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DR. KRYSTINA TONGSON D.O.
NPI 1457742843
Surgery in New York, NY

Active since February 06, 2015PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
100 EAST 77TH STREET, 3 WOLLMAN, ATTN: LAURA HNATH, OFFICE MANAGER, NEW YORK, NY 10075(212) 434-4218(212) 434-6950 Get Directions Write a Review

NPPES record last updated: September 4, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Krystina Tongson D.o. NPPES

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

DR. KRYSTINA TONGSON D.O. (NPI 1457742843) is an individual surgery provider in New York, New York, licensed in New York (294952) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS, is affiliated with Hca Florida Aventura Hospital, and maintains a secondary practice location in South Miami.

NPPES Registry Identity

NPI1457742843
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. KRYSTINA TONGSONCredential: D.O.
Location Address100 EAST 77TH STREET, 3 WOLLMAN, ATTN: LAURA HNATH, OFFICE MANAGERNew York, NY 10075
Mailing Address100 East 77th Street, 3 Wollman, Attn: Laura Hnath, Office ManagerNew York, NY 10075 · (212) 434-4218 · Fax (212) 434-6950
Phone(212) 434-4218
Fax(212) 434-6950
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateFebruary 6, 2015
Last NPPES UpdateSeptember 4, 2019
✔ NPI 1457742843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NY · 294952
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
100 EAST 77TH STREET, 3 WOLLMAN, New York, NY 10075
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Secondary Practice Location 1

Location 17031 SW 62nd Ave, Attn: Brenda Maya, General Surgery Residency Coord.South Miami, FL 33143-4701 · Phone (305) 284-7500

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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. Krystina Tongson D.o. 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 ID6507101433
PECOS Enrollment IDI20230529000142
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.

Hospital Affiliations CMS Care Compare

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

Hca Florida Aventura Hospital

Acute Care Hospitals · Aventura, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100131
Location20900 Biscayne BlvdAventura, FL 33180 · Miami-Dade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10075 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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

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 Krystina Tongson's NPI number?

The NPI number for Krystina Tongson is 1457742843. It was assigned to this individual provider in the NPPES registry on February 6, 2015.

Where is Krystina Tongson located?

Krystina Tongson practices at 100 East 77th Street, 3 Wollman Attn: Laura Hnath, Office Manager, New York, NY 10075. The listed phone number is (212) 434-4218.

What is Krystina Tongson's specialty?

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

Is Krystina Tongson enrolled in Medicare?

Yes. Krystina Tongson 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.

What insurance does Krystina Tongson accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 5 other insurers list Krystina Tongson 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 Krystina Tongson affiliated with any hospitals?

According to CMS data, Krystina Tongson is affiliated with Hca Florida Aventura Hospital.

When was this NPI record last updated?

The NPPES record for Krystina Tongson was last updated on September 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.