DONNA J GAGLIUSO MD NPI 1851390173

Ophthalmology in New York, NY

NPI 1851390173 Individual Female Years of Experience 35 Ophthalmology PECOS Enrolled Accepts Medicare Approved Payment

About DONNA GAGLIUSO

Donna Gagliuso is a provider established in New York, New York and her medical specialization is ophthalmology with more than 35 years of experience. She graduated from Albert Einstein College Of Medicine Of Yeshiva University in 1987. The NPI number of Donna Gagliuso is 1851390173 and was assigned on July 2005. The practitioner's primary taxonomy code is 207W00000X with license number 177479 (NY). The provider is registered as an individual and her NPI record was last updated 11 years ago.

Donna Gagliuso is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Donna Gagliuso is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Mount Sinai Hospital and Elmhurst Hospital Center.

NPI

1851390173

Provider Name DONNA J GAGLIUSO MD
Provider Location Address5 E 98TH ST 7TH FLOOR NEW YORK, NY 10029
Provider Mailing Address1 GUSTAVE L LEVY PL BOX 1183 NEW YORK, NY 10029
GenderFemale
NPI Entity TypeIndividual
Medical School NameALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Graduation Year1987
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date07-19-2005
Last Update Date04-20-2011


Primary Taxonomy

Taxonomy Code207W00000X
ClassificationOphthalmology
TypeAllopathic & Osteopathic Physicians
License No.177479
License StateNY
Taxonomy DescriptionAn ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Business Address

DONNA J GAGLIUSO MD
5 E 98TH ST
7TH FLOOR
NEW YORK, NY
ZIP 10029
Phone: (212) 241-0939

Get Directions


Mailing Address

DONNA J GAGLIUSO MD
1 GUSTAVE L LEVY PL
BOX 1183
NEW YORK, NY
ZIP 10029
Phone: (212) 241-7652



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID2567553860
PECOS Enrollment IDI20070801000005
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 882Diagnostic imaging of optic nerve of eye (HCPCS:92133)
  • 717Measurement of field of vision during daylight conditions (HCPCS:92083)
  • 672Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • 473Eye and medical examination for diagnosis and treatment, established patient (HCPCS:92012)
  • 102Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Donna Gagliuso is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
MOUNT SINAI HOSPITALONE GUSTAVE L LEVY PLACE
NEW YORK, NY 10029
(212) 241-7981Acute Care Hospitals330024
ELMHURST HOSPITAL CENTER79-01 BROADWAY
ELMHURST, NY 11373
(718) 334-1141Acute Care Hospitals330128

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
63K621MEDICARE ID-TYPE UNSPECIFIED (04)NY
F29440MEDICARE UPIN (02)NY

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1154324226 WALEED A HASSEN M.D.
Individual
Specialist5 E 98TH ST FL 6
NEW YORK, NY 10029
(212) 241-4812
1528061686 MICHAEL J DROLLER M.D.
Individual
Specialist5 E 98TH ST FL 6
NEW YORK, NY 10029
(212) 241-4812
1679576110 MICHAEL A PALESE M.D.
Individual
Specialist5 E 98TH ST FL 6
NEW YORK, NY 10029
(212) 241-4812
1427051762DR. MICHAEL BENJAMIN EDYE MD
Individual
Surgery5 E 98TH ST BOX 1259
NEW YORK, NY 10029
(212) 241-6591
1588665889 VALENTIN FUSTER MD
Individual
Internal Medicine (Cardiovascular Disease)5 E 98TH ST 3RD FLOOR
NEW YORK, NY 10029
(212) 241-7911
1891788931 ALAN GARELY MD
Individual
Obstetrics & Gynecology5 E 98TH ST BOX 1174
NEW YORK, NY 10029
(212) 241-7952
1013902444DR. MARK LEBWOHL
Individual
Dermatology5 E 98TH ST 5TH FLOOR BOX 1048
NEW YORK, NY 10029
(212) 241-5778
1124013248DR. MARSHA GORDON
Individual
Dermatology5 E 98TH ST 5TH FLOOR BOX 1048
NEW YORK, NY 10029
(212) 241-8234
1447245303 KISHORE IYER MD
Individual
Transplant Surgery5 E 98TH ST 12TH FL
NEW YORK, NY 10029
(212) 659-9300
1568433803DR. FRED LUBLIN M.D.
Individual
Psychiatry & Neurology (Neurology)5 E 98TH ST 1ST FLOOR
NEW YORK, NY 10029
(212) 241-6854
1699745075 ICILMA FERGUS M.D.
Individual
Internal Medicine (Cardiovascular Disease)5 E 98TH ST 3RD FLOOR
NEW YORK, NY 10029
(212) 427-1540
1730150947DR. BETTY MINTZ M.D.
Individual
Psychiatry & Neurology (Neurology)5 E 98TH ST 7TH FLOOR
NEW YORK, NY 10029
(212) 241-7076
1831160092DR. WINONA TSE M.D.
Individual
Psychiatry & Neurology (Neurology)5 E 98TH ST FIRST FLOOR
NEW YORK, NY 10029
(212) 241-7076
1316918592DR. DAVID SIMPSON M.D.
Individual
Psychiatry & Neurology (Neurology)5 E 98TH ST 7TH FLOOR
NEW YORK, NY 10029
(212) 241-7076
1447221551DR. JESSE WEINBERGER M.D.
Individual
Psychiatry & Neurology (Neurology)5 E 98TH ST 7TH FLOOR
NEW YORK, NY 10029
(212) 241-7076
1568433613DR. JOAN BOROD PH.D.
Individual
Psychiatry & Neurology (Neurology)5 E 98TH ST 7TH FLOOR
NEW YORK, NY 10029
(212) 241-7076
1134190291DR. HORACIO KAUFMANN M.D.
Individual
Psychiatry & Neurology (Neurology)5 E 98TH ST 7TH FLOOR
NEW YORK, NY 10029
(212) 241-7076
1619948783DR. MIODRAG VELICKOVIC M.D.
Individual
Psychiatry & Neurology (Neurology)5 E 98TH ST FIRST FLOOR
NEW YORK, NY 10029
(212) 241-7076
1407827546DR. STEVEN LEVINE M.D.
Individual
Psychiatry & Neurology (Neurology)5 E 98TH ST 7TH FLOOR
NEW YORK, NY 10029
(212) 241-7076
1598736811DR. AARON MILLER M.D.
Individual
Psychiatry & Neurology (Neurology)5 E 98TH ST FIRST FLOOR
NEW YORK, NY 10029
(212) 241-7958

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.