ALEX M APONTE MD
NPI 1861568685
Family Medicine in Westhampton Beach, NY

Active since November 24, 2006PECOS EnrolledAccepts Medicare Assignment
98.52/100
CMS Quality Rating
147 BEACH RD, SUITE A, WESTHAMPTON BEACH, NY 11978(631) 288-7746(631) 288-7111 Get Directions Write a Review

NPPES record last updated: April 14, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alex M Aponte Md NPPES

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

ALEX M APONTE MD (NPI 1861568685) is an individual family medicine provider in Westhampton Beach, New York, licensed in New York (199468) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of State University Of New York At Buffalo School Of Medicine (1992).

NPPES Registry Identity

NPI1861568685
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameALEX M APONTECredential: MD
Location Address147 BEACH RD, SUITE AWesthampton Beach, NY 11978-1733
Mailing Address147 Beach Rd, Suite AWesthampton Beach, NY 11978-1733 · (631) 288-7746 · Fax (631) 288-7111
Fax(631) 288-7111
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1992
Enumeration DateNovember 24, 2006
Last NPPES UpdateApril 14, 2016
NPI 1861568685 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 · 199468
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.
147 BEACH RD, Westhampton Beach, NY 11978

Other Identifiers 17

OtherCP694NY · Oxford
Other200499NY · Tricare
Other260291NY · Blue Choice
Other2C4002NY · Physicians Health Service
Medicare UPING17852NY
Other1424934NY · United Healthcare
Other5294017NY · Aetna
Medicare ID-Type Unspecified260291NY
OtherP39995804NY · Multiplan
Other935405NY · Healthnet
Other5902167NY · Ghi
Medicaid01694086NY
Other199468NY · Workers Compensation
Other54732NY · Vytra
Other080088056NY · Railroad Medicare
Other200499NY · Uniform Ser.family Health
Other38465NY · Cigna

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

Alex M Aponte 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 ID3072662659
PECOS Enrollment IDI20090602000060
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 13

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.
478 services223 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.
117 services92 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
71 services13 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
69 services69 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
67 services67 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
58 services36 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11978 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
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.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

Internal Medicine
147 BEACH RD
WESTHAMPTON BEACH, NY 11978
Clinic/Center (Primary Care)
147 BEACH RD, SUITE A
WESTHAMPTON BEACH, NY 11978
Internal Medicine (Rheumatology)
147 BEACH RD, SUITE D
WESTHAMPTON BEACH, NY 11978
Nurse Practitioner
147 BEACH RD, SUITE A
WESTHAMPTON BEACH, NY 11978
Family Medicine
147 BEACH RD, SUITE A
WESTHAMPTON BEACH, NY 11978
Family Medicine
147 BEACH RD
WESTHAMPTON BEACH, NY 11978

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 Alex Aponte's NPI number?

The NPI number for Alex Aponte is 1861568685. It was assigned to this individual provider in the NPPES registry on November 24, 2006.

Where is Alex Aponte located?

Alex Aponte practices at 147 Beach Rd Suite A, Westhampton Beach, NY 11978. The listed phone number is (631) 288-7746.

What is Alex Aponte's specialty?

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

Is Alex Aponte enrolled in Medicare?

Yes. Alex Aponte 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 Alex Aponte affiliated with any hospitals?

According to CMS data, Alex Aponte is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Alex Aponte was last updated on April 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.