FRANK CONGIUSTA MD
NPI 1245280403
Orthopaedic Surgery in Albany, NY

Active since May 10, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
121 EVERETT RD, ALBANY, NY 12205(518) 489-2663(518) 689-3881 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 28, 2025, Dec 8, 2023, Mar 7, 2023 and 2 more (5 updates tracked since 2022).

About Frank Congiusta Md NPPES

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

FRANK CONGIUSTA MD (NPI 1245280403) is an individual orthopaedic surgery provider in Albany, New York, licensed in New York (231017) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with St Mary's Healthcare, and is a graduate of Albany Medical College Of Union University (2000).

NPPES Registry Identity

NPI1245280403
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameFRANK CONGIUSTACredential: MD
Location Address121 EVERETT RDAlbany, NY 12205-1474
Mailing Address121 Everett RdAlbany, NY 12205-1474 · (518) 489-2663 · Fax (518) 689-3881
Fax(518) 689-3881
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2000
Enumeration DateMay 10, 2006
Last NPPES UpdateMay 28, 20255 updates tracked since enumeration
NPPES CertifiedMay 28, 2025
NPI 1245280403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in NY · 231017
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

121 EVERETT RD, Albany, NY 12205

Other Identifiers 1

Medicaid02748878NY

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

Frank Congiusta 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 ID5496771198
PECOS Enrollment IDI20060714000044
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 16

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.

X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
374 services284 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.
354 services329 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.
354 services299 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
211 services154 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
189 services161 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
182 services136 patients

Hospital Affiliations CMS Care Compare 5

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

St Mary's Healthcare

Acute Care Hospitals · Amsterdam, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330047
Location427 Guy Park AvenueAmsterdam, NY 12010 · Montgomery County
Emergency services Birthing friendly

St Peter's Hospital

Acute Care Hospitals · Albany, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330057
Location315 South Manning BoulevardAlbany, NY 12208 · Albany County
Emergency services Birthing friendly

Ellis Hospital

Acute Care Hospitals · Schenectady, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330153
Location1101 Nott StreetSchenectady, NY 12308 · Schenectady County
Emergency services Birthing friendly

Samaritan Hospital Of Troy, New York

Acute Care Hospitals · Troy, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330180
Location2215 Burdett AvenueTroy, NY 12180 · Rensselaer County
Emergency services Birthing friendly

Sunnyview Hospital And Rehabilitation Center

Acute Care Hospitals · Schenectady, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number330406
Location1270 Belmont AvenueSchenectady, NY 12308 · Schenectady County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12205 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 20

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

Physician Assistant (Surgical)
121 EVERETT RD
ALBANY, NY 12205
Nurse Practitioner (Adult Health)
121 EVERETT RD
ALBANY, NY 12205
Physician Assistant (Surgical)
121 EVERETT RD
ALBANY, NY 12205
Physical Therapist
121 EVERETT RD
ALBANY, NY 12205
Orthopaedic Surgery
121 EVERETT RD
ALBANY, NY 12205
Physician Assistant (Surgical)
121 EVERETT RD
ALBANY, NY 12205
Physician Assistant (Surgical)
121 EVERETT RD
ALBANY, NY 12205
Physical Therapist
121 EVERETT RD
ALBANY, NY 12205

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 Frank Congiusta's NPI number?

The NPI number for Frank Congiusta is 1245280403. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Frank Congiusta located?

Frank Congiusta practices at 121 Everett Rd, Albany, NY 12205. The listed phone number is (518) 489-2663.

What is Frank Congiusta's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Frank Congiusta enrolled in Medicare?

Yes. Frank Congiusta 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 Frank Congiusta affiliated with any hospitals?

According to CMS data, Frank Congiusta is affiliated with St Mary's Healthcare, St Peter's Hospital, Ellis Hospital, Samaritan Hospital Of Troy, New York and Sunnyview Hospital And Rehabilitation Center.

When was this NPI record last updated?

The NPPES record for Frank Congiusta was last updated on May 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.