ANTONIO CULEBRAS M.D.
NPI 1295793990
Psychiatry & Neurology - Neurology in Syracuse, NY

Q: What is Antonio Culebras's NPI number?

The NPI number for Antonio Culebras is 1295793990. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Q: What is Antonio Culebras'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 Antonio Culebras was last updated on May 6, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 02, 2006PECOS EnrolledAccepts Medicare Assignment

88.32/100

CMS Quality Rating

90 PRESIDENTIAL PLZ, 4TH, SYRACUSE, NY 13202(315) 464-4243(315) 464-5350 Get Directions Write a Review

NPPES record last updated: May 6, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Antonio Culebras M.d. NPPES

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

ANTONIO CULEBRAS M.D. (NPI 1295793990) is an individual neurology provider in Syracuse, New York, licensed in New York (133664) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with University Hospital S U N Y Health Science Center, and is a graduate of Other (1963).

NPPES Registry Identity

NPI1295793990

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameANTONIO CULEBRASCredential: M.D.

Location Address90 PRESIDENTIAL PLZ, 4THSyracuse, NY 13202-2240

Mailing Address90 Presidential Plz, 4thSyracuse, NY 13202-2240 · (315) 464-4243 · Fax (315) 464-5350

Phone(315) 464-4243

Fax(315) 464-5350

Sole ProprietorNo

Medical School CMSOtherGraduated 1963

Enumeration DateMay 2, 2006

Last NPPES UpdateMay 6, 2010

✔ NPI 1295793990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in NY · 133664

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.

Also ListedPsychiatry & Neurology · Sleep MedicineTaxonomy 2084S0012X · License 133664 (NY)

90 PRESIDENTIAL PLZ, Syracuse, NY 13202

Open in Google Maps ↗

Other Identifiers 3

Medicare PINP130004536NY

Medicare PIN35124FNY

Medicaid00557800NY

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

Antonio Culebras 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 ID4082628995

PECOS Enrollment IDI20100226000655

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 6

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 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.

74 services47 patients

Measurement of brain wave activity (eeg), awake and drowsy 95816

Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.

16 services15 patients

Sleep study in sleep lab (6 years or older) 95810

A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.

15 services15 patients

Measurement of brain wave activity (eeg), awake and asleep 95819

The measurement of brain wave activity, known as an EEG, records the brain's electrical signals. It's performed when you're awake and asleep to monitor your brain's functioning. It helps in diagnosing conditions like epilepsy, sleep disorders, and other neurological issues.

14 services13 patients

Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811

A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.

13 services13 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.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

University Hospital S U N Y Health Science Center

Acute Care Hospitals · Syracuse, NY

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number330241

Location750 East Adams StreetSyracuse, NY 13210 · Onondaga County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13202 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

$126.40 typical visit price

range $54.87 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

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.

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.

88.32/100

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

Scored as part of a group practice

Quality

88.48

Promoting Interoperability

100

Improvement Activities

Cost

53.73

Referred Medical Equipment & Supplies CMS DME claims 15

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

Tubing with integrated heating element for use with positive airway pressure device A4604