DR. KIMBERLY HSU MD
NPI 1497382287
Family Medicine in Mattituck, NY

Active since March 24, 2020PECOS EnrolledAccepts Medicare Assignment
98.52/100
CMS Quality Rating
10095 MAIN RD, MATTITUCK, NY 11952(934) 213-4499(631) 298-4852 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 11, 2024, Mar 25, 2020 (2 updates tracked since 2020).

About Dr. Kimberly Hsu Md NPPES

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

DR. KIMBERLY HSU MD (NPI 1497382287) is an individual family medicine provider in Mattituck, New York, licensed in New York (325154-01) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1497382287
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KIMBERLY HSUCredential: MD
Location Address10095 MAIN RDMattituck, NY 11952-1658
Mailing Address10095 Main RdMattituck, NY 11952-1658 · (201) 965-3246
Fax(631) 298-4852
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 24, 2020
Last NPPES UpdateJuly 11, 20242 updates tracked since enumeration
NPPES CertifiedJuly 11, 2024
NPI 1497382287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 325154-01
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
10095 MAIN RD, Mattituck, NY 11952

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. Kimberly Hsu 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 ID4789001157
PECOS Enrollment IDI20231019002618
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 8

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 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.
112 services62 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.
103 services59 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
64 services64 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
57 services57 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
24 services24 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
22 services22 patients

Hospital Affiliations CMS Care Compare

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

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 11952 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
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

Other Providers at the Same Location NPPES 4

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

Pharmacist
10095 MAIN RD
MATTITUCK, NY 11952
Durable Medical Equipment & Medical Supplies
10095 MAIN RD
MATTITUCK, NY 11952
Pharmacist
10095 MAIN RD
MATTITUCK, NY 11952
Physical Medicine & Rehabilitation
10095 MAIN RD
MATTITUCK, NY 11952

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 Kimberly Hsu's NPI number?

The NPI number for Kimberly Hsu is 1497382287. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Where is Kimberly Hsu located?

Kimberly Hsu practices at 10095 Main Rd, Mattituck, NY 11952. The listed phone number is (934) 213-4499.

What is Kimberly Hsu's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kimberly Hsu enrolled in Medicare?

Yes. Kimberly Hsu 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 Kimberly Hsu affiliated with any hospitals?

According to CMS data, Kimberly Hsu is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Kimberly Hsu was last updated on July 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.