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CLAUDE PLUVIOSE
NPI 1255671202
Family Medicine in Bay Shore, NY

Active since February 27, 2013PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
301 E MAIN ST, SOUTHSIDE, BAY SHORE, NY 11706(631) 968-3000 Get Directions Write a Review

NPPES record last updated: September 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2022, Jul 15, 2021, Jun 15, 2021 and 4 more (7 updates tracked since 2016).

About Claude Pluviose NPPES

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

CLAUDE PLUVIOSE (NPI 1255671202) is an individual family medicine provider in Bay Shore, New York, licensed in West Virginia (26897) and active in the NPI registry since February 2013. He is enrolled in Medicare PECOS, is affiliated with Harrison Community Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1255671202
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCLAUDE PLUVIOSE
Location Address301 E MAIN ST, SOUTHSIDEBay Shore, NY 11706-8408
Mailing Address301 E Main StBay Shore, NY 11706-8408
Phone(631) 968-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateFebruary 27, 2013
Last NPPES UpdateSeptember 19, 20227 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2022
✔ NPI 1255671202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WV · 26897
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.
301 E MAIN ST, Bay Shore, NY 11706
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Claude Pluviose 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 ID1951609387
PECOS Enrollment IDI20160418001818
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 2

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
238 services223 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
176 services163 patients

Hospital Affiliations CMS Care Compare 5

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

Harrison Community Hospital

Critical Access Hospitals · Cadiz, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361311
Location951 East Market StreetCadiz, OH 43907 · Harrison County
Emergency services

Barnesville Hospital Association, Inc

Critical Access Hospitals · Barnesville, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361321
Location639 West Main StreetBarnesville, OH 43713 · Belmont County
Emergency services

Reynolds Memorial Hospital

Acute Care Hospitals · Glen Dale, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510013
Location800 Wheeling AveGlen Dale, WV 26038 · Marshall County
Emergency services Birthing friendly

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510050
Location1 Medical ParkWheeling, WV 26003 · Ohio County
Emergency services Birthing friendly

Wetzel County Hospital

Acute Care Hospitals · New Martinsville, WV
OwnershipGovernment - Local
CMS Certification Number510072
Location#3 East Benjamin DriveNew Martinsville, WV 26155 · Wetzel County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11706 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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%240 patients5/55-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 20

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

DR. EHAB SABRY HANNA M.D.
Hospitalist
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3000
JENNA BANNON MS, RD, CDN
Dietitian, Registered
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3593
DR. MEHUL PRAGANI MD
Anesthesiology
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3000
ANDREA PASSANNANTE OT, OTR/L, CDIS
Occupational Therapist
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3400
DR. STEPHEN CONSTANTINE LANDELL DNP, CRNA, RN
Nurse Anesthetist, Certified Registered
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (516) 734-7000
PRIYANSHI CHANDIWALA
Physician Assistant (Surgical)
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3000
DAVID VAUGHANS DO
Student in an Organized Health Care Education/Training Program
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3000
DR. MATTHEW DAVID SCHWARTZ D.O.
Emergency Medicine
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3314

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 Claude Pluviose's NPI number?

The NPI number for Claude Pluviose is 1255671202. It was assigned to this individual provider in the NPPES registry on February 27, 2013.

Where is Claude Pluviose located?

Claude Pluviose practices at 301 E Main St Southside, Bay Shore, NY 11706. The listed phone number is (631) 968-3000.

What is Claude Pluviose's specialty?

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

Is Claude Pluviose enrolled in Medicare?

Yes. Claude Pluviose 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.

What insurance does Claude Pluviose accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Claude Pluviose as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Claude Pluviose affiliated with any hospitals?

According to CMS data, Claude Pluviose is affiliated with Harrison Community Hospital, Barnesville Hospital Association, Inc, Reynolds Memorial Hospital, Wheeling Hospital, Inc and Wetzel County Hospital.

When was this NPI record last updated?

The NPPES record for Claude Pluviose was last updated on September 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.