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DR. AUSTIN T. FRAGOMEN M.D.
NPI 1366453235
Orthopaedic Surgery in New York, NY

Active since August 10, 2006Opted out of Medicare · through Jan 11, 2028
535 E 70TH ST, NEW YORK, NY 10021(212) 606-1550(212) 774-2744 Get Directions Write a Review

NPPES record last updated: December 6, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Austin T. Fragomen M.d. NPPES

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

DR. AUSTIN T. FRAGOMEN M.D. (NPI 1366453235) is an individual orthopaedic surgery provider in New York, New York, licensed in New York (214928) and active in the NPI registry since August 2006. He has opted out of Medicare through January 11, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1366453235
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. AUSTIN T. FRAGOMENCredential: M.D.
Location Address535 E 70TH STNew York, NY 10021-4872
Mailing Address535 E 70th StNew York, NY 10021-4872 · (212) 606-1550 · Fax (212) 774-2744
Phone(212) 606-1550
Fax(212) 774-2744
Sole ProprietorYes
Enumeration DateAugust 10, 2006
Last NPPES UpdateDecember 6, 2016
✔ NPI 1366453235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in NY · 214928
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
535 E 70TH ST, New York, NY 10021
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Other Identifiers 2

Medicare PIN659F01NY
Medicare UPINH96780NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Austin T. Fragomen M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 11, 2024 through January 11, 2028.

Opt-Out Effective DateJanuary 11, 2024
Opt-Out In Effect ThroughJanuary 11, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

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.

SARAH E. MCCORD PA-C
Physician Assistant (Surgical)
535 E 70TH ST
NEW YORK, NY 10021
New York County (212) 606-1585
MICHAEL NEWMAN SINGLETON M.D.
Anesthesiology
535 E 70TH ST
NEW YORK, NY 10021
New York County (212) 606-1036
GRETCHEN OSTRANDER ATC
Specialist/Technologist (Athletic Trainer)
535 E 70TH ST
NEW YORK, NY 10021
New York County (203) 257-5414
AMANDA PERLMUTTER
Speech-Language Pathologist
535 E 70TH ST
NEW YORK, NY 10021
New York County (212) 606-1137
MONICA ANIS MD
Anesthesiology
535 E 70TH ST
NEW YORK, NY 10021
New York County (201) 527-7051
MARIANA SOFIA MOREIRAS
Physical Therapist
535 E 70TH ST
NEW YORK, NY 10021
New York County (917) 260-4970
DR. SHEVAUN MACKIE DOYLE MD
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
535 E 70TH ST
NEW YORK, NY 10021
New York County (646) 797-8816
NATISHA REGINA ROSS PA-C
Physician Assistant
535 E 70TH ST
NEW YORK, NY 10021
New York County (212) 606-1004

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 Austin Fragomen's NPI number?

The NPI number for Austin Fragomen is 1366453235. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Austin Fragomen located?

Austin Fragomen practices at 535 E 70th St, New York, NY 10021. The listed phone number is (212) 606-1550.

What is Austin Fragomen's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Austin Fragomen enrolled in Medicare?

No. Austin Fragomen has opted out of Medicare through January 11, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Austin Fragomen was last updated on December 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.