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DR. NICHOLAS A. BAVARO M.D.
NPI 1801999008
Orthopaedic Surgery in New York, NY

Active since September 06, 2006PECOS EnrolledAccepts Medicare Assignment
110 E 55TH ST FL 9, NEW YORK, NY 10022(855) 588-1100(646) 767-6197 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 10, 2024, Dec 21, 2018, Dec 22, 2015 and 1 more (4 updates tracked since 2015).

About Dr. Nicholas A. Bavaro M.d. NPPES

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

DR. NICHOLAS A. BAVARO M.D. (NPI 1801999008) is an individual orthopaedic surgery provider in New York, New York, licensed in New York (211267) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Canton-potsdam Hospital, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1801999008
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. NICHOLAS A. BAVAROCredential: M.D.
Location Address110 E 55TH ST FL 9New York, NY 10022
Mailing Address110 E 55th St Fl 9New York, NY 10022-4540 · (855) 588-1100 · Fax (646) 767-6197
Phone(855) 588-1100
Fax(646) 767-6197
Sole ProprietorYes
Medical School CMSNew York Medical CollegeGraduated 1993
Enumeration DateSeptember 6, 2006
Last NPPES UpdateJuly 10, 20244 updates tracked since enumeration
NPPES CertifiedJuly 10, 2024
✔ NPI 1801999008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in NY · 211267
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
110 E 55TH ST FL 9, New York, NY 10022
Open in Google Maps ↗

Secondary Practice Locations 5

Location 1110 E 55th St Fl 9New York, NY 10022 · Phone (855) 588-1100 · Fax (646) 767-6197
Location 228 Maple AveArmonk, NY 10504-1824 · Phone (855) 588-1100 · Fax (646) 767-6197
Location 3888 Park AveNew York, NY 10075-0235 · Phone (855) 588-1100 · Fax (646) 767-6197
Location 46119 US Highway 11Canton, NY 13617-3991 · Phone (315) 261-5850
Location 550 LeRoy StPotsdam, NY 13676-1786 · Phone (315) 265-3300

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. Nicholas A. Bavaro 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 ID5991769069
PECOS Enrollment IDI20041117001259
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

5

Medicare enrollment records show Nicholas Bavaro reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Harlem Medical Associates PC
4.1 mi
General Practice
506 MALCOLM X BLVD (LENOX AVE)
New York, NY 10037
  • Reassigned Medicare billing, New York enrollment
  • 676 clinicians in this Medicare group
NPI 1487957692 (631) 675-9300
Sbh Physicians, PC
7.7 mi
Pediatrics
4422 THIRD AVENUE, BRAKER BUILDING
Bronx, NY 10457
  • Reassigned Medicare billing, New York enrollment
  • 256 clinicians in this Medicare group
NPI 1457665937 (718) 960-9000
Union Community Health Center, Inc.
8.0 mi
Clinic/Center
260 E 188TH ST
Bronx, NY 10458
  • Reassigned Medicare billing, New York enrollment
  • 142 clinicians in this Medicare group
NPI 1437255155 (718) 220-2020
Cape Physicians Associates PA
124 mi
Internal Medicine
11 VILLAGE DR
Cape May Court House, NJ 08210
  • Reassigned Medicare billing, New Jersey enrollment
  • 111 clinicians in this Medicare group
NPI 1003805227 (609) 465-2273
Canton-Potsdam Hospital
275 mi
General Acute Care Hospital
50 LEROY STREET
Potsdam, NY 13676
  • Reassigned Medicare billing, New York enrollment
  • 414 clinicians in this Medicare group
NPI 1568548782 (315) 265-3300

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 2

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

Canton-Potsdam Hospital

Acute Care Hospitals · Potsdam, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330197
Location50 Leroy StreetPotsdam, NY 13676 · St. Lawrence County
Emergency services Birthing friendly

St Barnabas Hospital

Acute Care Hospitals · Bronx, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330399
Location4422 Third AvenueBronx, NY 10457 · Bronx County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10022 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 2

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

DR. JAMES A UNDERBERG MD
Internal Medicine
110 E 55TH ST FL 9
NEW YORK, NY 10022
New York County (212) 207-1959
JAMES A UNDERBERG MD PLLC
Clinic/Center (Primary Care)
110 E 55TH ST FL 9
NEW YORK, NY 10022
New York County (212) 207-1959

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 Nicholas Bavaro's NPI number?

The NPI number for Nicholas Bavaro is 1801999008. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Where is Nicholas Bavaro located?

Nicholas Bavaro practices at 110 E 55th St Fl 9, New York, NY 10022. The listed phone number is (855) 588-1100.

What is Nicholas Bavaro's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Nicholas Bavaro enrolled in Medicare?

Yes. Nicholas Bavaro 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 Nicholas Bavaro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Bavaro reassigns Medicare benefits to 5 organizations: Harlem Medical Associates PC (New York, NY), Sbh Physicians, PC (Bronx, NY), Union Community Health Center, Inc. (Bronx, NY), Cape Physicians Associates PA (Cape May Court House, NJ) and Canton-Potsdam Hospital (Potsdam, 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 Nicholas Bavaro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Nicholas Bavaro affiliated with any hospitals?

According to CMS data, Nicholas Bavaro is affiliated with Canton-Potsdam Hospital and St Barnabas Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Bavaro was last updated on July 10, 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.