DR. NICHOLAS GEORGE BAMBINO MD
NPI 1417967514
Internal Medicine - Gastroenterology in Cornwall, NY

Active since August 09, 2006PECOS EnrolledAccepts Medicare Assignment
10 ELM ST, CORNWALL, NY 12518(845) 534-7080(845) 534-4171 Get Directions Write a Review

NPPES record last updated: May 13, 2010. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Nicholas George Bambino Md NPPES

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

DR. NICHOLAS GEORGE BAMBINO MD (NPI 1417967514) is an individual gastroenterology provider in Cornwall, New York, licensed in New York (116053) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with St Luke's Cornwall Hospital, and is a graduate of State University Of Ny Upstate Medical University (1969).

NPPES Registry Identity

NPI1417967514
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. NICHOLAS GEORGE BAMBINOCredential: MD
Location Address10 ELM STCornwall, NY 12518
Mailing Address10 Elm StCornwall, NY 12518 · (845) 534-7080 · Fax (845) 534-4171
Fax(845) 534-4171
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 1969
Enumeration DateAugust 9, 2006
Last NPPES UpdateMay 13, 2010
NPI 1417967514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in NY · 116053
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 116053 (NY)
10 ELM ST, Cornwall, NY 12518

Other Identifiers 3

Medicare UPINB78457
Medicare ID-Type Unspecified632641
Medicaid00507979NY

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

Dr. Nicholas George Bambino 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 ID9638206626
PECOS Enrollment IDI20100422001004
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.

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.
218 services128 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.
148 services105 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
45 services38 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.
42 services42 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
26 services26 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
22 services22 patients

Hospital Affiliations CMS Care Compare

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

St Luke's Cornwall Hospital

Acute Care Hospitals · Newburgh, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330264
Location70 Dubois StreetNewburgh, NY 12550 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12518 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
$141.77 typical visit price
range $61.88 – $187.05
Typical copayment $35.44 (range $15.47 – $46.76)
Most-billed visit code 99204
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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
14 suppliers44 claims90 services$5.83 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers21 claims25 services$1.04 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims16 services$57.59 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 5

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

Internal Medicine (Gastroenterology)
10 ELM ST
CORNWALL, NY 12518
Counselor (Mental Health)
10 ELM ST
CORNWALL, NY 12518
Counselor (Mental Health)
10 ELM ST
CORNWALL, NY 12518
Counselor (Mental Health)
10 ELM ST
CORNWALL, NY 12518
Clinic/Center (Physical Therapy)
10 ELM ST
CORNWALL, NY 12518

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 Nicholas Bambino's NPI number?

The NPI number for Nicholas Bambino is 1417967514. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Nicholas Bambino located?

Nicholas Bambino practices at 10 Elm St, Cornwall, NY 12518. The listed phone number is (845) 534-7080.

What is Nicholas Bambino's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Nicholas Bambino enrolled in Medicare?

Yes. Nicholas Bambino 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 Nicholas Bambino affiliated with any hospitals?

According to CMS data, Nicholas Bambino is affiliated with St Luke's Cornwall Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Bambino was last updated on May 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.