DR. JOHN ANTHONY BIANCHI DO
NPI 1285197871
Family Medicine - Sports Medicine in Brooklyn, NY

Active since April 10, 2019PECOS EnrolledAccepts Medicare Assignment
1789 SHEEPSHEAD BAY RD, BROOKLYN, NY 11235(516) 795-3033 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 12, 2025, May 27, 2021, May 14, 2021 and 1 more (4 updates tracked since 2019).

About Dr. John Anthony Bianchi Do NPPES

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

DR. JOHN ANTHONY BIANCHI DO (NPI 1285197871) is an individual sports medicine provider in Brooklyn, New York, licensed in New York (306943) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Syosset, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2019).

NPPES Registry Identity

NPI1285197871
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameDR. JOHN ANTHONY BIANCHICredential: DO
Location Address1789 SHEEPSHEAD BAY RDBrooklyn, NY 11235-2792
Mailing Address115 Eileen WaySyosset, NY 11791-5323 · (516) 795-3033
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2019
Enumeration DateApril 10, 2019
Last NPPES UpdateFebruary 12, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2025
NPI 1285197871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License Licensed in NY · 306943
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 306943 (NY)
1789 SHEEPSHEAD BAY RD, Brooklyn, NY 11235

Secondary Practice Location 1

Location 1115 Eileen WaySyosset, NY 11791-5323 · Phone (516) 795-3033

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

Dr. John Anthony Bianchi Do 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 ID5496120065
PECOS Enrollment IDI20230413000065
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 11

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.

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.
174 services100 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
161 services40 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.
146 services146 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.
143 services76 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
66 services40 patients
Osteopathic manipulative treatment, 9-10 body regions 98929
Osteopathic Manipulative Treatment (OMT) involves hands-on care. In a 9-10 body regions procedure, a doctor manipulates muscles and joints using techniques like stretching, gentle pressure, and resistance to improve health and wellness. It's often used to ease pain, promote healing, and increase overall mobility.
63 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11235 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 4

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

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1789 SHEEPSHEAD BAY RD
BROOKLYN, NY 11235
Orthopaedic Surgery
1789 SHEEPSHEAD BAY RD
BROOKLYN, NY 11235
Physical Therapist
1789 SHEEPSHEAD BAY RD
BROOKLYN, NY 11235
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1789 SHEEPSHEAD BAY RD
BROOKLYN, NY 11235

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 John Bianchi's NPI number?

The NPI number for John Bianchi is 1285197871. It was assigned to this individual provider in the NPPES registry on April 10, 2019.

Where is John Bianchi located?

John Bianchi practices at 1789 Sheepshead Bay Rd, Brooklyn, NY 11235. The listed phone number is (516) 795-3033.

What is John Bianchi's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is John Bianchi enrolled in Medicare?

Yes. John Bianchi 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.

When was this NPI record last updated?

The NPPES record for John Bianchi was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.