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DR. T PETER KINGHAM M.D.
NPI 1790944114
Surgery - Surgical Oncology in New York, NY

Active since June 02, 2008PECOS EnrolledAccepts Medicare Assignment
90.76/100
CMS Quality Rating
1275 YORK AVE # C-896, NEW YORK, NY 10065(212) 639-5260 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. T Peter Kingham M.d. NPPES

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

DR. T PETER KINGHAM M.D. (NPI 1790944114) is an individual surgical oncology provider in New York, New York, licensed in New York (228908) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2001).

NPPES Registry Identity

NPI1790944114
Entity TypeIndividualMale
Primary Taxonomy2086X0206X
Provider Legal NameDR. T PETER KINGHAMCredential: M.D.
Location Address1275 YORK AVE # C-896New York, NY 10065-6007
Mailing Address1275 York Ave # C-896New York, NY 10065-6007 · (212) 639-5260
Phone(212) 639-5260
Sole ProprietorYes
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2001
Enumeration DateJune 2, 2008
Last NPPES UpdateNovember 18, 2025
NPPES CertifiedNovember 18, 2025
✔ NPI 1790944114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License✔ Licensed in NY · 228908
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
1275 YORK AVE # C-896, New York, NY 10065
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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 and accepts Medicare assignment

Dr. T Peter Kingham 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 ID2860517448
PECOS Enrollment IDI20100920000742
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 T Kingham reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mskcc Surgery Group
Same address
Surgical Oncology
1275 YORK AVE
New York, NY 10021
  • Reassigned Medicare billing, New York enrollment
  • 452 clinicians in this Medicare group
NPI 1699766261 (646) 227-3813
Msk Harrison
22 mi
Medical Oncology
500 WESTCHESTER AVE
West Harrison, NY 10604
  • Reassigned Medicare billing, New York enrollment
  • 328 clinicians in this Medicare group
NPI 1174923593 (212) 639-2000
Mskcc Regional Network
35 mi
Medical Oncology
650 COMMACK RD
Commack, NY 11725
  • Reassigned Medicare billing, New York enrollment
  • 265 clinicians in this Medicare group
NPI 1740251297 (631) 623-4000

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

Areas of Expertise CMS Part B claims 8

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.
148 services109 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
95 services95 patients
Ultrasonic guidance during surgery 76998
Ultrasonic guidance during surgery is a technique that uses sound waves to create real-time images of the inside of your body. This helps the surgeon navigate and perform procedures more accurately, reducing the risk of complications. It's like a GPS for your body's internal structures.
31 services30 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
24 services23 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
17 services15 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.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10065 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
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
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.

90.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.87
Improvement Activities40

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 T Kingham's NPI number?

The NPI number for T Kingham is 1790944114. It was assigned to this individual provider in the NPPES registry on June 2, 2008.

Where is T Kingham located?

T Kingham practices at 1275 York Ave # C-896, New York, NY 10065. The listed phone number is (212) 639-5260.

What is T Kingham's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is T Kingham enrolled in Medicare?

Yes. T Kingham 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 T Kingham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), T Kingham reassigns Medicare benefits to 3 organizations: Mskcc Surgery Group (New York, NY), Msk Harrison (West Harrison, NY) and Mskcc Regional Network (Commack, 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 T Kingham'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 T Kingham was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.