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RACHAEL VANCURA M. D.
NPI 1689743932
Pediatrics in West Islip, NY

Active since November 08, 2006PECOS Enrolled
239 HIGBIE LN, WEST ISLIP, NY 11795(631) 376-6000(631) 376-6031 Get Directions Write a Review

NPPES record last updated: December 8, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rachael Vancura M. D. NPPES

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

RACHAEL VANCURA M. D. (NPI 1689743932) is an individual pediatrics provider in West Islip, New York, licensed in New York (238778) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689743932
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameRACHAEL VANCURACredential: M. D.
Location Address239 HIGBIE LNWest Islip, NY 11795-2825
Mailing Address239 Higbie LnWest Islip, NY 11795-2825 · (631) 376-6000 · Fax (631) 376-6031
Phone(631) 376-6000
Fax(631) 376-6031
Sole ProprietorNo
Enumeration DateNovember 8, 2006
Last NPPES UpdateDecember 8, 2009
✔ NPI 1689743932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 238778
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
239 HIGBIE LN, West Islip, NY 11795
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rachael Vancura 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 Rachael Vancura reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Optum Medical Care, P.C.
40 mi
Cardiovascular Disease
90 SOUTH BEDFORD RD, MT KISCO MEDICAL GROUP PC
Mount Kisco, NY 10549
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Optum Medical Care PC
  • 1,601 clinicians in this Medicare group
NPI 1982643003 (914) 241-1050

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11795 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 3

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

TIMOTHY GEORGE M.D.
Pediatrics
239 HIGBIE LN
WEST ISLIP, NY 11795
Suffolk County (631) 376-6000
DR. MARY ELIZABETH BONAFEDE M.D.
Pediatrics (Pediatric Infectious Diseases)
239 HIGBIE LN
WEST ISLIP, NY 11795
Suffolk County (631) 376-3000
DR. SAUMIL HARDEV TRIVEDI MD
Pediatrics
239 HIGBIE LN
WEST ISLIP, NY 11795
Suffolk County (631) 376-6000

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 Rachael Vancura's NPI number?

The NPI number for Rachael Vancura is 1689743932. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Rachael Vancura located?

Rachael Vancura practices at 239 Higbie Ln, West Islip, NY 11795. The listed phone number is (631) 376-6000.

What is Rachael Vancura's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Rachael Vancura enrolled in Medicare?

Yes. Rachael Vancura is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rachael Vancura's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachael Vancura reassigns Medicare benefits to Optum Medical Care, P.C. (Mount Kisco, 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 Rachael Vancura'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 Rachael Vancura was last updated on December 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.