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DR. ANTHONY PAUL SCLAFANI M.D.
NPI 1609836378
Otolaryngology - Otolaryngology/Facial Plastic Surgery in New York, NY

Active since March 25, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1305 YORK AVE, FIFTH FLOOR, WEILL GREENBERG CENTER, NEW YORK, NY 10021(646) 962-2285(646) 962-0100 Get Directions Write a Review

NPPES record last updated: July 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 14, 2023, Jan 25, 2017 (2 updates tracked since 2017).

About Dr. Anthony Paul Sclafani M.d. NPPES

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

DR. ANTHONY PAUL SCLAFANI M.D. (NPI 1609836378) is an individual otolaryngology/facial plastic surgery provider in New York, New York, licensed in New York (184649) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (1989).

NPPES Registry Identity

NPI1609836378
Entity TypeIndividualMale
Primary Taxonomy207YX0905X
Provider Legal NameDR. ANTHONY PAUL SCLAFANICredential: M.D.
Location Address1305 YORK AVE, FIFTH FLOOR, WEILL GREENBERG CENTERNew York, NY 10021-5663
Mailing Address1305 York Ave, Fifth Floor, Weill Greenberg CenterNew York, NY 10021-5663 · (646) 962-2285 · Fax (646) 962-0100
Phone(646) 962-2285
Fax(646) 962-0100
Sole ProprietorYes
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 1989
Enumeration DateMarch 25, 2006
Last NPPES UpdateJuly 14, 20232 updates tracked since enumeration
NPPES CertifiedJuly 14, 2023
✔ NPI 1609836378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
License✔ Licensed in NY · 184649
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
Also ListedSpecialistTaxonomy 174400000X · License 184649 (NY)
1305 YORK AVE, New York, NY 10021
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Other Names 1

Professional Name (2)Dr. Anthony Sclafani M.d.

Other Identifiers 1

Medicaid01672040NY

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. Anthony Paul Sclafani M.d. 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 ID4082694310
PECOS Enrollment IDI20040726000587
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 7

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.
22 services18 patients
Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less 15004
This procedure involves preparing a specific area of your body, such as the face, scalp, neck, or extremities, for a skin graft. A skin graft is a surgical procedure where healthy skin is transferred to an area of the body that has lost skin. This preparation ensures the graft will take hold effectively.
21 services20 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.
18 services14 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.
18 services18 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.
16 services16 patients
Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm 14061
This procedure involves repairing a wound on the eyelids, nose, ears, or lips by transferring skin from another part of the body. The size of the skin transferred will be between 10.1 to 30.0 square centimeters. It is performed to restore function and appearance.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
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.

HEIDI JESSICA KWESTEL
Audiologist
1305 YORK AVE
NEW YORK, NY 10021
New York County (732) 513-9727
ISAAC KLIGMAN M.D.
Obstetrics & Gynecology (Reproductive Endocrinology)
1305 YORK AVE, 6TH FLOOR
NEW YORK, NY 10021
New York County (646) 962-3814
MS. ANNE WEISENBERG M.S. CCC-SLP
Speech-Language Pathologist
1305 YORK AVE
NEW YORK, NY 10021
New York County (646) 962-5359
MINDY WINGHIN LEE M.D.
Internal Medicine (Gastroenterology)
1305 YORK AVE
NEW YORK, NY 10021
New York County (646) 962-4463
DIVY MEHRA DO
Ophthalmology
1305 YORK AVE
NEW YORK, NY 10021
New York County (201) 925-3597
JANETTE LYNN SHELDRICK
Nurse Practitioner (Women's Health)
1305 YORK AVE
NEW YORK, NY 10021
New York County (212) 746-6000
DR. AMANDA CINDY LEUNG MD
Student in an Organized Health Care Education/Training Program
1305 YORK AVE
NEW YORK, NY 10021
New York County (212) 746-3058
ANA GRACIELA ALZAGA FERNANDEZ M.D.
Ophthalmology
1305 YORK AVE, 11TH FLOOR
NEW YORK, NY 10021
New York County (646) 962-2020

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 Anthony Sclafani's NPI number?

The NPI number for Anthony Sclafani is 1609836378. It was assigned to this individual provider in the NPPES registry on March 25, 2006. The provider is also known as Dr. Anthony Sclafani M.D..

Where is Anthony Sclafani located?

Anthony Sclafani practices at 1305 York Ave Fifth Floor, Weill Greenberg Center, New York, NY 10021. The listed phone number is (646) 962-2285.

What is Anthony Sclafani's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Anthony Sclafani enrolled in Medicare?

Yes. Anthony Sclafani 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 Anthony Sclafani affiliated with any hospitals?

According to CMS data, Anthony Sclafani is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Anthony Sclafani was last updated on July 14, 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.