DR. STACY SEREBNITSKY M.D.
NPI 1336379817
Pain Medicine - Interventional Pain Medicine in Rego Park, NY
About Dr. Stacy Serebnitsky M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. STACY SEREBNITSKY M.D. (NPI 1336379817) is an individual interventional pain medicine provider in Rego Park, New York, licensed in New York (253492) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of State University Of New York Downstate Medical Center (2005).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Stacy Serebnitsky 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.
Medicare Billing Reassignments
21Medicare enrollment records show Stacy Serebnitsky reassigns Medicare billing to 21 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rego Park, NY 11374
- Reassigned Medicare billing, New York enrollment
- 34 clinicians in this Medicare group
Forest Hills, NY 11375
- Reassigned Medicare billing, New York enrollment
- 38 clinicians in this Medicare group
Flushing, NY 11367
- Reassigned Medicare billing, New York enrollment
- 51 clinicians in this Medicare group
Flushing, NY 11354
- Reassigned Medicare billing, New York enrollment
- 15 clinicians in this Medicare group
Flushing, NY 11354
- Reassigned Medicare billing, New York enrollment
- 17 clinicians in this Medicare group
Fresh Meadows, NY 11366
- Reassigned Medicare billing, New York enrollment
- 35 clinicians in this Medicare group
Astoria, NY 11102
- Reassigned Medicare billing, New York enrollment
- 8 clinicians in this Medicare group
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 39 clinicians in this Medicare group
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 78 clinicians in this Medicare group
New York, NY 10016
- Reassigned Medicare billing, New York enrollment
- 27 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11374 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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 Stacy Serebnitsky's NPI number?
The NPI number for Stacy Serebnitsky is 1336379817. It was assigned to this individual provider in the NPPES registry on July 20, 2009.
Where is Stacy Serebnitsky located?
Stacy Serebnitsky practices at 63134 Fitchett St, Rego Park, NY 11374. The listed phone number is (718) 288-7026.
What is Stacy Serebnitsky's specialty?
The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.
Is Stacy Serebnitsky enrolled in Medicare?
Yes. Stacy Serebnitsky 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.
Which organizations bill Medicare for Stacy Serebnitsky's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Serebnitsky reassigns Medicare benefits to 21 organizations: Queens Boulevard ASC LLC (Rego Park, NY), Medex Diagnostic And Treatment Center LLC (Forest Hills, NY), New Day Medical PC (Flushing, NY), Flushing Endoscopy Center LLC (Flushing, NY), Xie Jianlin Gastroenterology & Hepatology PLLC (Flushing, NY) and 16 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacy Serebnitsky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Stacy Serebnitsky was last updated on November 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Stacy Serebnitsky, M.D. · NPI 1336379817
Interventional Pain Medicine physician in Rego Park, New York. Individual provider, active in the CMS NPPES registry since July 20, 2009.
## Identity
- **NPI:** 1336379817 (Entity type: Individual)
- **Enumerated:** July 20, 2009
- **Primary specialty:** Pain Medicine - Interventional Pain Medicine · taxonomy 208VP0014X
- **State license:** 253492 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 63134 FITCHETT ST, Rego Park, NY 11374
- **Phone:** (718) 288-7026
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 21 organizations under Medicare reassignment (form CMS-855R): Queens Boulevard ASC LLC (NPI 1558612762, Rego Park, NY); Medex Diagnostic And Treatment Center LLC (NPI 1629001102, Forest Hills, NY); New Day Medical PC (NPI 1396131272, Flushing, NY); Flushing Endoscopy Center LLC (NPI 1861743601, Flushing, NY); Xie Jianlin Gastroenterology & Hepatology PLLC (NPI 1467759845, Flushing, NY); and 16 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York Downstate Medical Center, class of 2005
## Record status
- **NPPES last updated:** November 2, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1336379817) · Data from the CMS NPPES public registry.