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UMRAN UGUR M.D.
NPI 1851745871
Psychiatry & Neurology - Neurology in New Hyde Park, NY

Active since April 15, 2016PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
111 MARCUS AVE STE M04, NEW HYDE PARK, NY 11040(844) 566-3876 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 1, 2021, Apr 23, 2021 (2 updates tracked since 2021).

About Umran Ugur M.d. NPPES

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

UMRAN UGUR M.D. (NPI 1851745871) is an individual neurology provider in New Hyde Park, New York, licensed in New York (310278-01) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Staten Island University Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1851745871
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameUMRAN UGURCredential: M.D.
Location Address111 MARCUS AVE STE M04New Hyde Park, NY 11040-3406
Mailing Address501 Seaview Ave Ste 104Staten Island, NY 10305-3400 · (718) 226-5700 · Fax (718) 226-9654
Phone(844) 566-3876
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 15, 2016
Last NPPES UpdateDecember 1, 20212 updates tracked since enumeration
NPPES CertifiedDecember 1, 2021
✔ NPI 1851745871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in NY · 310278-01✔ Licensed in OH · 35.140118
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
111 MARCUS AVE STE M04, New Hyde Park, NY 11040
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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

Umran Ugur 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 ID7416240486
PECOS Enrollment IDI20210712002254
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 11

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
140 services122 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
91 services65 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.
84 services79 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
78 services48 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
54 services54 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
48 services48 patients

Hospital Affiliations CMS Care Compare 2

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

Staten Island University Hospital

Acute Care Hospitals · Staten Island, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330160
Location475 Seaview AvenueStaten Island, NY 10305 · Richmond County
Emergency services Birthing friendly

Northern Westchester Hospital

Acute Care Hospitals · Mount Kisco, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330162
Location400 East Main StreetMount Kisco, NY 10549 · Westchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11040 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
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 Umran Ugur's NPI number?

The NPI number for Umran Ugur is 1851745871. It was assigned to this individual provider in the NPPES registry on April 15, 2016.

Where is Umran Ugur located?

Umran Ugur practices at 111 Marcus Ave Ste M04, New Hyde Park, NY 11040. The listed phone number is (844) 566-3876.

What is Umran Ugur's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Umran Ugur enrolled in Medicare?

Yes. Umran Ugur 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 Umran Ugur affiliated with any hospitals?

According to CMS data, Umran Ugur is affiliated with Staten Island University Hospital and Northern Westchester Hospital.

When was this NPI record last updated?

The NPPES record for Umran Ugur was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.