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MELANIE ANN VAN SISE M.D.
NPI 1629392121
Obstetrics & Gynecology - Hospice and Palliative Medicine in Setauket, NY

Active since March 26, 2010PECOS EnrolledAccepts Medicare Assignment
98.52/100
CMS Quality Rating
200 MAIN ST, SUITE 2, SETAUKET, NY 11733(631) 751-9595(631) 751-2322 Get Directions Write a Review

NPPES record last updated: July 3, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 3, 2018, Oct 31, 2016 (2 updates tracked since 2016).

About Melanie Ann Van Sise M.d. NPPES

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

MELANIE ANN VAN SISE M.D. (NPI 1629392121) is an individual hospice and palliative medicine provider in Setauket, New York, licensed in New York (274136) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS, is affiliated with John T Mather Memorial Hospital Of Port Jefferson, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1629392121
Entity TypeIndividualFemale
Primary Taxonomy207VH0002X
Provider Legal NameMELANIE ANN VAN SISECredential: M.D.
Location Address200 MAIN ST, SUITE 2Setauket, NY 11733
Mailing Address45 Research Way Ste 105East Setauket, NY 11733-6401 · (631) 675-2125 · Fax (631) 675-2624
Phone(631) 751-9595
Fax(631) 751-2322
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMarch 26, 2010
Last NPPES UpdateJuly 3, 20182 updates tracked since enumeration
✔ NPI 1629392121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VH0002X
License✔ Licensed in NY · 274136
Definition
An obstetrician/gynecologist with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
200 MAIN ST, Setauket, NY 11733
Open in Google Maps ↗

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

Melanie Ann Van Sise 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 ID7810296571
PECOS Enrollment IDI20160502000173
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 5

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
48 services48 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
38 services38 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.
31 services26 patients
Complete ultrasound scan of pelvis 76856
A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.
21 services18 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
19 services17 patients

Hospital Affiliations CMS Care Compare 3

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

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

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330286
Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County
Emergency services Birthing friendly

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 11733 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
$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.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

DR. RICHARD LAWRENCE MILLER M.D.
Dermatology
200 MAIN ST, SUITE 5
SETAUKET, NY 11733
Suffolk County (631) 751-7070
DR. MEGAN LOCHNER M.D.
Obstetrics & Gynecology
200 MAIN ST, SUITE2
SETAUKET, NY 11733
Suffolk County (631) 751-9595
DR. IRWIN L. SCHWARTZ M.D.
Pediatrics (Adolescent Medicine)
200 MAIN ST, SUITE 6
SETAUKET, NY 11733
Suffolk County (631) 751-7676
BRIAN M OKEEFE DMD
Dentist (General Practice)
200 MAIN ST
EAST SETAUKET, NY 11733
Suffolk County (631) 751-3993
IRWIN L. SCHWARTZ, MD, PC
Pediatrics (Adolescent Medicine)
200 MAIN ST, SUITE 6
SETAUKET, NY 11733
Suffolk County (631) 751-7676
RICHARD L MILLER M.D.P.C..
Dermatology
200 MAIN ST, SUITE 5
SETAUKET, NY 11733
Suffolk County (631) 751-7070
SUSAN FISH N.P.
Obstetrics & Gynecology
200 MAIN ST, SUITE 2
SETAUKET, NY 11733
Suffolk County (631) 751-9595
DR. TANYA ROTH ADAMS DO
Family Medicine
200 MAIN ST, SUITE 5
SETAUKET, NY 11733
Suffolk County (631) 941-4480

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 Melanie Van Sise's NPI number?

The NPI number for Melanie Van Sise is 1629392121. It was assigned to this individual provider in the NPPES registry on March 26, 2010.

Where is Melanie Van Sise located?

Melanie Van Sise practices at 200 Main St Suite 2, Setauket, NY 11733. The listed phone number is (631) 751-9595.

What is Melanie Van Sise's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Hospice and Palliative Medicine, with taxonomy code 207VH0002X.

Is Melanie Van Sise enrolled in Medicare?

Yes. Melanie Van Sise 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 Melanie Van Sise affiliated with any hospitals?

According to CMS data, Melanie Van Sise is affiliated with John T Mather Memorial Hospital Of Port Jefferson, Good Samaritan Hospital Medical Center and Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Melanie Van Sise was last updated on July 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.