PHILIP RAYMOND CASSAR M.D.
NPI 1891868857
Internal Medicine - Gastroenterology in Garden City, NY

Active since November 16, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1205 FRANKLIN AVE STE 150, GARDEN CITY, NY 11530(516) 222-0067(631) 223-2271 Get Directions Write a Review

NPPES record last updated: May 9, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Philip Raymond Cassar M.d. NPPES

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

PHILIP RAYMOND CASSAR M.D. (NPI 1891868857) is an individual gastroenterology provider in Garden City, New York, licensed in New York (233299) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with St Francis Hospital - The Heart Center, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1891868857
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NamePHILIP RAYMOND CASSARCredential: M.D.
Location Address1205 FRANKLIN AVE STE 150Garden City, NY 11530-1600
Mailing Address1205 Franklin Ave Ste 150Garden City, NY 11530-1600 · (516) 222-0067 · Fax (631) 223-2271
Fax(631) 223-2271
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateNovember 16, 2006
Last NPPES UpdateMay 9, 2018
NPI 1891868857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in NY · 233299
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 233299 (NY)
1205 FRANKLIN AVE STE 150, Garden City, NY 11530

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

Philip Raymond Cassar 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 ID8325111925
PECOS Enrollment IDI20080715000547
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 35

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.

Follow-up hospital inpatient care per day, typically 25 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.
1,995 services722 patients
Follow-up hospital inpatient care per day, typically 35 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.
1,069 services566 patients
Initial hospital inpatient care per day, typically 70 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.
838 services719 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
253 services188 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
195 services191 patients
Initial hospital inpatient care per day, typically 50 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.
143 services143 patients

Hospital Affiliations CMS Care Compare 2

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

St Francis Hospital - The Heart Center

Acute Care Hospitals · Roslyn, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330182
Location100 Port Washington BoulevardRoslyn, NY 11576 · Nassau County
Emergency services

Chsli St Joseph Hospital

Acute Care Hospitals · Bethpage, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330332
Location4295 Hempstead TurnpikeBethpage, NY 11714 · Nassau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11530 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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
2%51 patients1/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
48%170 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
14%103 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 77% · 47 patients
85%47 patients
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 40 patients
0%40 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

Internal Medicine (Gastroenterology)
1205 FRANKLIN AVE STE 150
GARDEN CITY, NY 11530
Internal Medicine (Gastroenterology)
1205 FRANKLIN AVE STE 150
GARDEN CITY, NY 11530

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 Philip Cassar's NPI number?

The NPI number for Philip Cassar is 1891868857. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Where is Philip Cassar located?

Philip Cassar practices at 1205 Franklin Ave Ste 150, Garden City, NY 11530. The listed phone number is (516) 222-0067.

What is Philip Cassar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Philip Cassar enrolled in Medicare?

Yes. Philip Cassar 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 Philip Cassar affiliated with any hospitals?

According to CMS data, Philip Cassar is affiliated with St Francis Hospital - The Heart Center and Chsli St Joseph Hospital.

When was this NPI record last updated?

The NPPES record for Philip Cassar was last updated on May 9, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.