DR. JOSEPH PETER BOGLIA MD
NPI 1467464297
Internal Medicine - Nephrology in Port Jefferson, NY

Active since August 12, 2006PECOS EnrolledAccepts Medicare Assignment
98.52/100
CMS Quality Rating
200 BELLE TERRE ROAD, STE 110, PORT JEFFERSON, NY 11777(631) 476-1010(631) 642-0105 Get Directions Write a Review

NPPES record last updated: January 31, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Joseph Peter Boglia Md NPPES

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

DR. JOSEPH PETER BOGLIA MD (NPI 1467464297) is an individual nephrology provider in Port Jefferson, New York, licensed in New York (219312) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with John T Mather Memorial Hospital Of Port Jefferson, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (1999).

NPPES Registry Identity

NPI1467464297
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. JOSEPH PETER BOGLIACredential: MD
Location Address200 BELLE TERRE ROAD, STE 110Port Jefferson, NY 11777-1928
Mailing Address200 Belle Terre Road, Ste 110Port Jefferson, NY 11777-1928 · (631) 476-1010 · Fax (631) 642-9805
Fax(631) 642-0105
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 1999
Enumeration DateAugust 12, 2006
Last NPPES UpdateJanuary 31, 2013
NPI 1467464297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in NY · 219312
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
200 BELLE TERRE ROAD, Port Jefferson, NY 11777

Other Identifiers 7

Other7293637NY · Aetna
Other7X2132NY · Empire Bcbs
Medicare ID-Type Unspecified7X0371NY
Medicare UPINI12170NY
OtherP00161349NY · Railroad Medicare
Other2120125NY · Vytra
OtherPRV0004554NY · Montefiore

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. Joseph Peter Boglia 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 ID2769455773
PECOS Enrollment IDI20040818000048
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 11

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.
1,140 services568 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.
400 services138 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.
371 services136 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.
161 services142 patients
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.
158 services144 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
155 services34 patients

Hospital Affiliations CMS Care Compare 3

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

John T Mather Memorial Hospital Of Port Jefferson

Acute Care Hospitals · Port Jefferson, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330185
Location75 North Country RoadPort Jefferson, NY 11777 · Suffolk County
Emergency services

St Charles Hospital

Acute Care Hospitals · Port Jefferson, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330246
Location200 Belle Terre RoadPort Jefferson, NY 11777 · Suffolk County
Birthing friendly

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11777 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
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.

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.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

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.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers30 claims2,160 services$0.29 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
3 suppliers16 claims16 services$19.00 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
3 suppliers24 claims24 services$11.59 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 8

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

Internal Medicine
200 BELLE TERRE ROAD, SUITE 100
PORT JEFFERSON, NY 11777
Internal Medicine (Pulmonary Disease)
200 BELLE TERRE ROAD, SLEEP LAB
PORT JEFFERSON, NY 11777
Dentist (General Practice)
200 BELLE TERRE ROAD, ST. CHARLES HOSPITAL
PORT JEFFERSON, NY 11777
Internal Medicine
200 BELLE TERRE ROAD, SUITE #110
PORT JEFFERSON, NY 11777
Registered Nurse
200 BELLE TERRE ROAD, ST CHARLES HOSPITAL
PORT JEFFERSON, NY 11777
Nurse Practitioner (Adult Health)
200 BELLE TERRE ROAD, ST CHARLES HOSPITAL
PORT JEFFERSON, NY 11777
Pediatrics
200 BELLE TERRE ROAD
PORT JEFFERSON, NY 11777
Speech-Language Pathologist
200 BELLE TERRE ROAD
PORT JEFFERSON, NY 11777

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 Joseph Boglia's NPI number?

The NPI number for Joseph Boglia is 1467464297. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Where is Joseph Boglia located?

Joseph Boglia practices at 200 Belle Terre Road Ste 110, Port Jefferson, NY 11777. The listed phone number is (631) 476-1010.

What is Joseph Boglia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Joseph Boglia enrolled in Medicare?

Yes. Joseph Boglia 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 Joseph Boglia affiliated with any hospitals?

According to CMS data, Joseph Boglia is affiliated with John T Mather Memorial Hospital Of Port Jefferson, St Charles Hospital and Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Boglia was last updated on January 31, 2013. 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.