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JOSE RICARDO MCFALINE FIGUEROA MD, PHD
NPI 1558708784
Psychiatry & Neurology - Neurology in New York, NY

Active since May 29, 2013PECOS EnrolledAccepts Medicare Assignment
530 1ST AVE STE 10W, NEW YORK, NY 10016(212) 731-6267(646) 754-9696 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jose Ricardo Mcfaline Figueroa Md, Phd NPPES

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

JOSE RICARDO MCFALINE FIGUEROA MD, PHD (NPI 1558708784) is an individual neurology provider in New York, New York, licensed in New York (327520) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1558708784
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameJOSE RICARDO MCFALINE FIGUEROACredential: MD, PHD
Location Address530 1ST AVE STE 10WNew York, NY 10016-6402
Mailing Address530 1st Ave Ste 10wNew York, NY 10016-6402 · (212) 731-6267 · Fax (646) 754-9696
Phone(212) 731-6267
Fax(646) 754-9696
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 29, 2013
Last NPPES UpdateOctober 28, 2025
NPPES CertifiedOctober 28, 2025
✔ NPI 1558708784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in NY · 327520
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
530 1ST AVE STE 10W, New York, NY 10016
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jose Ricardo Mcfaline Figueroa Md, Phd 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 ID5092942169
PECOS Enrollment IDI20240823000192
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Jose Mcfaline Figueroa reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Brigham & Womens Physicians Organization Inc
185 mi
Internal Medicine
75 FRANCIS ST
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • 4,574 clinicians in this Medicare group
NPI 1033535497 (617) 732-5500
Dana-Farber Cancer Institute, Inc.
185 mi
General Acute Care Hospital
450 BROOKLINE AVE
Boston, MA 02215
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,026 clinicians in this Medicare group
NPI 1851333686 (617) 632-3000
New York University
1,039 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
31 services31 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
15 services11 patients

Hospital Affiliations CMS Care Compare

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

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 2

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

Temozolomide, oral, 5 mg J8700
Treatment-Treatment - Miscellaneous · category RX000N
1 supplier17 claims859 services$0.59 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier12 claims12 services$12.75 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 3

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

DR. NEIL LAWRENCE SIELSKI MD
Psychiatry & Neurology (Neurology)
530 1ST AVE STE 10W
NEW YORK, NY 10016
New York County (212) 731-6267
EMILY VICTORIA BYRNE NP
Nurse Practitioner (Pediatrics)
530 1ST AVE STE 10W
NEW YORK, NY 10016
New York County (212) 263-7391
DR. JUN TASHIRO M.D., M.P.H.
Surgery (Pediatric Surgery)
530 1ST AVE STE 10W
NEW YORK, NY 10016
New York County (212) 263-7391

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 Jose Mcfaline Figueroa's NPI number?

The NPI number for Jose Mcfaline Figueroa is 1558708784. It was assigned to this individual provider in the NPPES registry on May 29, 2013.

Where is Jose Mcfaline Figueroa located?

Jose Mcfaline Figueroa practices at 530 1st Ave Ste 10W, New York, NY 10016. The listed phone number is (212) 731-6267.

What is Jose Mcfaline Figueroa's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Jose Mcfaline Figueroa enrolled in Medicare?

Yes. Jose Mcfaline Figueroa 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.

Which organizations bill Medicare for Jose Mcfaline Figueroa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Mcfaline Figueroa reassigns Medicare benefits to 3 organizations: Brigham & Womens Physicians Organization Inc (Boston, MA), Dana-Farber Cancer Institute, Inc. (Boston, MA) and New York University (Boynton Beach, FL). Each 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 Jose Mcfaline Figueroa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jose Mcfaline Figueroa accept?

Health plans from Taro Health list Jose Mcfaline Figueroa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jose Mcfaline Figueroa affiliated with any hospitals?

According to CMS data, Jose Mcfaline Figueroa is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Jose Mcfaline Figueroa was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.