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DR. ANGELO JOHN PROCACCINO MD
NPI 1861587461
Surgery in Great Neck, NY

Active since October 03, 2006PECOS Enrolled
91.25/100
CMS Quality Rating
310 EAST SHORE ROAD, SUITE 203, GREAT NECK, NY 11023(516) 482-8657(516) 829-0002 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Angelo John Procaccino Md NPPES

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

DR. ANGELO JOHN PROCACCINO MD (NPI 1861587461) is an individual surgery provider in Great Neck, New York, licensed in New York (158773) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861587461
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. ANGELO JOHN PROCACCINOCredential: MD
Location Address310 EAST SHORE ROAD, SUITE 203Great Neck, NY 11023
Mailing Address310 East Shore Road, Suite 203Great Neck, NY 11023 · (516) 482-8657 · Fax (516) 829-0002
Phone(516) 482-8657
Fax(516) 829-0002
Sole ProprietorNo
Enumeration DateOctober 3, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1861587461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NY · 158773
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
310 EAST SHORE ROAD, Great Neck, NY 11023
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Other Identifiers 2

Medicare ID-Type Unspecified25D531
Medicare UPINA61555

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Angelo John Procaccino Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Angelo Procaccino reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Shore Long Island Jewish Health Care Inc
1.1 mi
Orthopaedic Surgery
825 NORTHERN BLVD, SUITE 201
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Northwell Healthcare Inc
  • 211 clinicians in this Medicare group
NPI 1487082657 (516) 773-7500
North Shore-Lij Medical PC
1.1 mi
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1053688572 (516) 321-7400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11023 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
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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

Other Providers at the Same Location NPPES 9

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

DR. LEWIS MYLES KURTZ MD
Surgery
310 EAST SHORE ROAD, SUITE 203
GREAT NECK, NY 11023
Nassau County (516) 482-8657
DR. LARRY ELI GELLMAN MD
Surgery
310 EAST SHORE ROAD, SUITE 203
GREAT NECK, NY 11023
Nassau County (516) 482-8657
DR. MARC LEHRER GREENWALD MD
Colon & Rectal Surgery
310 EAST SHORE ROAD, SUTE 203
GREAT NECK, NY 11023
Nassau County (516) 482-8657
NORTH SHORE SURGICAL SPECIALISTS, M.D. P.C.
Surgery
310 EAST SHORE ROAD, SUITE 203
GREAT NECK, NY 11023
Nassau County (516) 482-8657
DR. HOWARD IAN NADJARI MD
Surgery
310 EAST SHORE ROAD, SUITE 203
GREAT NECK, NY 11023
Nassau County (516) 482-8657
DR. ROBERT JAN DRING MD
Colon & Rectal Surgery
310 EAST SHORE ROAD, SUITE 203
GREAT NECK, NY 11023
Nassau County (516) 482-8657
MRS. KATHRYN R STAUDER AGACNP-BC
Nurse Practitioner (Acute Care)
310 EAST SHORE ROAD, SUITE #104
GREAT NECK, NY 11023
Nassau County (516) 829-9550
DR. DOMINIC ANDREW FILARDI MD
Surgery
310 EAST SHORE ROAD, SUITE 203
GREAT NECK, NY 11023
Nassau County (516) 482-8657

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 Angelo Procaccino's NPI number?

The NPI number for Angelo Procaccino is 1861587461. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Angelo Procaccino located?

Angelo Procaccino practices at 310 East Shore Road Suite 203, Great Neck, NY 11023. The listed phone number is (516) 482-8657.

What is Angelo Procaccino's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Angelo Procaccino enrolled in Medicare?

Yes. Angelo Procaccino is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Angelo Procaccino's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angelo Procaccino reassigns Medicare benefits to 2 organizations: North Shore Long Island Jewish Health Care Inc (Great Neck, NY) and North Shore-Lij Medical PC (Great Neck, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Angelo Procaccino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Angelo Procaccino was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.