JOHN P DELISIO P.A.
NPI 1720180540
Physician Assistant - Surgical in Newark, NY

Active since September 02, 2006PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
1202 DRIVING PARK AVE, STE 5, NEWARK, NY 14513(315) 359-2690 Get Directions Write a Review

NPPES record last updated: September 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John P Delisio P.a. NPPES

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

JOHN P DELISIO P.A. (NPI 1720180540) is an individual surgical provider in Newark, New York, licensed in New York (010933) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Newark-wayne Community Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1720180540
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameJOHN P DELISIOCredential: P.A.
Location Address1202 DRIVING PARK AVE, STE 5Newark, NY 14513-1057
Mailing Address1425 Portland AveRochester, NY 14621-3001 · (585) 922-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateSeptember 2, 2006
Last NPPES UpdateSeptember 13, 2022
NPPES CertifiedSeptember 13, 2022
NPI 1720180540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NY · 010933
1202 DRIVING PARK AVE, Newark, NY 14513

Other Identifiers 1

Medicaid03141320NY

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

John P Delisio P.a. 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 ID749177574
PECOS Enrollment IDI20070202000365
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 2

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.

Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
22 services11 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.
13 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Newark-Wayne Community Hospital

Acute Care Hospitals · Newark, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330030
Location111 Driving Park AvenueNewark, NY 14513 · Wayne County
Emergency services Birthing friendly

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

Urology
1202 DRIVING PARK AVE
NEWARK, NY 14513
Urology
1202 DRIVING PARK AVE
NEWARK, NY 14513
Urology
1202 DRIVING PARK AVE
NEWARK, NY 14513
Physician Assistant (Surgical)
1202 DRIVING PARK AVE
NEWARK, NY 14513
Nurse Practitioner
1202 DRIVING PARK AVE
NEWARK, NY 14513
Urology
1202 DRIVING PARK AVE, SUITE 5
NEWARK, NY 14513
Social Worker
1202 DRIVING PARK AVE
NEWARK, NY 14513

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 John Delisio's NPI number?

The NPI number for John Delisio is 1720180540. It was assigned to this individual provider in the NPPES registry on September 2, 2006.

Where is John Delisio located?

John Delisio practices at 1202 Driving Park Ave Ste 5, Newark, NY 14513. The listed phone number is (315) 359-2690.

What is John Delisio's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is John Delisio enrolled in Medicare?

Yes. John Delisio 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 John Delisio affiliated with any hospitals?

According to CMS data, John Delisio is affiliated with Newark-Wayne Community Hospital and Rochester General Hospital.

When was this NPI record last updated?

The NPPES record for John Delisio was last updated on September 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.