DR. ALICIA CAMACHO M.D.
NPI 1417987538
Family Medicine in Patchogue, NY

Q: What is Alicia Camacho's NPI number?

The NPI number for Alicia Camacho is 1417987538. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Q: What is Alicia Camacho's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Alicia Camacho was last updated on October 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since July 04, 2006PECOS Enrolled

200 E MAIN ST, PATCHOGUE, NY 11772(631) 654-9400(631) 654-8616 Get Directions Write a Review

NPPES record last updated: October 2, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Alicia Camacho M.d. NPPES

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

DR. ALICIA CAMACHO M.D. (NPI 1417987538) is an individual family medicine provider in Patchogue, New York, licensed in New York (117356) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417987538

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. ALICIA CAMACHOCredential: M.D.

Location Address200 E MAIN STPatchogue, NY 11772-3159

Mailing Address1 Arbor Field WayLake Grove, NY 11755

Phone(631) 654-9400

Fax(631) 654-8616

Sole ProprietorNo

Enumeration DateJuly 4, 2006

Last NPPES UpdateOctober 2, 2012

✔ NPI 1417987538 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 · 117356

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.

200 E MAIN ST, Patchogue, NY 11772

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Other Identifiers 2

Medicare UPINC11574NY

Medicare ID-Type UnspecifiedAC06H41610NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Alicia Camacho M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11772 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.

Other Providers at the Same Location NPPES 10

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

GIANNA FLORA PA

Physician Assistant (Medical)