Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. STACEY F. BRISMAN M.D.
NPI 1679720825
Dermatology in Great Neck, NY

Active since August 19, 2008PECOS Enrolled
75/100
CMS Quality Rating
1000 NORTHERN BLVD STE 140, GREAT NECK, NY 11021(516) 846-3300(516) 846-3305 Get Directions Write a Review

NPPES record last updated: October 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 30, 2026, Aug 20, 2019, Apr 22, 2019 (3 updates tracked since 2019).

About Dr. Stacey F. Brisman M.d. NPPES

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

DR. STACEY F. BRISMAN M.D. (NPI 1679720825) is an individual dermatology provider in Great Neck, New York, licensed in New York (2395481) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Emory University School Of Medicine (2000).

NPPES Registry Identity

NPI1679720825
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. STACEY F. BRISMANCredential: M.D.
Location Address1000 NORTHERN BLVD STE 140Great Neck, NY 11021-5312
Mailing Address1000 Northern Blvd Ste 140Great Neck, NY 11021-5312 · (516) 846-3300 · Fax (516) 846-3305
Fax(516) 846-3305
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2000
Enumeration DateAugust 19, 2008
Last NPPES UpdateOctober 30, 20263 updates tracked since enumeration
NPPES CertifiedOctober 30, 2026
✔ NPI 1679720825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NY · 2395481
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1000 NORTHERN BLVD STE 140, Great Neck, NY 11021

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Stacey F. Brisman 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 ID5193871358
PECOS Enrollment IDI20090914000489
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 Reassignments

3

Medicare enrollment records show Stacey Brisman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

MOHS-Micrographic Surgery
1000 NORTHERN BLVD STE 140
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 4 clinicians in this Medicare group
Dermatology
1010 NORTHERN BLVD, SUITE 120
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 6 clinicians in this Medicare group
Dermatology
50 GLEN COVE RD
Greenvale, NY 11548
  • Reassigned Medicare billing, New York enrollment
  • 8 clinicians in this Medicare group

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 19

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
2,605 services396 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.
1,364 services820 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
848 services512 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
814 services630 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
441 services325 patients
Biopsy of related skin growth, each additional growth 11103
A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.
413 services245 patients

Hospital Affiliations CMS Care Compare

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

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%4,272 patients5/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
2%843 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
60%2,543 patients3/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
100%1,025 patients5/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
60%2,543 patients3/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user
100%348 patients
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 2

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

Dermatology (MOHS-Micrographic Surgery)
1000 NORTHERN BLVD STE 140
GREAT NECK, NY 11021
Dermatology (MOHS-Micrographic Surgery)
1000 NORTHERN BLVD STE 140
GREAT NECK, NY 11021

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 Stacey Brisman's NPI number?

The NPI number for Stacey Brisman is 1679720825. It was assigned to this individual provider in the NPPES registry on August 19, 2008.

Where is Stacey Brisman located?

Stacey Brisman practices at 1000 Northern Blvd Ste 140, Great Neck, NY 11021. The listed phone number is (516) 846-3300.

What is Stacey Brisman's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Stacey Brisman enrolled in Medicare?

Yes. Stacey Brisman 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.

Which organizations bill Medicare for Stacey Brisman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Brisman reassigns Medicare benefits to 3 organizations: Dermatology & Mohs Surgery Of Long Island, PLLC (Great Neck, NY), Wesson Dermatology, PC (Great Neck, NY) and Stacey F Brisman MD PC (Greenvale, NY). Each 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 Stacey Brisman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Stacey Brisman affiliated with any hospitals?

According to CMS data, Stacey Brisman is affiliated with North Shore University Hospital.

When was this NPI record last updated?

The NPPES record for Stacey Brisman was last updated on October 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.