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DR. NICHOLAS ALEXANDER LA GAMMA M.D.
NPI 1427373216
Surgery in Great Neck, NY

Active since April 05, 2010PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
900 NORTHERN BLVD, SUITE 100, GREAT NECK, NY 11021(516) 730-2100(516) 730-2121 Get Directions Write a Review

NPPES record last updated: September 7, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nicholas Alexander La Gamma M.d. NPPES

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

DR. NICHOLAS ALEXANDER LA GAMMA M.D. (NPI 1427373216) is an individual surgery provider in Great Neck, New York, licensed in New York (60 265471) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of New York Medical College (2007).

NPPES Registry Identity

NPI1427373216
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. NICHOLAS ALEXANDER LA GAMMACredential: M.D.
Location Address900 NORTHERN BLVD, SUITE 100Great Neck, NY 11021-5337
Mailing Address900 Northern Blvd, Suite 100Great Neck, NY 11021-5337 · (516) 730-2100 · Fax (516) 730-2121
Phone(516) 730-2100
Fax(516) 730-2121
Sole ProprietorYes
Medical School CMSNew York Medical CollegeGraduated 2007
Enumeration DateApril 5, 2010
Last NPPES UpdateSeptember 7, 2013
✔ NPI 1427373216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NY · 60 265471
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
900 NORTHERN BLVD, Great Neck, NY 11021
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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 Alexander La Gamma M.d. 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 ID547488454
PECOS Enrollment IDI20140905000547
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 10

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
43 services42 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
31 services27 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
28 services22 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.
27 services27 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.
27 services16 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
25 services22 patients

Hospital Affiliations CMS Care Compare 2

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11021 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
$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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
2 suppliers11 claims260 services$3.11 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
2 suppliers11 claims260 services$4.55 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
2 suppliers12 claims720 services$8.44 avg. paid by Medicare
Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each A4419
DME-Orthotic Devices · category DF010N
4 suppliers27 claims2,370 services$1.67 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
4 suppliers18 claims1,130 services$0.23 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
3 suppliers12 claims455 services$0.23 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 20

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

ADVANCED MEDICAL IMAGING OF LONG ISLAND PC
Radiology (Diagnostic Radiology)
900 NORTHERN BLVD, SUITE 110
GREAT NECK, NY 11021
Nassau County (516) 482-6700
DR. ARLENE GAIL SUNSHINE MD
Radiology (Diagnostic Radiology)
900 NORTHERN BLVD, SUITE 110
GREAT NECK, NY 11021
Nassau County (516) 482-6700
ALEXANDER LINSKY, D.M.D., P.C.
Dentist
900 NORTHERN BLVD, SUITE 240
GREAT NECK, NY 11021
Nassau County (516) 482-6677
MITCHELL E LEVINE MD
Neurological Surgery
900 NORTHERN BLVD, SSTE 260
GREAT NECK, NY 11021
Nassau County (516) 773-7737
DR. JOHN A PROCACCINO JR. MD
Surgery
900 NORTHERN BLVD
GREAT NECK, NY 11021
Nassau County (516) 730-2100
MRS. TONIA SWENSEN BRENDEL FNP
Nurse Practitioner (Family)
900 NORTHERN BLVD
GREAT NECK, NY 11021
Nassau County (516) 773-7737
ERIC CANTOS M.D.
Radiology (Diagnostic Radiology)
900 NORTHERN BLVD
GREAT NECK, NY 11021
Nassau County (516) 482-6700
WENDY FROST NP
Nurse Practitioner (Obstetrics & Gynecology)
900 NORTHERN BLVD
GREAT NECK, NY 11021
Nassau County (516) 482-4343

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 La Gamma's NPI number?

The NPI number for Nicholas La Gamma is 1427373216. It was assigned to this individual provider in the NPPES registry on April 5, 2010.

Where is Nicholas La Gamma located?

Nicholas La Gamma practices at 900 Northern Blvd Suite 100, Great Neck, NY 11021. The listed phone number is (516) 730-2100.

What is Nicholas La Gamma's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Nicholas La Gamma enrolled in Medicare?

Yes. Nicholas La Gamma 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 La Gamma affiliated with any hospitals?

According to CMS data, Nicholas La Gamma is affiliated with North Shore University Hospital and Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for Nicholas La Gamma was last updated on September 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.