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DR. RICHARD R DEMAIO M.D.
NPI 1457390916
Otolaryngology in New Windsor, NY

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment
91.28/100
CMS Quality Rating
4 CROTTY LN, NEW WINDSOR, NY 12553(845) 562-0760(845) 562-1019 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 12, 2023, Oct 7, 2020, Apr 2, 2019 (3 updates tracked since 2019).

About Dr. Richard R Demaio M.d. NPPES

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

DR. RICHARD R DEMAIO M.D. (NPI 1457390916) is an individual otolaryngology provider in New Windsor, New York, licensed in New York (200865) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Vassar Brothers Medical Center, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1457390916
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. RICHARD R DEMAIOCredential: M.D.
Location Address4 CROTTY LNNew Windsor, NY 12553-4778
Mailing Address660 White Plains Rd Fl 4Tarrytown, NY 10591-5139 · (914) 984-2546
Phone(845) 562-0760
Fax(845) 562-1019
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateJune 6, 2006
Last NPPES UpdateOctober 12, 20233 updates tracked since enumeration
NPPES CertifiedOctober 12, 2023
✔ NPI 1457390916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in NY · 200865
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
4 CROTTY LN, New Windsor, NY 12553
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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. Richard R Demaio 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 ID840287611
PECOS Enrollment IDI20040426001405
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 Reassignment

Medicare enrollment records show Richard Demaio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ent And Allergy Associates LLP
30 mi
Otolaryngology
660 WHITE PLAINS RD STE 400
Tarrytown, NY 10591
  • Reassigned Medicare billing, New York enrollment
  • 312 clinicians in this Medicare group
NPI 1376598326 (914) 333-5800

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 9

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.
422 services285 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.
340 services267 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
334 services241 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
223 services176 patients
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing G0268
This procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.
138 services136 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
123 services98 patients

Hospital Affiliations CMS Care Compare 2

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

Vassar Brothers Medical Center

Acute Care Hospitals · Poughkeepsie, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330023
Location45 Reade PlacePoughkeepsie, NY 12601 · Dutchess County
Emergency services Birthing friendly

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 12553 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
$76.88 typical visit price
range $19.92 – $151.94
Typical copayment $19.22 (range $4.98 – $37.98)
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.

91.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.16
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 16

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers58 claims58 services$32.10 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
8 suppliers59 claims59 services$75.68 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers57 claims158 services$27.57 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
10 suppliers36 claims210 services$15.08 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
6 suppliers36 claims208 services$12.33 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
13 suppliers94 claims94 services$44.10 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 3

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

DR. ERIC ADAM MUNZER D.O.
Otolaryngology
4 CROTTY LN
NEW WINDSOR, NY 12553
Orange County (845) 562-0760
DR. PRASHANT P PONDA M.D.
Allergy & Immunology
4 CROTTY LN
NEW WINDSOR, NY 12553
Orange County (845) 562-0760
AMY CAPUTO HAD
Hearing Instrument Specialist
4 CROTTY LN
NEW WINDSOR, NY 12553
Orange County (845) 562-0760

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 Richard Demaio's NPI number?

The NPI number for Richard Demaio is 1457390916. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Richard Demaio located?

Richard Demaio practices at 4 Crotty Ln, New Windsor, NY 12553. The listed phone number is (845) 562-0760.

What is Richard Demaio's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Richard Demaio enrolled in Medicare?

Yes. Richard Demaio 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 organization bills Medicare for Richard Demaio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Demaio reassigns Medicare benefits to Ent And Allergy Associates LLP (Tarrytown, NY). The 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 Richard Demaio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Richard Demaio affiliated with any hospitals?

According to CMS data, Richard Demaio is affiliated with Vassar Brothers Medical Center and St Luke's Cornwall Hospital.

When was this NPI record last updated?

The NPPES record for Richard Demaio was last updated on October 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.