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EDWARD J KORMYLO DPM
NPI 1568436392
Podiatrist - Foot Surgery in Patchogue, NY

Active since February 16, 2006PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
33 MEDFORD AVE STE D, PATCHOGUE, NY 11772(631) 687-4190(631) 687-4199 Get Directions Write a Review

NPPES record last updated: October 28, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Edward J Kormylo Dpm NPPES

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

EDWARD J KORMYLO DPM (NPI 1568436392) is an individual foot surgery provider in Patchogue, New York, licensed in New York (N003100) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Long Island Community Hospital, and is a graduate of New York College Of Podiatric Medicine (1980).

NPPES Registry Identity

NPI1568436392
Entity TypeIndividualMale
Primary Taxonomy213ES0131X
Provider Legal NameEDWARD J KORMYLOCredential: DPM
Location Address33 MEDFORD AVE STE DPatchogue, NY 11772-1222
Mailing Address14 Wall St Fl 9New York, NY 10005-2178
Phone(631) 687-4190
Fax(631) 687-4199
Sole ProprietorYes
Medical School CMSNew York College Of Podiatric MedicineGraduated 1980
Enumeration DateFebruary 16, 2006
Last NPPES UpdateOctober 28, 2022
NPPES CertifiedOctober 28, 2022
✔ NPI 1568436392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License✔ Licensed in NY · N003100
33 MEDFORD AVE STE D, Patchogue, NY 11772
Open in Google Maps ↗

Other Identifiers 2

Other480015120NY · Medicare Railroad
Medicaid00588743NY

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

Edward J Kormylo Dpm 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 ID2466582325
PECOS Enrollment IDI20100621000047
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 Edward Kormylo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Brookhaven Memorial Hospital Medical Center, Inc.
Same address
General Acute Care Hospital
33 MEDFORD AVENUE, SUITE D
Patchogue, NY 11772
  • Reassigned Medicare billing, New York enrollment
  • 89 clinicians in this Medicare group
NPI 1508003716 (631) 687-4190
East Patchogue Podiatry P.C.
1.9 mi
Podiatrist
285 SILLS RD, BLDG 5-6 #H
East Patchogue, NY 11772
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: East Patchogue Podiatry PC
  • 7 clinicians in this Medicare group
NPI 1871775726 (631) 654-5566
New York University
1,060 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 2,450 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 12

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.

Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
816 services135 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.
568 services148 patients
Strapping, unna boot 29580
An Unna Boot is a special bandage, soaked in a gel, wrapped around your lower leg and foot. It helps heal leg sores, improve circulation, and reduce swelling. The boot hardens and provides compression, promoting healing and comfort.
284 services45 patients
Removal of skin and tissue, each additional 20.0 sq cm or less 11045
This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.
257 services26 patients
Management of oxygen chamber therapy 99183
Oxygen chamber therapy involves breathing pure oxygen in a pressurized room or tube. It's used to treat various conditions like wounds that won't heal due to diabetes or radiation injury. In this therapy, your body's tissues get more oxygen to promote healing and fight infection.
167 services11 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.
73 services73 patients

Hospital Affiliations CMS Care Compare 2

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

Long Island Community Hospital

Acute Care Hospitals · Patchogue, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330141
Location101 Hospital RoadPatchogue, NY 11772 · Suffolk County
Emergency services

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

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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Referred Medical Equipment & Supplies CMS DME claims 12

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

Tape, non-waterproof, per 18 square inches A4450
DME-Medical/Surgical Supplies · category DA000N
2 suppliers29 claims2,160 services$0.10 avg. paid by Medicare
Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
3 suppliers73 claims3,710 services$0.32 avg. paid by Medicare
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6216
DME-Medical/Surgical Supplies · category DA023N
2 suppliers14 claims1,020 services$0.04 avg. paid by Medicare
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6222
DME-Medical/Surgical Supplies · category DA023N
2 suppliers15 claims495 services$2.06 avg. paid by Medicare
Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing A6252
DME-Medical/Surgical Supplies · category DA023N
2 suppliers41 claims1,087 services$2.89 avg. paid by Medicare
Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard A6266
DME-Medical/Surgical Supplies · category DA023N
3 suppliers20 claims2,581 services$1.69 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 Edward Kormylo's NPI number?

The NPI number for Edward Kormylo is 1568436392. It was assigned to this individual provider in the NPPES registry on February 16, 2006.

Where is Edward Kormylo located?

Edward Kormylo practices at 33 Medford Ave Ste D, Patchogue, NY 11772. The listed phone number is (631) 687-4190.

What is Edward Kormylo's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Is Edward Kormylo enrolled in Medicare?

Yes. Edward Kormylo 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 Edward Kormylo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Kormylo reassigns Medicare benefits to 3 organizations: Brookhaven Memorial Hospital Medical Center, Inc. (Patchogue, NY), East Patchogue Podiatry P.C. (East Patchogue, NY) 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 Edward Kormylo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Edward Kormylo affiliated with any hospitals?

According to CMS data, Edward Kormylo is affiliated with Long Island Community Hospital and Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Edward Kormylo was last updated on October 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.