DR. MELISSA ANN CUSUMANO DO
NPI 1568633147
Emergency Medicine in Plainview, NY

Active since March 21, 2008PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
888 OLD COUNTRY RD, PLAINVIEW, NY 11803(516) 719-0012 Get Directions Write a Review

NPPES record last updated: March 21, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Melissa Ann Cusumano Do NPPES

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

DR. MELISSA ANN CUSUMANO DO (NPI 1568633147) is an individual emergency medicine provider in Plainview, New York, licensed in New York (240976) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2004).

NPPES Registry Identity

NPI1568633147
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. MELISSA ANN CUSUMANOCredential: DO
Location Address888 OLD COUNTRY RDPlainview, NY 11803-4914
Mailing Address352 Archer StFreeport, NY 11520-4233 · (516) 770-6574 · Fax (516) 771-9818
Sole ProprietorYes
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2004
Enumeration DateMarch 21, 2008
NPI 1568633147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in NY · 240976
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
888 OLD COUNTRY RD, Plainview, NY 11803

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

Dr. Melissa Ann Cusumano 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 ID2062588270
PECOS Enrollment IDI20080911000225
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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
254 services242 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
162 services159 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
22 services22 patients

Hospital Affiliations CMS Care Compare 5

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Northwell Hospital Glen Cove

Acute Care Hospitals · Glen Cove, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330181
Location101 St Andrews LaneGlen Cove, NY 11542 · Nassau County
Emergency services

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

Plainview Hospital

Acute Care Hospitals · Plainview, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330331
Location888 Old Country RoadPlainview, NY 11803 · Nassau 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11803 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
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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 20

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

Hospitalist
888 OLD COUNTRY RD
PLAINVIEW, NY 11803
General Acute Care Hospital
888 OLD COUNTRY RD
PLAINVIEW, NY 11803
Student in an Organized Health Care Education/Training Program
888 OLD COUNTRY RD
PLAINVIEW, NY 11803
Physician Assistant (Surgical)
888 OLD COUNTRY RD
PLAINVIEW, NY 11803
Student in an Organized Health Care Education/Training Program
888 OLD COUNTRY RD
PLAINVIEW, NY 11803
Dietitian, Registered
888 OLD COUNTRY RD
PLAINVIEW, NY 11803
Podiatrist (Foot & Ankle Surgery)
888 OLD COUNTRY RD
PLAINVIEW, NY 11803
Student in an Organized Health Care Education/Training Program
888 OLD COUNTRY RD
PLAINVIEW, NY 11803

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 Melissa Cusumano's NPI number?

The NPI number for Melissa Cusumano is 1568633147. It was assigned to this individual provider in the NPPES registry on March 21, 2008.

Where is Melissa Cusumano located?

Melissa Cusumano practices at 888 Old Country Rd, Plainview, NY 11803. The listed phone number is (516) 719-0012.

What is Melissa Cusumano's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Melissa Cusumano enrolled in Medicare?

Yes. Melissa Cusumano 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 Melissa Cusumano affiliated with any hospitals?

According to CMS data, Melissa Cusumano is affiliated with North Shore University Hospital, Northwell Hospital Glen Cove, John T Mather Memorial Hospital Of Port Jefferson, Plainview Hospital and Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Melissa Cusumano was last updated on March 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.