STEPHEN VICTOR MANGHISI M.D NPI 1689604159
Radiology - Diagnostic Radiology in New York, NY

About STEPHEN VICTOR MANGHISI M.D

Stephen Manghisi is a provider established in New York, New York and his medical specialization is Radiology with a focus in diagnostic radiology with more than 34 years of experience. He graduated from Icahn School Of Medicine At Mount Sinai in 1989. The NPI number of Stephen Manghisi is 1689604159 and was assigned on July 2006. The practitioner's primary taxonomy code is 2085R0202X with license number 191492 (NY). The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1689604159
Provider Name STEPHEN VICTOR MANGHISI M.D
Location Address1000 10TH AVE NEW YORK, NY 10019
Location Phone(212) 590-2930
Mailing Address1780 BROADWAY SUITE 1100 NEW YORK, NY 10019
GenderMale
NPI Entity TypeIndividual
Medical School NameICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduation Year1989
Is Sole Proprietor?No
Enumeration Date07-03-2006
Last Update Date11-04-2011

Stephen Manghisi is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Stephen Manghisi is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with .

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 97.3, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The typical physician office visit costs for Medicare beneficiaries in this area are: $26.59 for a new patient copayment and $21.49 for an established patient copayment.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code2085R0202X
ClassificationRadiology
TypeAllopathic & Osteopathic Physicians
SpecializationDiagnostic Radiology
License No.191492
License StateNY
Taxonomy DescriptionA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

STEPHEN VICTOR MANGHISI M.D
1000 10TH AVE
NEW YORK, NY
ZIP 10019
Phone: (212) 590-2930
Fax: (212) 590-2982

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Mailing Address

STEPHEN VICTOR MANGHISI M.D
1780 BROADWAY
SUITE 1100
NEW YORK, NY
ZIP 10019
Phone: (212) 590-2930
Fax: (212) 590-2982


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID7315947892
PECOS Enrollment IDI20191230001501
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 10019 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$69.45 $208.72 $106.37
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$17.36 $52.18 $26.59
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$21.65 $169.66 $85.96
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$5.41 $42.41 $21.49

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 95
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% 100
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 97.3
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 140X-ray of chest, 2 views, front and side (HCPCS:71020)
  • 60X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • 30X-ray of knee, 3 views (HCPCS:73562)
  • 27X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)
  • 20X-ray of foot, minimum of 3 views (HCPCS:73630)
  • 18X-ray of hand, minimum of 3 views (HCPCS:73130)

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
12085R0205XAllopathic & Osteopathic PhysiciansRadiologyRadiological Physics191492NYNo

Taxonomy Description: a radiological physicist deals with the diagnostic and therapeutic applications of roentgen rays, gamma rays from sealed sources, ultrasonic radiation and radio-frequency radiation, as well as the equipment associated with their production and use, including radiation safety.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
G01669MEDICARE UPIN (02)NY
621601MEDICARE ID-TYPE UNSPECIFIED (04)NY
01598296MEDICAID (05)NY

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1689604159
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261691208110
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 6 + 9 + 1 + 2 + 0 + 8 + 1 + 1 + 0 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1689604159 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1043219157 ELIZABETH AMES MD
Individual
Pathology (Clinical Pathology/Laboratory Medicine)1000 10TH AVE
NEW YORK, NY 10019
(212) 523-4332
1104825215 ANN AVITABILE MD
Individual
Pathology (Anatomic Pathology)1000 10TH AVE
NEW YORK, NY 10019
(212) 523-4332
1548269558 MARK T. FRIEDMAN D.O.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1000 10TH AVE
NEW YORK, NY 10019
(212) 523-4332
1831190354 KWAME ANYANE-YEBOA M.D.
Individual
Medical Genetics (Clinical Genetics (M.D.))1000 10TH AVE SUITE 11A-GENETICS
NEW YORK, NY 10019
(212) 523-5895
1780686618 VIJAI KATATIKARN MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1000 10TH AVE
NEW YORK, NY 10019
(212) 523-4332
1053304246 LIDIYA LUKASEVICH MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1000 10TH AVE
NEW YORK, NY 10019
(212) 523-4332
1962493585DR. DANIEL J EGAN MD
Individual
Emergency Medicine1000 10TH AVE ST. LUKE'S ROOSEVELT HOSPITAL CENTER
NEW YORK, NY 10019
(212) 523-6745
1376524439 YASUNARI NIIMI MD
Individual
Radiology (Vascular & Interventional Radiology)1000 10TH AVE SUITE GG15
NEW YORK, NY 10019
(212) 636-3215
1780668400 RONALD D ENNIS MD
Individual
Radiology (Radiation Oncology)1000 10TH AVE LOWER LEVEL
NEW YORK, NY 10019
(212) 523-7165
1285619379DR. ELLEN B. TABOR M.D.
Individual
Psychiatry & Neurology (Psychiatry)1000 10TH AVE ROOSEVELT HOSPITAL 7-G
NEW YORK, NY 10019
(212) 523-7997
1811974330DEPARTMENT OF NEUROLOGY PROFESSIONAL SERVICES GROUP/SLRHC
Organization
Psychiatry & Neurology (Neurology)1000 10TH AVE SUITE 3B20
NEW YORK, NY 10019
(212) 523-7350
1235116815DR. CHRISTINE L. LAY M.D., FRCPC
Individual
Psychiatry & Neurology (Psychiatry)1000 10TH AVE SUITE 1C10
NEW YORK, NY 10019
(212) 523-5869
1659343424DR. LUCIA VAIL PH.D.
Individual
Psychologist (Clinical)1000 10TH AVE 6TH FLOOR
NEW YORK, NY 10019
(917) 842-5817
1558323675 ARKADIY BAUMVAL PA
Individual
Physician Assistant (Surgical)1000 10TH AVE SUITE 5G-80
NEW YORK, NY 10019
(212) 523-6720
1144284068DR. WILLIAM M MILLER M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1000 10TH AVE
NEW YORK, NY 10019
(212) 523-4332
1134184377ST LUKES ROOSEVELT HOSPITAL CENTER
Organization
Internal Medicine (Hematology & Oncology)1000 10TH AVE SUITE 11G
NEW YORK, NY 10019
(212) 523-5419
1598718298DR. MICHAEL M ABIRI M.D.
Individual
Radiology (Diagnostic Radiology)1000 10TH AVE ROOSEVELT HOSPITAL
NEW YORK, NY 10019
(212) 590-2916
1437190006 JOHN MICHAEL LUBRANO RPAC
Individual
Physician Assistant1000 10TH AVE
NEW YORK, NY 10019
(212) 523-6745
1073529129 JOSEPH ANSELMO PAC
Individual
Physician Assistant1000 10TH AVE STE 5G-80
NEW YORK, NY 10019
(212) 523-6720
1003826363 RACHNA SULTANIAN MD
Individual
Emergency Medicine1000 10TH AVE
NEW YORK, NY 10019
(212) 523-6745

Frequently Asked Questions

What is Stephen Manghisi M.D NPI number?

The NPI number assigned to Stephen Manghisi M.D is 1689604159, registered as an "individual" on July 03, 2006

Where is Stephen Manghisi M.D located?

The provider is located at 1000 10th Ave New York, Ny 10019 and the phone number is (212) 590-2930

Which is Stephen Manghisi M.D specialty?

The provider's speciality is Radiology with a focus in Diagnostic Radiology

How many years of experience does Stephen Manghisi M.D have?

The provider has more than 34 years of experience. He graduated from Icahn School Of Medicine At Mount Sinai in 1989.

What insurance does Stephen Manghisi M.D accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Stephen Manghisi M.D registered in PECOS?

Yes, as of January 10, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What are Stephen Manghisi M.D Quality Ratings?

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.

How much is a visit to Stephen Manghisi M.D?

Medicare beneficiaries should expect a typical cost of $106.37 with an average copayment of $26.59 for new patient appointments. Established patients should expect a typical charge of $85.96 and an average copayment of 21.49. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Stephen Manghisi M.D?

The most common procedures or services performed by this practitioner are: X-ray of chest, 2 views, front and side, X-ray of shoulder, minimum of 2 views, X-ray of knee, 3 views, X-ray of ribs of one side of body, minimum of 2 views, X-ray of foot, minimum of 3 views and X-ray of hand, minimum of 3 views.

How do I update my NPI information?

The NPI record of Stephen Manghisi M.D was last updated on July 03, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]