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DR. CALOGERO TUMMINELLO M.D.
NPI 1346239969
Internal Medicine in Middle Village, NY

Active since October 17, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 33D1019073 · Waiver
35.68/100
CMS Quality Rating
7817 METROPOLITAN AVE, MIDDLE VILLAGE, NY 11379(718) 497-1399(718) 497-1451 Get Directions Write a Review

NPPES record last updated: February 11, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Calogero Tumminello M.d. NPPES

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

DR. CALOGERO TUMMINELLO M.D. (NPI 1346239969) is an individual internal medicine provider in Middle Village, New York, licensed in New York (185-153) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through November 9, 2027, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1346239969
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. CALOGERO TUMMINELLOCredential: M.D.
Location Address7817 METROPOLITAN AVEMiddle Village, NY 11379-2928
Mailing Address7817 Metropolitan AveMiddle Village, NY 11379-2928 · (718) 497-1399 · Fax (718) 497-1451
Phone(718) 497-1399
Fax(718) 497-1451
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateOctober 17, 2005
Last NPPES UpdateFebruary 11, 2011
✔ NPI 1346239969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 185-153
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
7817 METROPOLITAN AVE, Middle Village, NY 11379
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Other Identifiers 4

Medicare UPINF00633NY
Medicaid01335175NY
Medicare ID-Type Unspecified00211NY · Ghi Medicare
Medicare ID-Type Unspecified05G162NY · Empire Medicare

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. Calogero Tumminello 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 ID7911942529
PECOS Enrollment IDI20050629000222
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Calogero Tumminello reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Calogero C. Tumminello, M.D., P.C.
Same address
Internal Medicine
7817 METROPOLITAN AVE
Middle Village, NY 11379
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Calogero C Tumminello MD PC
NPI 1578552105 (718) 497-1399
Ny Total Medical Care, P.C.
6.6 mi
Internal Medicine
362 9TH ST
Brooklyn, NY 11215
  • Reassigned Medicare billing, New York enrollment
  • 23 clinicians in this Medicare group
NPI 1275625428 (718) 499-6099
American Medical Today P.C.
9.5 mi
General Practice
474 OVINGTON AVE
Brooklyn, NY 11209
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: American Medical Today PC
  • 28 clinicians in this Medicare group
NPI 1710471800 (718) 238-2625

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 33D1019073

Calogero C Tumminello, MD PC · Middle Village, NY
Active · expires Nov 9, 2027
CLIA Number33D1019073
Laboratory TypePhysician Office
Certificate Effective DateNovember 10, 2025
Certificate Expiration DateNovember 9, 2027
Laboratory DirectorCalogero C. Tumminello
Laboratory Phone(718) 497-1399
Laboratory LocationCalogero C Tumminello, MD PC78-17 Metropolitan Avenue, Middle Village, NY 11379
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 12

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.
1,236 services200 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
296 services167 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.
265 services127 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
146 services146 patients
Face-to-face behavioral counseling for obesity, 15 minutes G0447
This is a 15-minute consultation where a healthcare professional discusses your eating habits, physical activity, and goals to help manage your weight. The aim is to provide personalized strategies to promote a healthier lifestyle and combat obesity.
125 services47 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
108 services108 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11379 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

35.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality25
Improvement Activities0
Cost80.28

Referred Medical Equipment & Supplies CMS DME claims 3

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
14 suppliers46 claims85 services$6.05 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers20 claims26 services$0.95 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
3 suppliers11 claims1,626 services$0.08 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 3

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

KJ FAMILY MEDICAL PLLC
Clinic/Center (Primary Care)
7817 METROPOLITAN AVE
MIDDLE VILLAGE, NY 11379
Queens County (718) 497-1399
CALOGERO C. TUMMINELLO, M.D., P.C.
Internal Medicine
7817 METROPOLITAN AVE
MIDDLE VILLAGE, NY 11379
Queens County (718) 497-1399
DANIEL ALAN CHASKIN DPM
Podiatrist
7817 METROPOLITAN AVE
MIDDLE VILLAGE, NY 11379
Queens County (718) 417-4895

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 Calogero Tumminello's NPI number?

The NPI number for Calogero Tumminello is 1346239969. It was assigned to this individual provider in the NPPES registry on October 17, 2005.

Where is Calogero Tumminello located?

Calogero Tumminello practices at 7817 Metropolitan Ave, Middle Village, NY 11379. The listed phone number is (718) 497-1399.

What is Calogero Tumminello's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Calogero Tumminello enrolled in Medicare?

Yes. Calogero Tumminello 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 Calogero Tumminello's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Calogero Tumminello reassigns Medicare benefits to 3 organizations: Calogero C. Tumminello, M.D., P.C. (Middle Village, NY), Ny Total Medical Care, P.C. (Brooklyn, NY) and American Medical Today P.C. (Brooklyn, NY). 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 Calogero Tumminello's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Calogero Tumminello hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1019073) is associated with this NPI, valid through November 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Calogero Tumminello was last updated on February 11, 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.