DR. ANTHONY MING SZEMA MD
NPI 1831159649
Allergy & Immunology in South Setauket, NY

Active since March 24, 2006PECOS EnrolledAccepts Medicare Assignment
3771 NESCONSET HWY, SUITE 105, SOUTH SETAUKET, NY 11720(631) 675-6474(631) 675-6475 Get Directions Write a Review

NPPES record last updated: November 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Anthony Ming Szema Md NPPES

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

DR. ANTHONY MING SZEMA MD (NPI 1831159649) is an individual allergy & immunology provider in South Setauket, New York, licensed in New York (194679) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with John T Mather Memorial Hospital Of Port Jefferson, and is a graduate of Albany Medical College Of Union University (1991).

NPPES Registry Identity

NPI1831159649
Entity TypeIndividualMale
Primary Taxonomy207K00000X
Provider Legal NameDR. ANTHONY MING SZEMACredential: MD
Location Address3771 NESCONSET HWY, SUITE 105South Setauket, NY 11720-1163
Mailing Address3771 Nesconset Hwy, Suite 105South Setauket, NY 11720-1163 · (631) 675-6474 · Fax (631) 675-6475
Fax(631) 675-6475
Sole ProprietorYes
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1991
Enumeration DateMarch 24, 2006
Last NPPES UpdateNovember 22, 2022
NPPES CertifiedNovember 22, 2022
NPI 1831159649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License Licensed in NY · 194679
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Also ListedSpecialist · Research StudyTaxonomy 1744R1102X
Also ListedAllergy & Immunology · AllergyTaxonomy 207KA0200X · License 194679 (NY)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 194679 (NY)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 194679 (NY)
3771 NESCONSET HWY, South Setauket, NY 11720

Other Names 1

Professional Name (2)Dr. Anthony Ming Szema M.d.

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. Anthony Ming Szema 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 ID547304438
PECOS Enrollment IDI20100216000273
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 27

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, omalizumab, 5 mg J2357
Omalizumab is a medication given via injection. It's used to treat severe allergic asthma and chronic hives when other treatments fail. The 5mg dose is determined by your doctor based on your weight and condition.
12,840 services24 patients
Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
2,429 services47 patients
Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
1,101 services30 patients
Test for allergy using skin patch 95044
A skin patch test helps identify allergens causing skin reactions. Small patches with potential allergens are applied to your skin, usually on the back. After 48 hours, they are removed to check for reactions. It's a safe and effective way to diagnose allergies.
878 services19 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.
517 services48 patients
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.
292 services128 patients

Hospital Affiliations CMS Care Compare 2

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

John T Mather Memorial Hospital Of Port Jefferson

Acute Care Hospitals · Port Jefferson, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330185
Location75 North Country RoadPort Jefferson, NY 11777 · Suffolk County
Emergency services

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

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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
45%1,608 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
33%659 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 6% · 373 patients
80%373 patients
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 151 patients
4%151 patients4/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 9

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

High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483
DME-Other DME · category DE000N
1 supplier12 claims12 services$775.21 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier24 claims24 services$65.05 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier24 claims24 services$34.61 avg. paid by Medicare
Injection, immune globulin (hizentra), 100 mg J1559
Treatment-Injections and Infusions (nononcologic) · category RI008N
2 suppliers14 claims6,100 services$9.58 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
5 suppliers12 claims2,051 services$0.03 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
3 suppliers11 claims888 services$0.79 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.

Dentist
3771 NESCONSET HWY
SOUTH SETAUKET, NY 11720
Podiatrist (Primary Podiatric Medicine)
3771 NESCONSET HWY, SUITE 106
SOUTH SETAUKET, NY 11720
Social Worker (Clinical)
3771 NESCONSET HWY, SUITE 208A
CENTEREACH, NY 11720
Marriage & Family Therapist
3771 NESCONSET HWY, STE 214
SOUTH SETAUKET, NY 11720
Art Therapist
3771 NESCONSET HWY, SUITE 208 A
CENTEREACH, NY 11720
Social Worker (Clinical)
3771 NESCONSET HWY, SUITE 208A
SOUTH SETAUKET, NY 11720
Social Worker (Clinical)
3771 NESCONSET HWY, SUITE 208B
S SETAUKET, NY 11720
Chiropractor
3771 NESCONSET HWY, STE. 210
CENTEREACH, NY 11720

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 Szema's NPI number?

The NPI number for Anthony Szema is 1831159649. It was assigned to this individual provider in the NPPES registry on March 24, 2006. The provider is also known as Dr. Anthony Ming Szema M.D..

Where is Anthony Szema located?

Anthony Szema practices at 3771 Nesconset Hwy Suite 105, South Setauket, NY 11720. The listed phone number is (631) 675-6474.

What is Anthony Szema's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Anthony Szema enrolled in Medicare?

Yes. Anthony Szema 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 Szema affiliated with any hospitals?

According to CMS data, Anthony Szema is affiliated with John T Mather Memorial Hospital Of Port Jefferson and Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Anthony Szema was last updated on November 22, 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.