ANTHONY CONSOLAZIO MD
NPI 1811984479
Family Medicine in Vestal, NY

Active since September 29, 2005PECOS EnrolledAccepts Medicare Assignment
84.63/100
CMS Quality Rating
4417 VESTAL PARKWAY EAST, SUITE 101, VESTAL, NY 13850(607) 729-2144(607) 729-2145 Get Directions Write a Review

NPPES record last updated: March 17, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Anthony Consolazio Md NPPES

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

ANTHONY CONSOLAZIO MD (NPI 1811984479) is an individual family medicine provider in Vestal, New York, licensed in New York (230312) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with United Health Services Hospitals, Inc, and is a graduate of State University Of Ny Upstate Medical University (2002).

NPPES Registry Identity

NPI1811984479
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameANTHONY CONSOLAZIOCredential: MD
Location Address4417 VESTAL PARKWAY EAST, SUITE 101Vestal, NY 13850-3556
Mailing Address33 Lewis Rd, 2nd FlBinghamton, NY 13905 · (607) 729-8156
Fax(607) 729-2145
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2002
Enumeration DateSeptember 29, 2005
Last NPPES UpdateMarch 17, 2016
NPI 1811984479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 230312
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4417 VESTAL PARKWAY EAST, Vestal, NY 13850

Other Identifiers 4

Medicaid02492933NY
Medicare PINRA0421NY
Medicare UPINH99958
Medicare PINRB2088NY

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

Anthony Consolazio 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 ID9830080530
PECOS Enrollment IDI20040323000255
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 3

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.
174 services166 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 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.
25 services25 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

Hospital Affiliations CMS Care Compare

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

United Health Services Hospitals, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330394
Location10-42 Mitchell AvenueBinghamton, NY 13903 · Broome County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13850 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

84.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.96
Promoting Interoperability100
Improvement Activities40
Cost54.42

Reported Quality Measures

Appropriate Treatment for Children with Upper Respiratory Infection (URI)
Percentage of children 3 months-18 years of age who were diagnosed with upper respiratory infection (URI) and were not dispensed an antibiotic prescription on or three days after the episode
95%297 patients
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
88%185 patients4/55-star benchmark: 95%
Depression Utilization of the PHQ-9 Tool
The percentage of patients age 18 and older with the diagnosis of major depression or dysthymia who have a completed PHQ-9 during each applicable 4 month period in which there was a qualifying visit
Patients 4MonthsOfEnd: 13% · 89 patients
Patients 4MonthsOfStart: 14% · 76 patients
13%72 patients
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
60%430 patients3/55-star benchmark: 99%
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
Patients nutrition: 2% · 702 patients
Patients physicalActivity: 1% · 702 patients
94%702 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 11

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

Internal Medicine
4417 VESTAL PARKWAY EAST, SUITE 201
VESTAL, NY 13850
Family Medicine
4417 VESTAL PARKWAY EAST
VESTAL, NY 13850
Internal Medicine (Rheumatology)
4417 VESTAL PARKWAY EAST, SUITE 202
VESTAL, NY 13850
Family Medicine
4417 VESTAL PARKWAY EAST
VESTAL, NY 13850
Pharmacist
4417 VESTAL PARKWAY EAST
VESTAL, NY 13850
Internal Medicine
4417 VESTAL PARKWAY EAST
VESTAL, NY 13850
Obstetrics & Gynecology (Gynecology)
4417 VESTAL PARKWAY EAST, SUITE 301
VESTAL, NY 13850
Internal Medicine
4417 VESTAL PARKWAY EAST, SUITE 201
VESTAL, NY 13850

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 Anthony Consolazio's NPI number?

The NPI number for Anthony Consolazio is 1811984479. It was assigned to this individual provider in the NPPES registry on September 29, 2005.

Where is Anthony Consolazio located?

Anthony Consolazio practices at 4417 Vestal Parkway East Suite 101, Vestal, NY 13850. The listed phone number is (607) 729-2144.

What is Anthony Consolazio's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Anthony Consolazio enrolled in Medicare?

Yes. Anthony Consolazio 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 Anthony Consolazio affiliated with any hospitals?

According to CMS data, Anthony Consolazio is affiliated with United Health Services Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Anthony Consolazio was last updated on March 17, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.