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HANY G NISSIEM M.D
NPI 1295782399
Family Medicine in Brockport, NY

Active since May 27, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 33D1039535 · Waiver
6565 FOURTH SECTION RD, SUITE 300, BROCKPORT, NY 14420(585) 395-0620(585) 395-0622 Get Directions Write a Review

NPPES record last updated: May 24, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Hany G Nissiem M.d NPPES

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

HANY G NISSIEM M.D (NPI 1295782399) is an individual family medicine provider in Brockport, New York, licensed in New York (227675) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through September 28, 2026, and is affiliated with Rochester General Hospital.

NPPES Registry Identity

NPI1295782399
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameHANY G NISSIEMCredential: M.D
Location Address6565 FOURTH SECTION RD, SUITE 300Brockport, NY 14420-2416
Mailing Address6565 Fourth Section Rd, Suite 300Brockport, NY 14420-2416 · (585) 395-0620 · Fax (585) 395-0622
Phone(585) 395-0620
Fax(585) 395-0622
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateMay 27, 2006
Last NPPES UpdateMay 24, 2016
✔ NPI 1295782399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 227675
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.

6565 FOURTH SECTION RD, Brockport, NY 14420
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Other Identifiers 1

Medicare ID-Type UnspecifiedRA6621

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

Hany G Nissiem 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 ID6406754183
PECOS Enrollment IDI20031219000705
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1039535

Hany G Nissiem Family Medicine PLLC · Brockport, NY
Active · expires Sep 28, 2026
CLIA Number33D1039535
Laboratory TypePhysician Office
Certificate Effective DateSeptember 29, 2024
Certificate Expiration DateSeptember 28, 2026
Laboratory DirectorHany G. Nissiem
Laboratory Phone(585) 395-0620
Laboratory LocationHany G Nissiem Family Medicine PLLC6565 Fourth Section Road, Suite 300, Brockport, NY 14420
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

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.
221 services86 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.
185 services66 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.
29 services29 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
17 services17 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
15 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14420 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
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers14 claims33 services$5.82 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier24 claims24 services$14.26 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers22 claims22 services$26.53 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier24 claims24 services$64.74 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

DOCTOR HANY G NISSIEM FAMILY MEDICINE PLLC
Family Medicine
6565 FOURTH SECTION RD, SUITE 300
BROCKPORT, NY 14420
Monroe County (585) 395-0620
ILA G HUGHES RPA-C
Physician Assistant (Surgical)
6565 FOURTH SECTION RD, SUITE 500
BROCKPORT, NY 14420
Monroe County (585) 637-2670

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 Hany Nissiem's NPI number?

The NPI number for Hany Nissiem is 1295782399. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Hany Nissiem located?

Hany Nissiem practices at 6565 Fourth Section Rd Suite 300, Brockport, NY 14420. The listed phone number is (585) 395-0620.

What is Hany Nissiem's specialty?

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

Is Hany Nissiem enrolled in Medicare?

Yes. Hany Nissiem 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.

Does Hany Nissiem hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1039535) is associated with this NPI, valid through September 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Hany Nissiem affiliated with any hospitals?

According to CMS data, Hany Nissiem is affiliated with Rochester General Hospital and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Hany Nissiem was last updated on May 24, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.