ADAM R BRUCCOLERI P.A.
NPI 1629381124
Physician Assistant in Staten Island, NY

Active since July 26, 2010PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
475 SEAVIEW AVE, STATEN ISLAND, NY 10305(718) 226-9158(718) 226-6964 Get Directions Write a Review

NPPES record last updated: December 1, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Adam R Bruccoleri P.a. NPPES

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

ADAM R BRUCCOLERI P.A. (NPI 1629381124) is an individual physician assistant in Staten Island, New York, licensed in New York (014091) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with Staten Island University Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1629381124
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameADAM R BRUCCOLERICredential: P.A.
Location Address475 SEAVIEW AVEStaten Island, NY 10305-3436
Mailing Address475 Seaview AveStaten Island, NY 10305-3436 · (718) 226-9158 · Fax (718) 226-6964
Fax(718) 226-6964
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 26, 2010
Last NPPES UpdateDecember 1, 2010
NPI 1629381124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 014091
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
475 SEAVIEW AVE, Staten Island, NY 10305

Other Identifiers 2

Medicaid03277983NY
Medicare PINA400034483NY

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

Adam R Bruccoleri P.a. 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 ID7517152739
PECOS Enrollment IDI20101115000012
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 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.

Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg J7325
Synvisc or Synvisc-One is a treatment involving an injection of a substance called hyaluronan into your joints. This substance, naturally found in the body, helps lubricate and cushion your joints, reducing pain and improving mobility. It's often used for arthritis patients.
3,729 services42 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.
567 services283 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
415 services146 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
288 services107 patients
Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose J7323
Hyaluronan or Euflexxa is a substance similar to a natural substance in your joints. It's injected into the joint space to treat pain from osteoarthritis, especially in the knee. It helps to lubricate the joint, reducing pain and improving mobility.
212 services47 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.
69 services69 patients

Hospital Affiliations CMS Care Compare

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

Staten Island University Hospital

Acute Care Hospitals · Staten Island, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330160
Location475 Seaview AvenueStaten Island, NY 10305 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10305 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.

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.

Physician Assistant (Surgical)
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Emergency Medicine
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Speech-Language Pathologist
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Internal Medicine (Cardiovascular Disease)
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Emergency Medicine
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Anesthesiology
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Occupational Therapist
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Nurse Practitioner (Psychiatric/Mental Health)
475 SEAVIEW AVE
STATEN ISLAND, NY 10305

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 Adam Bruccoleri's NPI number?

The NPI number for Adam Bruccoleri is 1629381124. It was assigned to this individual provider in the NPPES registry on July 26, 2010.

Where is Adam Bruccoleri located?

Adam Bruccoleri practices at 475 Seaview Ave, Staten Island, NY 10305. The listed phone number is (718) 226-9158.

What is Adam Bruccoleri's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Adam Bruccoleri enrolled in Medicare?

Yes. Adam Bruccoleri 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 Adam Bruccoleri affiliated with any hospitals?

According to CMS data, Adam Bruccoleri is affiliated with Staten Island University Hospital.

When was this NPI record last updated?

The NPPES record for Adam Bruccoleri was last updated on December 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.