove a small part of lung tissue. It's typically done to diagnose or treat lung conditions. You may feel some discomfort, but the procedure is generally safe and effective.
30 services27 patients
Exam of lung with removal of lung lobe using an endoscope 32663
This is a procedure where an endoscope, a thin tube with a light and camera, is used to examine the lung and remove a lobe if necessary. It's less invasive than traditional surgery, resulting in shorter recovery time.
19 services19 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.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

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 Robert Cerfolio's NPI number?

The NPI number for Robert Cerfolio is 1245272483. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Robert Cerfolio located?

Robert Cerfolio practices at 550 1st Ave Fl Hcc15, New York, NY 10016. The listed phone number is (205) 934-4011.

What is Robert Cerfolio's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Robert Cerfolio enrolled in Medicare?

Yes. Robert Cerfolio 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 Robert Cerfolio affiliated with any hospitals?

According to CMS data, Robert Cerfolio is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Robert Cerfolio was last updated on March 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.