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NICHOLAS A SGAGLIONE MD
NPI 1639126345
Orthopaedic Surgery in Great Neck, NY

Active since May 28, 2006PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
611 NORTHERN BLVD, STE 200, GREAT NECK, NY 11021(516) 723-2663(516) 325-7190 Get Directions Write a Review

NPPES record last updated: August 2, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Nicholas A Sgaglione Md NPPES

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

NICHOLAS A SGAGLIONE MD (NPI 1639126345) is an individual orthopaedic surgery provider in Great Neck, New York, licensed in New York (158810) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Icahn School Of Medicine At Mount Sinai (1983).

NPPES Registry Identity

NPI1639126345
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameNICHOLAS A SGAGLIONECredential: MD
Location Address611 NORTHERN BLVD, STE 200Great Neck, NY 11021-5207
Mailing AddressPo Box 5200Manhasset, NY 11030-5200 · (516) 723-2663 · Fax (516) 325-7190
Phone(516) 723-2663
Fax(516) 325-7190
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 1983
Enumeration DateMay 28, 2006
Last NPPES UpdateAugust 2, 2012
✔ NPI 1639126345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in NY · 158810
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
611 NORTHERN BLVD, Great Neck, NY 11021
Open in Google Maps ↗

Other Identifiers 4

Other200008044NY · Medicare Id
Medicare UPINE17633NY
OtherAS1134Oxford
Medicare PIN217461NY

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

Nicholas A Sgaglione Md 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 ID5799748935
PECOS Enrollment IDI20041109001239
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 10

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.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
188 services41 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.
115 services96 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
66 services59 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
64 services62 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
62 services54 patients
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.
58 services54 patients

Hospital Affiliations CMS Care Compare 2

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

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11021 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.

DR. ROHIT BINOD VERMA MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
611 NORTHERN BLVD, SUITE 200
GREAT NECK, NY 11021
Nassau County (516) 723-2663
JAU-ANN TSAI MD
Radiology (Diagnostic Radiology)
611 NORTHERN BLVD
GREAT NECK, NY 11021
Nassau County (516) 233-3456
RICHARD T MILLER DMD PC
Dentist
611 NORTHERN BLVD
GREAT NECK, NY 11021
Nassau County (516) 708-4019
ERICA COLLIGAN M.D.
Psychiatry & Neurology (Neurology)
611 NORTHERN BLVD, SUITE 150
GREAT NECK, NY 11021
Nassau County (516) 325-7000
CHANTAL GANCI FNP
Nurse Practitioner (Family)
611 NORTHERN BLVD
GREAT NECK, NY 11021
Nassau County (516) 723-2663
DR. ARIEL TENNY GOLDMAN M.D.
Orthopaedic Surgery
611 NORTHERN BLVD, SUITE 200
GREAT NECK, NY 11021
Nassau County (516) 723-2663
PUTTACHAT P TAYLOR NP
Nurse Practitioner (Adult Health)
611 NORTHERN BLVD
GREAT NECK, NY 11021
Nassau County (516) 570-4400
LAKSHMI NAIR NP
Nurse Practitioner (Acute Care)
611 NORTHERN BLVD
GREAT NECK, NY 11021
Nassau County (516) 325-7000

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 Nicholas Sgaglione's NPI number?

The NPI number for Nicholas Sgaglione is 1639126345. It was assigned to this individual provider in the NPPES registry on May 28, 2006.

Where is Nicholas Sgaglione located?

Nicholas Sgaglione practices at 611 Northern Blvd Ste 200, Great Neck, NY 11021. The listed phone number is (516) 723-2663.

What is Nicholas Sgaglione's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Nicholas Sgaglione enrolled in Medicare?

Yes. Nicholas Sgaglione 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 Nicholas Sgaglione affiliated with any hospitals?

According to CMS data, Nicholas Sgaglione is affiliated with North Shore University Hospital and Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for Nicholas Sgaglione was last updated on August 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.