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DR. JUSTIN ANTHONY NISTICO D.O.
NPI 1477819951
Internal Medicine - Infectious Disease in Elmira, NY

Active since April 09, 2012PECOS EnrolledAccepts Medicare Assignment
81.01/100
CMS Quality Rating
602 IVY ST FL 1, ELMIRA, NY 14905(607) 737-4577(607) 367-5010 Get Directions Write a Review

NPPES record last updated: November 25, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 25, 2020, Oct 17, 2018, Mar 14, 2018 and 1 more (4 updates tracked since 2016).

About Dr. Justin Anthony Nistico D.o. NPPES

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

DR. JUSTIN ANTHONY NISTICO D.O. (NPI 1477819951) is an individual infectious disease provider in Elmira, New York, licensed in New York (277019) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Arnot Ogden Medical Center, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2012).

NPPES Registry Identity

NPI1477819951
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. JUSTIN ANTHONY NISTICOCredential: D.O.
Location Address602 IVY ST FL 1Elmira, NY 14905-1646
Mailing Address571 Saint Josephs Blvd, Fl 2Elmira, NY 14901-3230 · (607) 271-2050
Phone(607) 737-4577
Fax(607) 367-5010
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2012
Enumeration DateApril 9, 2012
Last NPPES UpdateNovember 25, 20204 updates tracked since enumeration
NPPES CertifiedNovember 25, 2020
✔ NPI 1477819951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in NY · 277019
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License 277019 (NY)
602 IVY ST FL 1, Elmira, NY 14905
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Other Identifiers 2

Medicaid04209610NY
Medicaid103467400PA

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. Justin Anthony Nistico 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 ID6002125051
PECOS Enrollment IDI20151014002224
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.

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.
171 services76 patients
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.
133 services59 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
85 services78 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
76 services25 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.
76 services51 patients
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.
66 services34 patients

Hospital Affiliations CMS Care Compare 2

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

Arnot Ogden Medical Center

Acute Care Hospitals · Elmira, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330090
Location600 Roe AvenueElmira, NY 14905 · Chemung County
Emergency services Birthing friendly

Corning Hospital

Acute Care Hospitals · Corning, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330277
Location1 Guthrie DriveCorning, NY 14830 · Steuben County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14905 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

81.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.46
Promoting Interoperability99
Improvement Activities40
Cost65.75

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.

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
3 suppliers11 claims342 services$7.12 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219
DME-Medical/Surgical Supplies · category DA023N
3 suppliers18 claims421 services$0.93 avg. paid by Medicare
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446
DME-Medical/Surgical Supplies · category DA023N
4 suppliers14 claims1,699 services$0.38 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

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

YULIYA N LAPIERRE NP
Nurse Practitioner (Family)
602 IVY ST FL 1
ELMIRA, NY 14905
Chemung County (607) 737-4577

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 Justin Nistico's NPI number?

The NPI number for Justin Nistico is 1477819951. It was assigned to this individual provider in the NPPES registry on April 9, 2012.

Where is Justin Nistico located?

Justin Nistico practices at 602 Ivy St Fl 1, Elmira, NY 14905. The listed phone number is (607) 737-4577.

What is Justin Nistico's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Justin Nistico enrolled in Medicare?

Yes. Justin Nistico 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 Justin Nistico affiliated with any hospitals?

According to CMS data, Justin Nistico is affiliated with Arnot Ogden Medical Center and Corning Hospital.

When was this NPI record last updated?

The NPPES record for Justin Nistico was last updated on November 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.