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DR. ANDREW WACKETT M.D.
NPI 1649215740
Emergency Medicine in Stony Brook, NY

Active since June 20, 2006PECOS Enrolled
UNIVERSITY HOSPITAL, L4, STONY BROOK, NY 11794(631) 444-2499 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Andrew Wackett M.d. NPPES

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

DR. ANDREW WACKETT M.D. (NPI 1649215740) is an individual emergency medicine provider in Stony Brook, New York, licensed in New York (213860) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649215740
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. ANDREW WACKETTCredential: M.D.
Location AddressUNIVERSITY HOSPITAL, L4Stony Brook, NY 11794-0001
Mailing AddressPo Box 1559Stony Brook, NY 11790-0989 · (631) 444-2499
Phone(631) 444-2499
Sole ProprietorNo
Enumeration DateJune 20, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1649215740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 213860
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
UNIVERSITY HOSPITAL, L4, Stony Brook, NY 11794
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Other Identifiers 3

Other7074586NY · Aetna
Other62Q082NY · Empire Bc.bs
Medicaid02108478NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andrew Wackett 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 Reassignment

Medicare enrollment records show Andrew Wackett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stony Brook Emergency Physicians, University Faculty Practice Corporat
1.5 mi
Emergency Medicine
SUNY @ STONY BROOK, UNIVERSITY HOSPITAL, L4, RM 515
Stony Brook, NY 11794
  • Reassigned Medicare billing, New York enrollment
  • 77 clinicians in this Medicare group
NPI 1265487672 (631) 444-2406

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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
194 services193 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
45 services45 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11794 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
$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.

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. CHRISTOPHER CARLEO M.D.
Emergency Medicine
UNIVERSITY HOSPITAL, L4
STONY BROOK, NY 11794
Suffolk County (631) 444-2499
DR. ANDREA LIBUTTI M.D.
Emergency Medicine
UNIVERSITY HOSPITAL, L4
STONY BROOK, NY 11794
Suffolk County (631) 444-2499
DR. FREDERICK SCHIAVONE M.D.
Emergency Medicine
UNIVERSITY HOSPITAL, L4
STONY BROOK, NY 11794
Suffolk County (631) 444-2499
DR. LESTER KALLUS M.D.
Emergency Medicine
UNIVERSITY HOSPITAL, L4
STONY BROOK, NY 11794
Suffolk County (631) 444-2499
DR. ERIKA H NEWTON M.D.
Emergency Medicine
UNIVERSITY HOSPITAL, L4
STONY BROOK, NY 11794
Suffolk County (631) 444-2499
DR. MARK HENRY M.D.
Emergency Medicine
UNIVERSITY HOSPITAL, L4
STONY BROOK, NY 11794
Suffolk County (631) 444-2499
MR. SCOTT MARCHINI P.A.
Physician Assistant
UNIVERSITY HOSPITAL, L4
STONY BROOK, NY 11794
Suffolk County (631) 444-2499
DR. ZENGMIN YAN M.D.
Radiology (Neuroradiology)
UNIVERSITY HOSPITAL, L4
STONY BROOK, NY 11794
Suffolk County (631) 444-6919

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 Andrew Wackett's NPI number?

The NPI number for Andrew Wackett is 1649215740. It was assigned to this individual provider in the NPPES registry on June 20, 2006.

Where is Andrew Wackett located?

Andrew Wackett practices at University Hospital, L4, Stony Brook, NY 11794. The listed phone number is (631) 444-2499.

What is Andrew Wackett's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Andrew Wackett enrolled in Medicare?

Yes. Andrew Wackett is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andrew Wackett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Wackett reassigns Medicare benefits to Stony Brook Emergency Physicians, University Faculty Practice Corporat (Stony Brook, NY). The 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 Andrew Wackett'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 Andrew Wackett was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.