MR. SUSHIL KUMAR BASRA MD
NPI 1295948115
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Commack, NY

Active since May 07, 2007PECOS EnrolledAccepts Medicare Assignment
50.12/100
CMS Quality Rating
763 LARKFIELD RD, 2ND FLOOR, COMMACK, NY 11725(631) 462-2225(631) 462-2240 Get Directions Write a Review

NPPES record last updated: January 5, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Sushil Kumar Basra Md NPPES

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

MR. SUSHIL KUMAR BASRA MD (NPI 1295948115) is an individual orthopaedic surgery of the spine provider in Commack, New York, licensed in New York (257883) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with St Francis Hospital - The Heart Center, and is a graduate of State University Of New York Downstate Medical Center (2002).

NPPES Registry Identity

NPI1295948115
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameMR. SUSHIL KUMAR BASRACredential: MD
Location Address763 LARKFIELD RD, 2ND FLOORCommack, NY 11725-3131
Mailing Address763 Larkfield Rd, 2nd FloorCommack, NY 11725-3131 · (631) 462-2225 · Fax (631) 462-2240
Fax(631) 462-2240
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 2002
Enumeration DateMay 7, 2007
Last NPPES UpdateJanuary 5, 2011
NPI 1295948115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License Licensed in NY · 257883
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
763 LARKFIELD RD, Commack, NY 11725

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

Mr. Sushil Kumar Basra Md 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 ID4789776170
PECOS Enrollment IDI20110314000858
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 16

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.
171 services113 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.
129 services104 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
98 services67 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.
75 services75 patients
X-ray of entire middle and lower spine, 2-3 views 72082
An X-ray of your middle and lower spine involves capturing images of these areas to identify any abnormalities. The procedure involves taking 2-3 different views for a comprehensive understanding. It's non-invasive and usually painless, helping doctors diagnose conditions like fractures or infections.
62 services48 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.
55 services37 patients

Hospital Affiliations CMS Care Compare 3

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

St Francis Hospital - The Heart Center

Acute Care Hospitals · Roslyn, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330182
Location100 Port Washington BoulevardRoslyn, NY 11576 · Nassau County
Emergency services

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330286
Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County
Emergency services Birthing friendly

St Catherine Of Siena Hospital Medical Center

Acute Care Hospitals · Smithtown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330401
Location50 Route 25ASmithtown, NY 11787 · Suffolk County
Emergency services Birthing friendly

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.

50.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality0
Improvement Activities40
Cost67.06

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.

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
763 LARKFIELD RD
COMMACK, NY 11725
Physical Therapist
763 LARKFIELD RD, SUITE 101
COMMACK, NY 11725
Physical Medicine & Rehabilitation
763 LARKFIELD RD, 2ND FLOOR
COMMACK, NY 11725
Physical Medicine & Rehabilitation (Pain Medicine)
763 LARKFIELD RD, 2ND FLOOR
COMMACK, NY 11725
Physician Assistant (Surgical)
763 LARKFIELD RD, 2ND FLOOR
COMMACK, NY 11725
Physician Assistant (Surgical)
763 LARKFIELD RD
COMMACK, NY 11725
Clinic/Center (Radiology)
763 LARKFIELD RD
COMMACK, NY 11725
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
763 LARKFIELD RD, 2ND FLOOR
COMMACK, NY 11725

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 Sushil Basra's NPI number?

The NPI number for Sushil Basra is 1295948115. It was assigned to this individual provider in the NPPES registry on May 7, 2007.

Where is Sushil Basra located?

Sushil Basra practices at 763 Larkfield Rd 2nd Floor, Commack, NY 11725. The listed phone number is (631) 462-2225.

What is Sushil Basra's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Sushil Basra enrolled in Medicare?

Yes. Sushil Basra 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 Sushil Basra affiliated with any hospitals?

According to CMS data, Sushil Basra is affiliated with St Francis Hospital - The Heart Center, Good Samaritan Hospital Medical Center and St Catherine Of Siena Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Sushil Basra was last updated on January 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.