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VINCENT CARMUSCIANO M.D.
NPI 1346260528
Internal Medicine in Brooklyn, NY

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
7611 5TH AVE, BROOKLYN, NY 11209(718) 748-6567(718) 238-8675 Get Directions Write a Review

NPPES record last updated: March 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 2, 2021, Mar 28, 2016 (2 updates tracked since 2016).

About Vincent Carmusciano M.d. NPPES

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

VINCENT CARMUSCIANO M.D. (NPI 1346260528) is an individual internal medicine provider in Brooklyn, New York, licensed in New York (170404) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1346260528
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameVINCENT CARMUSCIANOCredential: M.D.
Location Address7611 5TH AVEBrooklyn, NY 11209-3303
Mailing Address7611 5th AveBrooklyn, NY 11209-3303 · (718) 748-6567 · Fax (718) 238-8675
Phone(718) 748-6567
Fax(718) 238-8675
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateJuly 20, 2006
Last NPPES UpdateMarch 2, 20212 updates tracked since enumeration
NPPES CertifiedMarch 2, 2021
✔ NPI 1346260528 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 · 170404
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.
7611 5TH AVE, Brooklyn, NY 11209
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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

Vincent Carmusciano 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 ID4880669068
PECOS Enrollment IDI20040913001236
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 7

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 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.
203 services118 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.
160 services118 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.
21 services21 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
17 services17 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.
15 services15 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11209 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Referred Medical Equipment & Supplies CMS DME claims

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
8 suppliers19 claims32 services$5.07 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 4

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

PAUL WILLIAM MARAVEL M.D.
Internal Medicine
7611 5TH AVE
BROOKLYN, NY 11209
Kings County (718) 238-7111
DR. WILLIAM ERSKINE PUTMAN M.D., FACP
Internal Medicine (Geriatric Medicine)
7611 5TH AVE
BROOKLYN, NY 11209
Kings County (718) 238-9065
CARMUSCIANO & MARAVEL MDS PC
Internal Medicine
7611 5TH AVE
BROOKLYN, NY 11209
Kings County (718) 238-7111
WILLIAM E. PUTMAN, MD, PC
Internal Medicine
7611 5TH AVE
BROOKLYN, NY 11209
Kings County (718) 238-9065

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 Vincent Carmusciano's NPI number?

The NPI number for Vincent Carmusciano is 1346260528. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Vincent Carmusciano located?

Vincent Carmusciano practices at 7611 5th Ave, Brooklyn, NY 11209. The listed phone number is (718) 748-6567.

What is Vincent Carmusciano's specialty?

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

Is Vincent Carmusciano enrolled in Medicare?

Yes. Vincent Carmusciano 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 Vincent Carmusciano affiliated with any hospitals?

According to CMS data, Vincent Carmusciano is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Vincent Carmusciano was last updated on March 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.