STEPHEN L DELEON
NPI 1346669363
Physician Assistant - Surgical in Stony Brook, NY

Active since April 08, 2014PECOS EnrolledAccepts Medicare Assignment
98.52/100
CMS Quality Rating
101 NICOLLS RD, STONY BROOK, NY 11794(631) 444-2034 Get Directions Write a Review

NPPES record last updated: November 15, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 15, 2022, Sep 25, 2019 (2 updates tracked since 2019).

About Stephen L Deleon NPPES

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

STEPHEN L DELEON (NPI 1346669363) is an individual surgical provider in Stony Brook, New York, licensed in New York (017462-1) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Flushing, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1346669363
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameSTEPHEN L DELEON
Location Address101 NICOLLS RDStony Brook, NY 11794-0001
Mailing Address101 Nicolls RdStony Brook, NY 11794-0001 · (631) 444-2034
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 8, 2014
Last NPPES UpdateNovember 15, 20222 updates tracked since enumeration
NPPES CertifiedNovember 15, 2022
NPI 1346669363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NY · 017462-1
101 NICOLLS RD, Stony Brook, NY 11794

Other Names 1

Professional Name (2)Stephen L Deleon Pa-c

Secondary Practice Location 1

Location 14500 Parsons BlvdFlushing, NY 11355-2205 · Phone (718) 670-3135

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

Stephen L Deleon 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 ID9931326212
PECOS Enrollment IDI20140811000411
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 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.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality82.85
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Nurse Practitioner (Adult Health)
101 NICOLLS RD, HSC-T17 ROOM 040/DIVISION OD PULMONARY MEDICINE
STONY BROOK, NY 11794
Nurse Anesthetist, Certified Registered
101 NICOLLS RD
STONY BROOK, NY 11794
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
General Acute Care Hospital (Children)
101 NICOLLS RD
STONY BROOK, NY 11794

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346669363, enumerated as an "individual" on April 08, 2014.

The provider is located at 101 NICOLLS RD STONY BROOK, NY 11794 and the phone number is (631) 444-2034.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.