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CLAUDE MACALUSO MD
NPI 1306930300
Psychiatry & Neurology - Neurology in New York, NY

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
80 FIFTH AVE, STE 1605, NEW YORK, NY 10011(212) 675-3878(212) 647-1931 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Claude Macaluso Md NPPES

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

CLAUDE MACALUSO MD (NPI 1306930300) is an individual neurology provider in New York, New York, licensed in New York (163336) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Harlem Hospital Center, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1306930300
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameCLAUDE MACALUSOCredential: MD
Location Address80 FIFTH AVE, STE 1605New York, NY 10011
Mailing Address80 Fifth Ave, Ste 1605New York, NY 10011 · (212) 675-3878 · Fax (212) 647-1931
Phone(212) 675-3878
Fax(212) 647-1931
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateOctober 3, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1306930300 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 · 163336
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.

80 FIFTH AVE, New York, NY 10011
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Other Identifiers 11

Medicaid01075314NY
Other3099962Ghi
Other2890688Aetna
Other4C1909Healthnet
OtherP2666998Oxford
Medicare ID-Type Unspecified64D441
Other163336State License
Medicare UPINA63588
Medicare ID-Type UnspecifiedWEF431Grp #
Other431N01Bcbs
Other159772Elderplan

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

Claude Macaluso 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 ID9638152853
PECOS Enrollment IDI20040609001054
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 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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
75 services48 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.
24 services21 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.
17 services14 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.
17 services16 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Harlem Hospital Center

Acute Care Hospitals · New York, NY
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number330240
Location506 Lenox AvenueNew York, NY 10037 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10011 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

MS. ANGELA GABRIELLE MUSOLINO L.P.
Psychoanalyst
80 FIFTH AVE, SUITE 902
NEW YORK, NY 10011
New York County (917) 620-5068
MS. HANNAH BRIN NADLER LCSW
Social Worker (Clinical)
80 FIFTH AVE, SUITE 1001
NEW YORK, NY 10011
New York County (212) 645-2929
MS. JUDY O SEGAL LCSW
Social Worker (Clinical)
80 FIFTH AVE, #1406
NEW YORK CITY, NY 10011
New York County (212) 580-1414
SUZANNE ZISSU CSW
Social Worker (Clinical)
80 FIFTH AVE, STE 1001
NY, NY 10011
New York County (212) 989-9491

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 Claude Macaluso's NPI number?

The NPI number for Claude Macaluso is 1306930300. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Claude Macaluso located?

Claude Macaluso practices at 80 Fifth Ave Ste 1605, New York, NY 10011. The listed phone number is (212) 675-3878.

What is Claude Macaluso's specialty?

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

Is Claude Macaluso enrolled in Medicare?

Yes. Claude Macaluso 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 Claude Macaluso affiliated with any hospitals?

According to CMS data, Claude Macaluso is affiliated with Harlem Hospital Center.

When was this NPI record last updated?

The NPPES record for Claude Macaluso was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.