ROBERTA BIANCO
NPI 1356435846
Family Medicine in Hauppauge, NY

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment
515 ROUTE 111, HAUPPAUGE, NY 11788(631) 265-4200(631) 265-4290 Get Directions Write a Review

NPPES record last updated: May 16, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Roberta Bianco NPPES

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

ROBERTA BIANCO (NPI 1356435846) is an individual family medicine provider in Hauppauge, New York, licensed in New York (202825) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Barry University School Of Podiatric Medicine (1989).

NPPES Registry Identity

NPI1356435846
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameROBERTA BIANCO
Location Address515 ROUTE 111Hauppauge, NY 11788-4339
Mailing Address515 Route 111Hauppauge, NY 11788-4339 · (631) 265-4200 · Fax (631) 265-4290
Fax(631) 265-4290
Sole ProprietorYes
Medical School CMSBarry University School Of Podiatric MedicineGraduated 1989
Enumeration DateOctober 2, 2006
Last NPPES UpdateMay 16, 2008
NPI 1356435846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 202825
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
515 ROUTE 111, Hauppauge, NY 11788

Other Identifiers 2

Medicare PIN60V451NY
Medicare UPING38926NY

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

Roberta Bianco 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 ID8123012028
PECOS Enrollment IDI20040415001355
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 23

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.
1,153 services568 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
874 services550 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
484 services484 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.
447 services447 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.
442 services442 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.
344 services265 patients

Hospital Affiliations CMS Care Compare 4

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

John T Mather Memorial Hospital Of Port Jefferson

Acute Care Hospitals · Port Jefferson, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330185
Location75 North Country RoadPort Jefferson, NY 11777 · Suffolk County
Emergency services

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330286
Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County
Emergency services Birthing friendly

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11788 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%151 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
14%70 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
42%143 patients2/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
74%46 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
39%46 patients2/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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
12 suppliers31 claims105 services$6.73 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers18 claims32 services$1.16 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 7

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

Internal Medicine (Interventional Cardiology)
515 ROUTE 111, 2ND FLOOR
HAUPPAUGE, NY 11788
Internal Medicine
515 ROUTE 111, FL 2
HAUPPAUGE, NY 11788
Nurse Practitioner (Family)
515 ROUTE 111
HAUPPAUGE, NY 11788
Specialist
515 ROUTE 111, 2ND FLOOR
HAUPPAUGE, NY 11788
Internal Medicine (Interventional Cardiology)
515 ROUTE 111, 2ND FLOOR
HAUPPAUGE, NY 11788
Chiropractor
515 ROUTE 111, SUITE 101
HAUPPAUGE, NY 11788
Physical Therapist
515 ROUTE 111
HAUPPAUGE, NY 11788

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 Roberta Bianco's NPI number?

The NPI number for Roberta Bianco is 1356435846. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Roberta Bianco located?

Roberta Bianco practices at 515 Route 111, Hauppauge, NY 11788. The listed phone number is (631) 265-4200.

What is Roberta Bianco's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Roberta Bianco enrolled in Medicare?

Yes. Roberta Bianco 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 Roberta Bianco affiliated with any hospitals?

According to CMS data, Roberta Bianco is affiliated with North Shore University Hospital, John T Mather Memorial Hospital Of Port Jefferson, Good Samaritan Hospital Medical Center and Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Roberta Bianco was last updated on May 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.