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RICHARD KRUGLEY MD
NPI 1366430217
Psychiatry & Neurology - Psychiatry in Uniondale, NY

Active since October 13, 2005PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
755 HEMPSTEAD TPKE, UNIONDALE, NY 11553(631) 608-5620(631) 396-0382 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Richard Krugley Md NPPES

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

RICHARD KRUGLEY MD (NPI 1366430217) is an individual psychiatry provider in Uniondale, New York, licensed in New York (132755-1) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center, and is a graduate of Other (1976).

NPPES Registry Identity

NPI1366430217
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameRICHARD KRUGLEYCredential: MD
Location Address755 HEMPSTEAD TPKEUniondale, NY 11553-1111
Mailing Address165 Lefferts RdWoodmere, NY 11598-1347 · (914) 949-1199 · Fax (914) 949-1245
Phone(631) 608-5620
Fax(631) 396-0382
Sole ProprietorYes
Medical School CMSOtherGraduated 1976
Enumeration DateOctober 13, 2005
Last NPPES UpdateApril 24, 2025
NPPES CertifiedApril 24, 2025
✔ NPI 1366430217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NY · 132755-1
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Geriatric PsychiatryTaxonomy 2084P0805X · License 132755-1 (NY)
755 HEMPSTEAD TPKE, Uniondale, NY 11553
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Other Identifiers 1

Medicaid00975948NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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

Richard Krugley Md 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 ID6002835022
PECOS Enrollment IDI20051118000028
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.

Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
454 services428 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
182 services89 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
171 services104 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
62 services56 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
55 services31 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
52 services52 patients

Hospital Affiliations CMS Care Compare

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

Mercy Medical Center

Acute Care Hospitals · Rockville Centre, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330259
Location1000 North Village AvenueRockville Centre, NY 11570 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11553 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
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Reported Quality Measures

Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%343 patients5/55-star benchmark: 100%
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.

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.

MRS. MA. ROSARIO LIMPIN DELA LLARTE BSN, RN
Registered Nurse
755 HEMPSTEAD TPKE
UNIONDALE, NY 11553
Nassau County (516) 565-1900
TOWNHOUSE OPERATING COMPANY LLC
Skilled Nursing Facility
755 HEMPSTEAD TPKE
UNIONDALE, NY 11553
Nassau County (516) 565-1900
NY LONG-TERM CARE PHYSICIAN SERVICES, PC
Internal Medicine (Geriatric Medicine)
755 HEMPSTEAD TPKE
UNIONDALE, NY 11553
Nassau County (516) 565-1900
RUBIN ADOFO MENSAH
Occupational Therapist
755 HEMPSTEAD TPKE
UNIONDALE, NY 11553
Nassau County (516) 565-1900

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 Richard Krugley's NPI number?

The NPI number for Richard Krugley is 1366430217. It was assigned to this individual provider in the NPPES registry on October 13, 2005.

Where is Richard Krugley located?

Richard Krugley practices at 755 Hempstead Tpke, Uniondale, NY 11553. The listed phone number is (631) 608-5620.

What is Richard Krugley's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Richard Krugley enrolled in Medicare?

Yes. Richard Krugley 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.

What insurance does Richard Krugley accept?

Health plans from Providence Health Plan list Richard Krugley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Richard Krugley affiliated with any hospitals?

According to CMS data, Richard Krugley is affiliated with Mercy Medical Center.

When was this NPI record last updated?

The NPPES record for Richard Krugley was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.