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DR. GARBIS DABAGHIAN MD
NPI 1417930546
Internal Medicine in Staten Island, NY

Active since November 22, 2005PECOS EnrolledAccepts Medicare Assignment
98.67/100
CMS Quality Rating
242 MASON AVENUE, STATEN ISLAND, NY 10305(718) 226-1458(718) 226-5920 Get Directions Write a Review

NPPES record last updated: May 20, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Garbis Dabaghian Md NPPES

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

DR. GARBIS DABAGHIAN MD (NPI 1417930546) is an individual internal medicine provider in Staten Island, New York, licensed in New York (191179) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Staten Island University Hospital, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1417930546
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. GARBIS DABAGHIANCredential: MD
Location Address242 MASON AVENUEStaten Island, NY 10305
Mailing Address1 Edgewater St, 6th Floor Ste#1Staten Island, NY 10305-4900 · (718) 226-1047 · Fax (718) 226-1039
Phone(718) 226-1458
Fax(718) 226-5920
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateNovember 22, 2005
Last NPPES UpdateMay 20, 2008
✔ NPI 1417930546 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 · 191179
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.
242 MASON AVENUE, Staten Island, NY 10305
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Other Identifiers 4

Medicare ID-Type Unspecified002J51NY
Medicare UPIN02J51HW681NY
Medicaid01497176NY
Medicare UPINF81217

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Garbis Dabaghian 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 ID8426092719
PECOS Enrollment IDI20060425000426
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 Billing Reassignments

3

Medicare enrollment records show Garbis Dabaghian reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physicians Of University Hospital PC
6.8 mi
Allergy & Immunology
1042 HUGUENOT AVE
Staten Island, NY 10312
  • Reassigned Medicare billing, New York enrollment
  • 530 clinicians in this Medicare group
NPI 1013368224 (718) 317-7556
North Shore - Lij Medical PC
23 mi
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1790043479 (516) 465-8089
Valley Physician Services PC
24 mi
Internal Medicine
15 ESSEX RD
Paramus, NJ 07652
  • Reassigned Medicare billing, New Jersey enrollment
  • 833 clinicians in this Medicare group
NPI 1467815928 (201) 291-6086

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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 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.
193 services108 patients
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.
34 services32 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
22 services22 patients
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.
18 services18 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Staten Island University Hospital

Acute Care Hospitals · Staten Island, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330160
Location475 Seaview AvenueStaten Island, NY 10305 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10305 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.

98.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality93.57
Promoting Interoperability100
Improvement Activities40

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
7 suppliers24 claims37 services$5.88 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Garbis Dabaghian's NPI number?

The NPI number for Garbis Dabaghian is 1417930546. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Where is Garbis Dabaghian located?

Garbis Dabaghian practices at 242 Mason Avenue, Staten Island, NY 10305. The listed phone number is (718) 226-1458.

What is Garbis Dabaghian's specialty?

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

Is Garbis Dabaghian enrolled in Medicare?

Yes. Garbis Dabaghian 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.

Which organizations bill Medicare for Garbis Dabaghian's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Garbis Dabaghian reassigns Medicare benefits to 3 organizations: Physicians Of University Hospital PC (Staten Island, NY), North Shore - Lij Medical PC (New Hyde Park, NY) and Valley Physician Services PC (Paramus, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Garbis Dabaghian's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Garbis Dabaghian accept?

Health plans from Oscar Health list Garbis Dabaghian 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 Garbis Dabaghian affiliated with any hospitals?

According to CMS data, Garbis Dabaghian is affiliated with Staten Island University Hospital.

When was this NPI record last updated?

The NPPES record for Garbis Dabaghian was last updated on May 20, 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.