GUY SCHWARTZ M.D.
NPI 1265592943
Psychiatry & Neurology - Neurology in East Setauket, NY

Q: What is Guy Schwartz's NPI number?

The NPI number for Guy Schwartz is 1265592943. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Q: What is Guy Schwartz's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Guy Schwartz was last updated on April 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since December 11, 2006PECOS EnrolledAccepts Medicare Assignment

98.52/100

CMS Quality Rating

181 N BELLE MEAD RD, SUITE 5 & 6, EAST SETAUKET, NY 11733(631) 444-2599 Get Directions Write a Review

NPPES record last updated: April 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 27, 2022, Apr 18, 2022, Nov 23, 2015 (3 updates tracked since 2015).

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About Guy Schwartz M.d. NPPES

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

GUY SCHWARTZ M.D. (NPI 1265592943) is an individual neurology provider in East Setauket, New York, licensed in New York (237868) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with St Charles Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1265592943

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameGUY SCHWARTZCredential: M.D.

Location Address181 N BELLE MEAD RD, SUITE 5 & 6East Setauket, NY 11733-3495

Mailing Address101 Nicolls RdStony Brook, NY 11794-8121 · (631) 444-2599 · Fax (631) 444-1474

Phone(631) 444-2599

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateDecember 11, 2006

Last NPPES UpdateApril 27, 20223 updates tracked since enumeration

NPPES CertifiedApril 27, 2022

✔ NPI 1265592943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in NY · 237868

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

181 N BELLE MEAD RD, East Setauket, NY 11733

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Secondary Practice Locations 2

Location 1500 Commack RdCommack, NY 11725-5020 · Phone (631) 444-5999 · Fax (631) 392-7213

Location 2Stony Brook University Hospital, Health Sciences Center T12-020Stony Brook, NY 11794-8121 · Phone (631) 444-2599 · Fax (631) 444-1474

Other Identifiers 1

Medicaid00246075NY

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

Guy Schwartz 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 ID4183724016

PECOS Enrollment IDI20070706000590

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 17

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.

Injection, onabotulinumtoxina, 1 unit J0585

Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.

26,077 services53 patients

Injection, rimabotulinumtoxinb, 100 units J0587

RimabotulinumtoxinB injection is a treatment involving the use of a specific medication to relax muscles. It's commonly used to address muscle stiffness/spasms. The medication is injected directly into the affected muscles by a healthcare professional.

2,300 services24 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.

393 services264 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

249 services197 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.

182 services146 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

61 services61 patients

Injection of chemical for paralysis of salivary glands on both sides of mouth 64611

This procedure involves injecting a special chemical into both salivary glands in your mouth. The aim is to temporarily paralyze these glands, reducing saliva production. This could be necessary for various oral health conditions. It's typically a safe, outpatient procedure.

58 services29 patients

Injection of chemical for paralysis of nerve muscles on side of neck excluding voice box 64616

This procedure involves injecting a chemical into specific neck muscles, causing temporary paralysis. It's designed to alleviate symptoms related to nerve disorders. The voice box isn't affected, ensuring normal speech post-procedure.

48 services19 patients

Injection of chemical for paralysis of nerve muscles on side of face 64612

This procedure involves injecting a chemical into specific facial nerves, causing temporary muscle paralysis. It's used to treat conditions like facial spasms or wrinkles. The effects are usually temporary, requiring repeat treatments.

44 services17 patients

Injection of chemical for paralysis of nerve muscles on arm or leg, 1-4 muscles, each additional extremity 64643

This procedure involves injecting a special chemical into 1-4 muscles in an arm or leg to temporarily paralyze them. This can help manage pain or muscle disorders. If needed, the process can be repeated on an additional limb.

41 services11 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.

36 services36 patients

Injection of chemical for paralysis of nerve muscles on arm or leg, 1-4 muscles, first extremity 64642

This procedure involves injecting a chemical into specific muscles in your arm or leg, causing temporary paralysis. It targets 1-4 muscles in the first extremity. It's often used to manage conditions that cause muscle spasms or overactivity.

32 services17 patients

Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator 95970

This procedure involves using electronic devices to analyze the function of a neurostimulator - a device implanted in your brain, spinal cord, or peripheral nerves. It helps monitor and adjust the device's settings for optimal performance and patient comfort.

31 services20 patients

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.

24 services24 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

19 services13 patients

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

17 services16 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

St Charles Hospital

Acute Care Hospitals · Port Jefferson, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330246

Location200 Belle Terre RoadPort Jefferson, NY 11777 · Suffolk County

Birthing friendly

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 11733 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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

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.

98.52/100

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

Scored through an Alternative Payment Model

Quality

82.85

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

4 suppliers22 claims22 services$39.48 avg. paid by Medicare

Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955

DME-Wheelchairs · category DD021N

1 supplier14 claims14 services$10.78 avg. paid by Medicare

Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028

DME-Wheelchairs · category DD021N

1 supplier13 claims25 services$10.17 avg. paid by Medicare

Manual adult size wheelchair, includes tilt in space E1161

DME-Wheelchairs · category DD000N

1 supplier14 claims14 services$190.95 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

JOSEPH S CIRRONE MD

Radiology (Radiation Oncology)

181 N BELLE MEAD RD, SUITE 1
EAST SETAUKET, NY 11733

Suffolk County (631) 689-6776

MS. LORRAINE DANOWSKI R.D.

Dietitian, Registered

181 N BELLE MEAD RD
EAST SETAUKET, NY 11733

Suffolk County (111) 111-1111

DR. VIVICA VOLLMER M.D.

Family Medicine

181 N BELLE MEAD RD
EAST SETAUKET, NY 11733

Suffolk County (631) 444-5858

BEVERLY ANN DEAN NP

Nurse Practitioner (Family)

181 N BELLE MEAD RD, SUITE 2
EAST SETAUKET, NY 11733

Suffolk County (631) 444-5858

DR. DONNA MELTZER M.D.

Family Medicine

181 N BELLE MEAD RD
EAST SETAUKET, NY 11733

Suffolk County (631) 444-0624

DR. SUSAN DEBEVOISE D.O.

Family Medicine

181 N BELLE MEAD RD
EAST SETAUKET, NY 11733

Suffolk County (631) 444-0624

SHERYLL ANN POLLO BALTAZAR NP-C

Nurse Practitioner (Adult Health)

181 N BELLE MEAD RD
EAST SETAUKET, NY 11733

Suffolk County (631) 444-2599

DR. MARCIA TONNESEN M.D.

Dermatology

181 N BELLE MEAD RD
EAST SETAUKET, NY 11733

Suffolk County (631) 444-4200

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 Guy Schwartz's NPI number?

The NPI number for Guy Schwartz is 1265592943. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Where is Guy Schwartz located?

Guy Schwartz practices at 181 N Belle Mead Rd Suite 5 & 6, East Setauket, NY 11733. The listed phone number is (631) 444-2599.

What is Guy Schwartz's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Guy Schwartz enrolled in Medicare?

Yes. Guy Schwartz 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 Guy Schwartz affiliated with any hospitals?

According to CMS data, Guy Schwartz is affiliated with St Charles Hospital and Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Guy Schwartz was last updated on April 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.