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DR. PETER JULIO BAIOCCO M.D.
NPI 1679539027
Internal Medicine - Gastroenterology in New York, NY

Active since April 25, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 33D0714544 · Waiver
23.58/100
CMS Quality Rating
1317 3RD AVE, SUITE 5, NEW YORK, NY 10021(212) 734-8811(212) 472-5133 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Peter Julio Baiocco M.d. NPPES

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

DR. PETER JULIO BAIOCCO M.D. (NPI 1679539027) is an individual gastroenterology provider in New York, New York, licensed in New York (138746) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through August 31, 2026, and is a graduate of Icahn School Of Medicine At Mount Sinai (1978).

NPPES Registry Identity

NPI1679539027
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. PETER JULIO BAIOCCOCredential: M.D.
Location Address1317 3RD AVE, SUITE 5New York, NY 10021-2995
Mailing Address1317 3rd Ave, Suite 5New York, NY 10021-2995 · (212) 734-8811 · Fax (212) 472-5133
Phone(212) 734-8811
Fax(212) 472-5133
Sole ProprietorYes
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 1978
Enumeration DateApril 25, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1679539027 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 · 138746
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.
1317 3RD AVE, New York, NY 10021
Open in Google Maps ↗

Other Identifiers 7

Other133500991NY · Healthnet
OtherP379271NY · Oxford
Other133500991NY · United Healthcare
Other133500991Cigna
OtherB95521NY · Hip
Medicare UPINB95521NY
Medicare ID-Type Unspecified89A421NY

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

Dr. Peter Julio Baiocco 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 ID9537224506
PECOS Enrollment IDI20090209000383
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0714544

Peter J Baiocco MD · New York, NY
Active · expires Aug 31, 2026
CLIA Number33D0714544
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorPeter J. Baiocco, MD
Laboratory Phone(212) 734-8811
Laboratory LocationPeter J Baiocco MD1317 Third Avenue, New York, NY 10021
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

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.
342 services227 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
289 services219 patients
Stool analysis for blood to screen for colon tumors 82270
A stool analysis for blood is a non-invasive procedure used to check for the presence of hidden blood in your stool. This can be an early sign of colon tumors. The test involves collecting a small sample of stool at home and sending it to a lab for analysis.
145 services145 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.
140 services133 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
114 services111 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.
59 services58 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

23.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost78.6

Reported Quality Measures

Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients
Percentage of patients aged 50 to 75 years of age receiving a screening colonoscopy without biopsy or polypectomy who had a recommended follow-up interval of at least 10 years for repeat colonoscopy documented in their colonoscopy report
80%141 patients
Appropriate indication for colonoscopy
Percentage of colonoscopy procedures performed for an indication that is included in a published standard list of appropriate indications and the indication is documented
91%497 patients4/55-star benchmark: 99%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MISS PUJA AKSHAY KOTHARI P.T.
Physical Therapist
1317 3RD AVE, 6TH FLOOR
NEW YORK, NY 10021
New York County (212) 288-2242
DR. ERIC HOWARD MORGENSTERN M.D.
Specialist
1317 3RD AVE, 7TH FLOOR
NEW YORK, NY 10021
New York County (212) 570-2075
1317 MEDICAL, P.C.
Anesthesiology
1317 3RD AVE, 7TH FLOOR
NEW YORK, NY 10021
New York County (212) 794-0240
THIRD AVENUE GASTROENTEROLOGY, P.C.
Clinic/Center (Endoscopy)
1317 3RD AVE, 9TH FLOOR
NEW YORK, NY 10021
New York County (212) 794-0240
DR. EMANUELA FRANCESCA CORIELLI D.D.S.
Dentist (Pediatric Dentistry)
1317 3RD AVE, 10TH FLOOR
NEW YORK, NY 10021
New York County (212) 355-7760
DR. PETER S. KIM M.D.
Internal Medicine (Gastroenterology)
1317 3RD AVE, 7TH FLOOR
NEW YORK, NY 10021
New York County (212) 570-2075
JULIE FOONT M.D.
Internal Medicine (Gastroenterology)
1317 3RD AVE
NEW YORK, NY 10021
New York County (212) 570-2075
EMANUELA CORIELLI DDS, PC
Dentist (Pediatric Dentistry)
1317 3RD AVE, FL. 10
NEW YORK, NY 10021
New York County (212) 355-7760

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 Peter Baiocco's NPI number?

The NPI number for Peter Baiocco is 1679539027. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Peter Baiocco located?

Peter Baiocco practices at 1317 3rd Ave Suite 5, New York, NY 10021. The listed phone number is (212) 734-8811.

What is Peter Baiocco's specialty?

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

Is Peter Baiocco enrolled in Medicare?

Yes. Peter Baiocco 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.

Does Peter Baiocco hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0714544) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Peter Baiocco was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.