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DR. GERARD J CUSA M.D.
NPI 1619017910
Internal Medicine - Gastroenterology in Hicksville, NY

Active since February 07, 2007PECOS Enrolled
91.25/100
CMS Quality Rating
400 S OYSTER BAY RD, SUITE 302, HICKSVILLE, NY 11801(516) 939-0164(516) 939-0165 Get Directions Write a Review

NPPES record last updated: October 12, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Gerard J Cusa M.d. NPPES

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

DR. GERARD J CUSA M.D. (NPI 1619017910) is an individual gastroenterology provider in Hicksville, New York, licensed in New York (156842) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619017910
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. GERARD J CUSACredential: M.D.
Location Address400 S OYSTER BAY RD, SUITE 302Hicksville, NY 11801-3500
Mailing Address400 S Oyster Bay Rd, Suite 302Hicksville, NY 11801-3500 · (516) 939-0164 · Fax (516) 939-0165
Phone(516) 939-0164
Fax(516) 939-0165
Sole ProprietorYes
Enumeration DateFebruary 7, 2007
Last NPPES UpdateOctober 12, 2015
✔ NPI 1619017910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NY · 156842
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
400 S OYSTER BAY RD, Hicksville, NY 11801
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINA65081NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gerard J Cusa M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Gerard Cusa reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Provider Profile
1.9 mi
Gastroenterology
175 JERICHO TPKE, SUITE 106
Syosset, NY 11791
  • Reassigned Medicare billing, New York enrollment
NPI 1881784239 (516) 496-1060
North Shore-Lij Medical PC
11 mi
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1053688572 (516) 321-7400
Ismail Ozcan MD PC
21 mi
Family Medicine
95 CHURCH ST
Lake Ronkonkoma, NY 11779
  • Reassigned Medicare billing, New York enrollment
  • 6 clinicians in this Medicare group
NPI 1518082080 (631) 588-6665

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 4

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 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.
68 services61 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.
18 services18 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
13 services13 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11801 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
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.

AG CHILD AND ADULT PSYCHOLOGY, P.C.
Psychologist (Clinical)
400 S OYSTER BAY RD, STE 204
HICKSVILLE, NY 11801
Nassau County (516) 818-8383
BOBBI LYNN OCONNOR
Speech-Language Pathologist
400 S OYSTER BAY RD
HICKSVILLE, NY 11801
Nassau County (631) 240-3579
DR. ROSS HARTMAN DPM
Podiatrist (Foot Surgery)
400 S OYSTER BAY RD, SUITE 205
HICKSVILLE, NY 11801
Nassau County (516) 822-3338
CASSANDRA TAN MA
Speech-Language Pathologist
400 S OYSTER BAY RD
HICKSVILLE, NY 11801
Nassau County (631) 240-3579
GERARD J. CUSA M.D., PLLC
Internal Medicine (Gastroenterology)
400 S OYSTER BAY RD, SUITE 302
HICKSVILLE, NY 11801
Nassau County (516) 939-0164
DR. GAIL GOODMAN KADEN MD
Pediatrics
400 S OYSTER BAY RD, SUITE 207
HICKSVILLE, NY 11801
Nassau County (516) 822-1400
LYNN JOHNSON RNC, MS, OGNP
Nurse Practitioner (Obstetrics & Gynecology)
400 S OYSTER BAY RD, SUITE 106
HICKSVILLE, NY 11801
Nassau County (516) 937-3881
MRS. ESTELLE HELENE RAUCH LCSW
Counselor (Mental Health)
400 S OYSTER BAY RD, 208
HICKSVILLE, NY 11801
Nassau County (516) 473-8353

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 Gerard Cusa's NPI number?

The NPI number for Gerard Cusa is 1619017910. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Where is Gerard Cusa located?

Gerard Cusa practices at 400 S Oyster Bay Rd Suite 302, Hicksville, NY 11801. The listed phone number is (516) 939-0164.

What is Gerard Cusa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Gerard Cusa enrolled in Medicare?

Yes. Gerard Cusa is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Gerard Cusa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gerard Cusa reassigns Medicare benefits to 3 organizations: (Syosset, NY), North Shore-Lij Medical PC (Great Neck, NY) and Ismail Ozcan MD PC (Lake Ronkonkoma, 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 Gerard Cusa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gerard Cusa was last updated on October 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.