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DR. TIMOTHY M D'ALFONSO M.D.
NPI 1699938324
Pathology - Anatomic Pathology in New York, NY

Active since July 02, 2008PECOS EnrolledAccepts Medicare Assignment
76.15/100
CMS Quality Rating
1320 YORK AVE, APT 14R, NEW YORK, NY 10021(401) 932-7781 Get Directions Write a Review

NPPES record last updated: January 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Timothy M D'alfonso M.d. NPPES

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

DR. TIMOTHY M D'ALFONSO M.D. (NPI 1699938324) is an individual anatomic pathology provider in New York, New York, licensed in New York (260165) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1699938324
Entity TypeIndividualMale
Primary Taxonomy207ZP0101X
Provider Legal NameDR. TIMOTHY M D'ALFONSOCredential: M.D.
Location Address1320 YORK AVE, APT 14RNew York, NY 10021-4800
Mailing Address111 Country Club DrPort Washington, NY 11050-4537
Phone(401) 932-7781
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 2, 2008
Last NPPES UpdateJanuary 19, 2024
NPPES CertifiedJanuary 19, 2024
✔ NPI 1699938324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0101X
License✔ Licensed in NY · 260165
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
1320 YORK AVE, New York, NY 10021
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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. Timothy M D'alfonso 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 ID749446235
PECOS Enrollment IDI20120727000561
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.

Areas of Expertise CMS Part B claims 6

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
292 services147 patients
Microscopic genetic analysis of tumor, manual 88360
Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.
120 services41 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
90 services50 patients
Surgical pathology consultation and report on referred slides prepared elsewhere 88321
A surgical pathology consultation involves reviewing slides prepared at a different lab to confirm or clarify a diagnosis. It's a second opinion to ensure accuracy. A report with findings and interpretations is then provided for your doctor's reference.
28 services28 patients
X-ray of surgical specimen 76098
An X-ray of a surgical specimen involves taking detailed images of the tissue or organ removed during surgery. This helps in examining the specimen more closely to understand the disease better. It's a safe, non-invasive procedure, providing valuable insights to your healthcare team.
23 services23 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
19 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

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.

76.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70
Improvement Activities40

Other Providers at the Same Location NPPES 11

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

TRACY-ANN MOO M.D.
Surgery
1320 YORK AVE, APT 25X
NEW YORK, NY 10021
New York County (212) 600-4198
DR. ALEXANDER MERKLER
Psychiatry & Neurology (Neurology)
1320 YORK AVE, 27Z
NEW YORK, NY 10021
New York County (917) 373-8523
SHAWN LAMB IBCLC
Registered Nurse (Lactation Consultant)
1320 YORK AVE, 20M
NEW YORK, NY 10021
New York County (727) 389-8257
TRACY OWUSU FNP-BC
Nurse Practitioner (Family)
1320 YORK AVE
NEW YORK, NY 10021
New York County (917) 353-6149
NEW YORK PRESBYTERIAN HOSPITAL
General Acute Care Hospital
1320 YORK AVE, APARTMENT 20X
NEW YORK, NY 10021
New York County (352) 262-9388
MURRAY ENGEL MD
Psychiatry & Neurology (Neurology)
1320 YORK AVE, HELMSLEY MEDICAL TOWER
NEW YORK, NY 10021
New York County (212) 746-8137
DR. WILLIAM R. GRIFFO MD
Internal Medicine
1320 YORK AVE
NEW YORK, NY 10021
New York County (212) 628-2800
NEW YORK PRESBYTERIAN
Special Hospital
1320 YORK AVE, APT: 24A
NEW YORK, NY 10021
New York County (216) 791-6440

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 Timothy D'alfonso's NPI number?

The NPI number for Timothy D'alfonso is 1699938324. It was assigned to this individual provider in the NPPES registry on July 2, 2008.

Where is Timothy D'alfonso located?

Timothy D'alfonso practices at 1320 York Ave Apt 14R, New York, NY 10021. The listed phone number is (401) 932-7781.

What is Timothy D'alfonso's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology, with taxonomy code 207ZP0101X.

Is Timothy D'alfonso enrolled in Medicare?

Yes. Timothy D'alfonso 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.

Is Timothy D'alfonso affiliated with any hospitals?

According to CMS data, Timothy D'alfonso is affiliated with North Shore University Hospital and Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for Timothy D'alfonso was last updated on January 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.