CLARISSA CASTANON M.D.
NPI 1497170070
Hospitalist in Bay Shore, NY

Active since February 19, 2014PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
301 E MAIN ST, BAY SHORE, NY 11706(631) 968-3000(631) 968-3716 Get Directions Write a Review

NPPES record last updated: August 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 17, 2020, Mar 17, 2018, Oct 19, 2017 and 1 more (4 updates tracked since 2017).

About Clarissa Castanon M.d. NPPES

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

CLARISSA CASTANON M.D. (NPI 1497170070) is an individual hospitalist provider in Bay Shore, New York, licensed in New York (305234) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS, is affiliated with Ns/lij Hs Southside Hospital, and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1497170070
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameCLARISSA CASTANONCredential: M.D.
Location Address301 E MAIN STBay Shore, NY 11706-8458
Mailing Address301 E Main StBay Shore, NY 11706-8458 · (631) 968-3000 · Fax (631) 968-3716
Fax(631) 968-3716
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateFebruary 19, 2014
Last NPPES UpdateAugust 17, 20204 updates tracked since enumeration
NPPES CertifiedAugust 17, 2020
NPI 1497170070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in NY · 305234
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
301 E MAIN ST, Bay Shore, NY 11706

Secondary Practice Location 1

Location 1506 6th StBrooklyn, NY 11215-3609 · Phone (516) 263-7125

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

Clarissa Castanon 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 ID6709150568
PECOS Enrollment IDI20210112000786
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 5

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.
206 services127 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.
194 services105 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.
56 services55 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.
35 services35 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
31 services31 patients

Hospital Affiliations CMS Care Compare

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

Ns/Lij Hs Southside Hospital

Acute Care Hospitals · Bay Shore, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330043
Location301 East Main StreetBay Shore, NY 11706 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11706 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.

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

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$12.65 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers30 claims30 services$58.78 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 20

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

Hospitalist
301 E MAIN ST
BAY SHORE, NY 11706
Dietitian, Registered
301 E MAIN ST
BAY SHORE, NY 11706
Anesthesiology
301 E MAIN ST
BAY SHORE, NY 11706
Occupational Therapist
301 E MAIN ST
BAY SHORE, NY 11706
Nurse Anesthetist, Certified Registered
301 E MAIN ST
BAY SHORE, NY 11706
Physician Assistant (Surgical)
301 E MAIN ST
BAY SHORE, NY 11706
Student in an Organized Health Care Education/Training Program
301 E MAIN ST
BAY SHORE, NY 11706
Emergency Medicine
301 E MAIN ST
BAY SHORE, NY 11706

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 Clarissa Castanon's NPI number?

The NPI number for Clarissa Castanon is 1497170070. It was assigned to this individual provider in the NPPES registry on February 19, 2014.

Where is Clarissa Castanon located?

Clarissa Castanon practices at 301 E Main St, Bay Shore, NY 11706. The listed phone number is (631) 968-3000.

What is Clarissa Castanon's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Clarissa Castanon enrolled in Medicare?

Yes. Clarissa Castanon 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 Clarissa Castanon affiliated with any hospitals?

According to CMS data, Clarissa Castanon is affiliated with Ns/Lij Hs Southside Hospital.

When was this NPI record last updated?

The NPPES record for Clarissa Castanon was last updated on August 17, 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.