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KRISTEN ANNE SANTOS DO
NPI 1558328047
Internal Medicine in Troy, NY

Active since April 27, 2006PECOS EnrolledAccepts Medicare Assignment
1401 MASSACHUSETTS AVE, TROY, NY 12180(518) 268-5242(518) 268-5480 Get Directions Write a Review

NPPES record last updated: May 11, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Kristen Anne Santos Do NPPES

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

KRISTEN ANNE SANTOS DO (NPI 1558328047) is an individual internal medicine provider in Troy, New York, licensed in New York (208049) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with St Peter's Hospital, and is a graduate of University Of New England, College Of Osteo Medicine (1994).

NPPES Registry Identity

NPI1558328047
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKRISTEN ANNE SANTOSCredential: DO
Location Address1401 MASSACHUSETTS AVETroy, NY 12180-1621
Mailing AddressPo Box 14890Albany, NY 12212-4890 · (518) 525-5634
Phone(518) 268-5242
Fax(518) 268-5480
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 1994
Enumeration DateApril 27, 2006
Last NPPES UpdateMay 11, 2021
NPPES CertifiedMay 11, 2021
✔ NPI 1558328047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 208049
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1401 MASSACHUSETTS AVE, Troy, NY 12180
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Other Identifiers 1

Medicaid01777742NY

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

Kristen Anne Santos Do 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 ID5991820698
PECOS Enrollment IDI20100918000100
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 6

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 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.
338 services210 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.
210 services210 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.
57 services52 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
25 services25 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
17 services15 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
13 services12 patients

Hospital Affiliations CMS Care Compare 2

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

St Peter's Hospital

Acute Care Hospitals · Albany, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330057
Location315 South Manning BoulevardAlbany, NY 12208 · Albany County
Emergency services Birthing friendly

Samaritan Hospital Of Troy, New York

Acute Care Hospitals · Troy, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330180
Location2215 Burdett AvenueTroy, NY 12180 · Rensselaer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12180 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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
24 suppliers82 claims174 services$5.94 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
4 suppliers14 claims14 services$2.95 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
16 suppliers43 claims48 services$1.06 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers23 claims23 services$32.03 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$11.59 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
2 suppliers16 claims16 services$60.68 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 10

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

ERICKA MAE MATZEN FNP
Nurse Practitioner (Family)
1401 MASSACHUSETTS AVE
TROY, NY 12180
Rensselaer County (518) 268-6265
CHARLES M SULZMAN MD
Internal Medicine
1401 MASSACHUSETTS AVE
TROY, NY 12180
Rensselaer County (518) 268-5242
DARLENE HOFFMAN FNP
Nurse Practitioner (Family)
1401 MASSACHUSETTS AVE
TROY, NY 12180
Rensselaer County (518) 268-5242
JESSICA MARINO MD
Family Medicine
1401 MASSACHUSETTS AVE
TROY, NY 12180
Rensselaer County (518) 268-5242
COURTNEY MARIE FALCONER NP
Nurse Practitioner (Adult Health)
1401 MASSACHUSETTS AVE, TROY INTERNAL MEDICINE
TROY, NY 12180
Rensselaer County (518) 268-5242
DR. PETER R MAGGIORE MD
Internal Medicine
1401 MASSACHUSETTS AVE
TROY, NY 12180
Rensselaer County (518) 268-5242
ST. MARY'S WOODLAND VILLAGE
Home Health
1401 MASSACHUSETTS AVE
TROY, NY 12180
Rensselaer County (518) 268-6263
ELIZABETH LOCCISANO FNP
Nurse Practitioner (Family)
1401 MASSACHUSETTS AVE
TROY, NY 12180
Rensselaer County (518) 268-5242

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 Kristen Santos's NPI number?

The NPI number for Kristen Santos is 1558328047. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Kristen Santos located?

Kristen Santos practices at 1401 Massachusetts Ave, Troy, NY 12180. The listed phone number is (518) 268-5242.

What is Kristen Santos's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kristen Santos enrolled in Medicare?

Yes. Kristen Santos 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 Kristen Santos affiliated with any hospitals?

According to CMS data, Kristen Santos is affiliated with St Peter's Hospital and Samaritan Hospital Of Troy, New York.

When was this NPI record last updated?

The NPPES record for Kristen Santos was last updated on May 11, 2021. 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.