SAME
NPI 1487620613
Internal Medicine in Mattituck, NY
About Same NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAME (NPI 1487620613) is a healthcare organization registered as an internal medicine in Mattituck, New York and active in the NPI registry since February 2006. The organization holds 6 active CLIA laboratory certificates and lists Michael O'donnell, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Same is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
70Medicare enrollment records show 70 clinicians reassign Medicare billing to Same, which bills Medicare for the services they deliver. Of these, 34 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 13
Nearest to this location (20)
See all 70Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 6
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 33D2064438
Peconic Bay Primary Medical Care PC · Manorville, NYCertificate of Waiver 33D2184908
Peconic Bay Primary Medical Care PC · Greenport, NYCertificate of Waiver 33D0160645
Peconic Bay Primary Medical Care PC · Mattituck, NYCertificate of Waiver 33D2111220
Peconic Bay Primary Medical Care PC · Riverhead, NYCertificate of Waiver 33D2111221
Peconic Bay Primary Medical Care PC · Riverhead, NYCertificate of Waiver 33D2166721
Peconic Bay Primary Medical Care PC · Riverhead, NYFrequently 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 Peconic Bay Primary Medical Care's NPI number?
The NPI number for Peconic Bay Primary Medical Care is 1487620613. It was assigned to this organization in the NPPES registry on February 27, 2006. The provider is doing business as Same.
Where is Peconic Bay Primary Medical Care located?
Peconic Bay Primary Medical Care is located at 13400 Main Rd, Mattituck, NY 11952. The listed phone number is (631) 298-4008.
What is Peconic Bay Primary Medical Care's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Peconic Bay Primary Medical Care enrolled in Medicare?
Yes. Peconic Bay Primary Medical Care is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Peconic Bay Primary Medical Care?
According to the CMS Revalidation Reassignment List (October 2026 release), 70 clinicians in 13 Medicare specialties reassign their Medicare billing to Peconic Bay Primary Medical Care. A 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 the clinician's services. The largest specialties are Nurse Practitioner (22), Family Practice (18) and Internal Medicine (7). Of these, 34 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Peconic Bay Primary Medical Care hold CLIA laboratory certificates?
Yes. 6 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Peconic Bay Primary Medical Care was last updated on May 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Same · NPI 1487620613
Internal Medicine organization in Mattituck, New York. Organization record, active in the CMS NPPES registry since February 27, 2006.
## Identity
- **NPI:** 1487620613 (Entity type: Organization)
- **Enumerated:** February 27, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Legal business name:** Peconic Bay Primary Medical Care
- **Organization subpart:** No
- **Authorized official:** Michael O'donnell, CFO
## Practice location
- **Address:** 13400 MAIN RD, Mattituck, NY 11952-3209
- **Phone:** (631) 298-4008 · **Fax:** (631) 298-5969
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 70 clinicians in 13 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (22), Family Practice (18), Internal Medicine (7); 34 practice within 10 miles; [full list](https://npiprofile.com/npi/1487620613/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 20, 2024
- **Other identifiers:** Medicaid 01714209 (NY)
- **CLIA laboratory certificates:** 6 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1487620613) · Data from the CMS NPPES public registry.