JEVON FRAGOSO MD
NPI 1700345634
Internal Medicine - Rheumatology in Manhasset, NY

Active since March 19, 2019PECOS EnrolledAccepts Medicare Assignment
300 COMMUNITY DR, MANHASSET, NY 11030(516) 562-0100 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 2, 2024, Mar 19, 2019 (2 updates tracked since 2019).

About Jevon Fragoso Md NPPES

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

JEVON FRAGOSO MD (NPI 1700345634) is an individual rheumatology provider in Manhasset, New York, licensed in New York (317497) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Jamaica Hospital Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1700345634
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameJEVON FRAGOSOCredential: MD
Location Address300 COMMUNITY DRManhasset, NY 11030-3816
Mailing Address300 Community DrManhasset, NY 11030-3816 · (516) 562-0100
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 19, 2019
Last NPPES UpdateApril 2, 20242 updates tracked since enumeration
NPPES CertifiedApril 2, 2024
✔ NPI 1700345634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in NY · 317497
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
300 COMMUNITY DR, Manhasset, NY 11030

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

Jevon Fragoso Md 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 ID6709113020
PECOS Enrollment IDI20241021000018
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 Jevon Fragoso reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
4500 PARSONS BLVD
Flushing, NY 11355
  • Reassigned Medicare billing, New York enrollment
  • 327 clinicians in this Medicare group
Emergency Medical Services
8900 VAN WYCK EXPWY
Jamaica, NY 11418
  • Reassigned Medicare billing, New York enrollment
  • 738 clinicians in this Medicare group
Internal Medicine
8906 135TH ST
Jamaica, NY 11418
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Tjh Medical Services PC
  • 497 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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jamaica Hospital Medical Center

Acute Care Hospitals · Jamaica, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330014
Location89th Avenue And Van Wyck ExpresswayJamaica, NY 11418 · Queens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11030 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
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 20

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

Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
300 COMMUNITY DR
MANHASSET, NY 11030
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
300 COMMUNITY DR
MANHASSET, NY 11030
Anesthesiology
300 COMMUNITY DR
MANHASSET, NY 11030
Emergency Medicine
300 COMMUNITY DR
MANHASSET, NY 11030
Physician Assistant
300 COMMUNITY DR, NORTH SHORE UNIVERSITY HOSPITAL
MANHASSET, NY 11030
Nurse Anesthetist, Certified Registered
300 COMMUNITY DR, DEPT OF ANESTHESIA
MANHASSET, NY 11030
Nurse Practitioner (Acute Care)
300 COMMUNITY DR
MANHASSET, NY 11030
Physician Assistant
300 COMMUNITY DR
MANHASSET, NY 11030

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 Jevon Fragoso's NPI number?

The NPI number for Jevon Fragoso is 1700345634. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Where is Jevon Fragoso located?

Jevon Fragoso practices at 300 Community Dr, Manhasset, NY 11030. The listed phone number is (516) 562-0100.

What is Jevon Fragoso's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Jevon Fragoso enrolled in Medicare?

Yes. Jevon Fragoso 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 Jevon Fragoso's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jevon Fragoso reassigns Medicare benefits to 3 organizations: Flushing Hospital & Medical Center (Flushing, NY), Jamaica Hospital (Jamaica, NY) and Tjh Medical Services, P.C. (Jamaica, 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 Jevon Fragoso's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jevon Fragoso affiliated with any hospitals?

According to CMS data, Jevon Fragoso is affiliated with Jamaica Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Jevon Fragoso was last updated on April 2, 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.