JESSICA PETCHONKA PA-C
NPI 1518360536
Physician Assistant in Manorville, NY

Active since October 04, 2014PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
496 COUNTY ROAD 111, BUILDING B, MANORVILLE, NY 11949(631) 405-3200(631) 395-6010 Get Directions Write a Review

NPPES record last updated: June 1, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 1, 2020, Sep 1, 2016 (2 updates tracked since 2016).

About Jessica Petchonka Pa-c NPPES

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

JESSICA PETCHONKA PA-C (NPI 1518360536) is an individual physician assistant in Manorville, New York, licensed in New York (018131) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Miller Place, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1518360536
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJESSICA PETCHONKACredential: PA-C
Location Address496 COUNTY ROAD 111, BUILDING BManorville, NY 11949-3383
Mailing Address185 Old Country Rd, Suite 2Riverhead, NY 11901-2121 · (631) 645-7017
Fax(631) 395-6010
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 4, 2014
Last NPPES UpdateJune 1, 20202 updates tracked since enumeration
NPPES CertifiedJune 1, 2020
NPI 1518360536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 018131
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

496 COUNTY ROAD 111, Manorville, NY 11949

Secondary Practice Location 1

Location 1148 Natures LnMiller Place, NY 11764-3137 · Phone (631) 636-6888 · Fax (631) 209-5129

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

Jessica Petchonka Pa-c 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 ID3779894126
PECOS Enrollment IDI20150625002111
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 10

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.
96 services95 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.
76 services76 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
50 services50 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
35 services33 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
27 services25 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
27 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11949 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
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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

Other Providers at the Same Location NPPES 9

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

Pharmacy
496 COUNTY ROAD 111, BUILDING C
MANORVILLE, NY 11949
Physician Assistant
496 COUNTY ROAD 111, BUILDING B
MANORVILLE, NY 11949
Internal Medicine
496 COUNTY ROAD 111, BUILDING B
MANORVILLE, NY 11949
Pediatrics
496 COUNTY ROAD 111, BLDG B
MANORVILLE, NY 11949
Physician Assistant (Medical)
496 COUNTY ROAD 111, BUILDING B
MANORVILLE, NY 11949
Radiology (Diagnostic Radiology)
496 COUNTY ROAD 111, BUILDING F
MANORVILLE, NY 11949
Neurological Surgery
496 COUNTY ROAD 111, BUILDING D
MANORVILLE, NY 11949
Dentist (General Practice)
496 COUNTY ROAD 111, BUILDING F
MANORVILLE, NY 11949

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 Jessica Petchonka's NPI number?

The NPI number for Jessica Petchonka is 1518360536. It was assigned to this individual provider in the NPPES registry on October 4, 2014.

Where is Jessica Petchonka located?

Jessica Petchonka practices at 496 County Road 111 Building B, Manorville, NY 11949. The listed phone number is (631) 405-3200.

What is Jessica Petchonka's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jessica Petchonka enrolled in Medicare?

Yes. Jessica Petchonka 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.

When was this NPI record last updated?

The NPPES record for Jessica Petchonka was last updated on June 1, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.