DR. CANDICE PERKINS M.D.
NPI 1891735197
Psychiatry & Neurology - Neurology in East Setauket, NY

Active since June 07, 2006PECOS EnrolledAccepts Medicare Assignment
179 N BELLE MEAD RD, EAST SETAUKET, NY 11733(631) 723-5000 Get Directions Write a Review

NPPES record last updated: September 18, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Candice Perkins M.d. NPPES

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

DR. CANDICE PERKINS M.D. (NPI 1891735197) is an individual neurology provider in East Setauket, New York, licensed in New York (202050) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with New York-presbyterian/queens, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1891735197
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. CANDICE PERKINSCredential: M.D.
Location Address179 N BELLE MEAD RDEast Setauket, NY 11733-3456
Mailing AddressPo Box 1559Stony Brook, NY 11790-0989 · (631) 723-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateJune 7, 2006
Last NPPES UpdateSeptember 18, 2014
NPI 1891735197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in NY · 202050
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.
179 N BELLE MEAD RD, East Setauket, NY 11733

Other Identifiers 5

Medicare ID-Type Unspecified01S151NY
Medicaid02194663NY
Other7389132NY · Aetna
Other01S152NY · Empire Bc/bs
Medicare UPINH14213NY

Accepted Insurance

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. Candice Perkins 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 ID3678766128
PECOS Enrollment IDI20101018000359
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 2

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.

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.
183 services103 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.
124 services124 patients

Hospital Affiliations CMS Care Compare 2

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

New York-Presbyterian/Queens

Acute Care Hospitals · Flushing, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330055
Location56-45 Main StreetFlushing, NY 11355 · Queens County
Emergency services Birthing friendly

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11733 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.

Other Providers at the Same Location NPPES 11

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

Psychiatry & Neurology (Neurology)
179 N BELLE MEAD RD
EAST SETAUKET, NY 11733
Psychiatry & Neurology (Neurology)
179 N BELLE MEAD RD
EAST SETAUKET, NY 11733
Psychiatry & Neurology (Neurology)
179 N BELLE MEAD RD
EAST SETAUKET, NY 11733
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
179 N BELLE MEAD RD
EAST SETAUKET, NY 11733
Clinical Neuropsychologist
179 N BELLE MEAD RD, SUITE 3
EAST SETAUKET, NY 11733
Psychiatry & Neurology (Neurology)
179 N BELLE MEAD RD
EAST SETAUKET, NY 11733
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
179 N BELLE MEAD RD
EAST SETAUKET, NY 11733
Clinic/Center (Ambulatory Surgical)
179 N BELLE MEAD RD, SUITE 3
EAST SETAUKET, NY 11733

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 Candice Perkins's NPI number?

The NPI number for Candice Perkins is 1891735197. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Candice Perkins located?

Candice Perkins practices at 179 N Belle Mead Rd, East Setauket, NY 11733. The listed phone number is (631) 723-5000.

What is Candice Perkins's specialty?

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

Is Candice Perkins enrolled in Medicare?

Yes. Candice Perkins 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.

What insurance does Candice Perkins accept?

Health plans from Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Health Advantage and Medica and 1 other insurer list Candice Perkins as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Candice Perkins affiliated with any hospitals?

According to CMS data, Candice Perkins is affiliated with New York-Presbyterian/Queens and Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Candice Perkins was last updated on September 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.