DR. MARIE GELATO M.D.
NPI 1730114570
Internal Medicine - Endocrinology, Diabetes & Metabolism in East Setauket, NY

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
98.52/100
CMS Quality Rating
26 RESEARCH WAY, EAST SETAUKET, NY 11733(631) 444-0580 Get Directions Write a Review

NPPES record last updated: April 20, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Marie Gelato M.d. NPPES

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

DR. MARIE GELATO M.D. (NPI 1730114570) is an individual endocrinology, diabetes & metabolism provider in East Setauket, New York, licensed in New York (139934) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of Other (1979).

NPPES Registry Identity

NPI1730114570
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. MARIE GELATOCredential: M.D.
Location Address26 RESEARCH WAYEast Setauket, NY 11733
Mailing AddressP.o. Box 1559Stony Brook, NY 11790 · (631) 444-0580
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateJuly 11, 2006
Last NPPES UpdateApril 20, 2022
NPPES CertifiedApril 20, 2022
NPI 1730114570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in NY · 139934
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

26 RESEARCH WAY, East Setauket, NY 11733

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. Marie Gelato 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 ID3173666054
PECOS Enrollment IDI20100201000057
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 5

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
720 services11 patients
Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
140 services121 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
22 services16 patients
Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
15 services15 patients
New patient office or other outpatient visit, 30-44 minutes 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11733 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.

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.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers22 claims76 services$6.31 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 (Nephrology)
26 RESEARCH WAY
EAST SETAUKET, NY 11733
Internal Medicine (Nephrology)
26 RESEARCH WAY
EAST SETAUKET, NY 11733
Internal Medicine (Nephrology)
26 RESEARCH WAY
EAST SETAUKET, NY 11733
Internal Medicine (Pulmonary Disease)
26 RESEARCH WAY
EAST SETAUKET, NY 11733
Internal Medicine (Pulmonary Disease)
26 RESEARCH WAY
EAST SETAUKET, NY 11733
Internal Medicine (Nephrology)
26 RESEARCH WAY
EAST SETAUKET, NY 11733
Internal Medicine (Pulmonary Disease)
26 RESEARCH WAY
EAST SETAUKET, NY 11733
Internal Medicine (Nephrology)
26 RESEARCH WAY
EAST SETAUKET, NY 11733

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 Marie Gelato's NPI number?

The NPI number for Marie Gelato is 1730114570. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Marie Gelato located?

Marie Gelato practices at 26 Research Way, East Setauket, NY 11733. The listed phone number is (631) 444-0580.

What is Marie Gelato's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Marie Gelato enrolled in Medicare?

Yes. Marie Gelato 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 Marie Gelato affiliated with any hospitals?

According to CMS data, Marie Gelato is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Marie Gelato was last updated on April 20, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.