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COLLEEN MCCLOY MD
NPI 1568411387
Surgery in East Setauket, NY

Active since May 09, 2006PECOS EnrolledAccepts Medicare Assignment
99.15/100
CMS Quality Rating
226 N BELLE MEAD RD SUITE C, EAST SETAUKET, NY 11733(631) 751-2280(631) 706-0023 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Colleen Mccloy Md NPPES

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

COLLEEN MCCLOY MD (NPI 1568411387) is an individual surgery provider in East Setauket, New York, licensed in New York (214526) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with John T Mather Memorial Hospital Of Port Jefferson, and is a graduate of University Of Texas Medical School At Houston (1994).

NPPES Registry Identity

NPI1568411387
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameCOLLEEN MCCLOYCredential: MD
Location Address226 N BELLE MEAD RD SUITE CEast Setauket, NY 11733
Mailing Address226 N Belle Mead Rd Suite CEast Setauket, NY 11733 · (631) 751-2280 · Fax (631) 706-0023
Phone(631) 751-2280
Fax(631) 706-0023
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1994
Enumeration DateMay 9, 2006
Last NPPES UpdateFebruary 27, 2023
NPPES CertifiedFebruary 27, 2023
✔ NPI 1568411387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NY · 214526
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
226 N BELLE MEAD RD SUITE C, East Setauket, NY 11733
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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

Colleen Mccloy 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 ID3476577370
PECOS Enrollment IDI20060118000758
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

2

Medicare enrollment records show Colleen Mccloy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Surgery Associates LLC
Same address
Surgery
226 N BELLE MEAD RD, SUITE C
East Setauket, NY 11733
  • Reassigned Medicare billing, New York enrollment
  • 3 clinicians in this Medicare group
NPI 1306048327 (631) 706-0018
North Shore Hematology Oncology Associates PC
2.0 mi
Specialist
49 NESCONSET HWY
Port Jefferson Station, NY 11776
  • Reassigned Medicare billing, New York enrollment
  • 636 clinicians in this Medicare group
NPI 1396794574 (631) 751-3000

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 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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
113 services98 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.
58 services50 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
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.
40 services40 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
17 services12 patients
Removal of gallbladder using an endoscope 47562
This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

John T Mather Memorial Hospital Of Port Jefferson

Acute Care Hospitals · Port Jefferson, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330185
Location75 North Country RoadPort Jefferson, NY 11777 · Suffolk County
Emergency services

St Charles Hospital

Acute Care Hospitals · Port Jefferson, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330246
Location200 Belle Terre RoadPort Jefferson, NY 11777 · Suffolk County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11733 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.

99.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000
DME-Orthotic Devices · category DF000N
2 suppliers15 claims45 services$29.67 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Colleen Mccloy's NPI number?

The NPI number for Colleen Mccloy is 1568411387. It was assigned to this individual provider in the NPPES registry on May 9, 2006.

Where is Colleen Mccloy located?

Colleen Mccloy practices at 226 N Belle Mead Rd Suite C, East Setauket, NY 11733. The listed phone number is (631) 751-2280.

What is Colleen Mccloy's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Colleen Mccloy enrolled in Medicare?

Yes. Colleen Mccloy 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 Colleen Mccloy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Colleen Mccloy reassigns Medicare benefits to 2 organizations: General Surgery Associates LLC (East Setauket, NY) and North Shore Hematology Oncology Associates PC (Port Jefferson Station, NY). 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 Colleen Mccloy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Colleen Mccloy affiliated with any hospitals?

According to CMS data, Colleen Mccloy is affiliated with John T Mather Memorial Hospital Of Port Jefferson and St Charles Hospital.

When was this NPI record last updated?

The NPPES record for Colleen Mccloy was last updated on February 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.