DWIGHT CARLTON DE RISI M.D.
NPI 1902876204
Surgery - Surgical Oncology in Great Neck, NY

Q: What is Dwight De Risi's NPI number?

The NPI number for Dwight De Risi is 1902876204. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Q: What is Dwight De Risi's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Q: When was this NPI record last updated?

The NPPES record for Dwight De Risi was last updated on January 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since January 26, 2006PECOS EnrolledAccepts Medicare Assignment

99.15/100

CMS Quality Rating

1010 NORTHERN BLVD, GREAT NECK, NY 11021(516) 487-8888(516) 487-8887 Get Directions Write a Review

NPPES record last updated: January 17, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dwight Carlton De Risi M.d. NPPES

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

DWIGHT CARLTON DE RISI M.D. (NPI 1902876204) is an individual surgical oncology provider in Great Neck, New York, licensed in New York (124921) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Boca Raton Regional Hospital, and is a graduate of George Washington University School Of Medicine (1973).

NPPES Registry Identity

NPI1902876204

Entity TypeIndividualMale

Primary Taxonomy2086X0206X

Provider Legal NameDWIGHT CARLTON DE RISICredential: M.D.

Location Address1010 NORTHERN BLVDGreat Neck, NY 11021-5306

Mailing Address1500 Route 112 Bldg 4Port Jefferson Station, NY 11776-8055 · (631) 751-3000 · Fax (631) 509-6559

Phone(516) 487-8888

Fax(516) 487-8887

Sole ProprietorYes

Medical School CMSGeorge Washington University School Of MedicineGraduated 1973

Enumeration DateJanuary 26, 2006

Last NPPES UpdateJanuary 17, 2020

✔ NPI 1902876204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2086X0206X

License✔ Licensed in NY · 124921

Definition

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

1010 NORTHERN BLVD, Great Neck, NY 11021

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dwight Carlton De Risi 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 ID9638161151

PECOS Enrollment IDI20041103001341

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 Reassignment

Medicare enrollment records show Dwight De Risi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Shore Hematology Oncology Associates PC

35 mi

Specialist

49 NESCONSET HWY
Port Jefferson Station, NY 11776

Reassigned Medicare billing, New York enrollment
636 clinicians in this Medicare group

NPI 1396794574 (631) 751-3000

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

Areas of Expertise CMS Part B claims 17

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.

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.

798 services215 patients

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.

676 services564 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.

215 services210 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.

123 services112 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

61 services61 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

49 services49 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

45 services39 patients

Imaging of lymph nodes during surgery 38900

Imaging of lymph nodes during surgery involves taking detailed pictures of your lymph nodes to help surgeons see and assess them in real-time. This procedure can aid in detecting disease, guiding treatment, and improving surgical precision.

42 services42 patients

Biopsy or removal of deep lymph nodes of underarm 38525

A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.

41 services41 patients

Limited ultrasound scan of 1 breast 76642

A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.

34 services34 patients

Partial removal of breast 19301

A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.

32 services32 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

26 services26 patients

Removal of growth of breast identified by x-ray marker, first growth 19125

This procedure involves removing an abnormal growth in the breast that has been identified by an x-ray marker. The growth is first located, then carefully removed. This is done to ensure your health and prevent potential issues.

19 services19 patients

Simple complete removal of breast 19303

This procedure involves the total removal of breast tissue. It's typically done to treat or prevent conditions like cancer. The operation involves an incision on the skin, removal of the tissue, and closure of the wound. Post-surgery, care and recovery plans are provided.

17 services17 patients

Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm 13132

This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.

14 services14 patients

Self soft tissue graft 15769

A self soft tissue graft is a dental procedure where tissue from your own mouth is used to treat areas with gum recession. This can protect roots, reduce sensitivity, and improve gum health. It's a common, safe procedure.

13 services13 patients

Repair of wound by transferring skin, 30.1-60.0 sq cm 14301

This procedure involves repairing a wound by moving healthy skin from one area of the body to the wound site. The transferred skin, measuring between 30.1-60.0 square cm, aids in healing and reduces scarring.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Boca Raton Regional Hospital

Acute Care Hospitals · Boca Raton, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100168

Location800 Meadows RdBoca Raton, FL 33486 · Palm Beach County

Emergency services Birthing friendly

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330106

Location300 Community DriveManhasset, NY 11030 · Nassau County

Emergency services Birthing friendly

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

Mercy Medical Center

Acute Care Hospitals · Rockville Centre, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330259

Location1000 North Village AvenueRockville Centre, NY 11570 · Nassau County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11021 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

$203.53 typical visit price

range $67.40 – $203.53

Typical copayment $50.88 (range $16.85 – $50.88)

Most-billed visit code 99205

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.

99.15/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000

DME-Orthotic Devices · category DF000N

8 suppliers21 claims56 services$31.05 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

DR. ALAN S ROSENBERG M.D.

Internal Medicine (Cardiovascular Disease)

1010 NORTHERN BLVD, STE 110
GREAT NECK, NY 11021

Nassau County (516) 390-2410

KAREN M WESSON M.D.

Dermatology

1010 NORTHERN BLVD, SUITE 120
GREAT NECK, NY 11021

Nassau County (516) 829-0050

JOSEPH SCOTT WEINER MD

Psychiatry & Neurology (Psychiatry)

1010 NORTHERN BLVD, SUITE 208
GREAT NECK, NY 11021

Nassau County (516) 336-2585

GARUDA MEDICAL, P.C.

Specialist

1010 NORTHERN BLVD, SUITE 208
GREAT NECK, NY 11021

Nassau County (718) 464-0122

DEBORAH ISHAAL PA

Physician Assistant

1010 NORTHERN BLVD, SUITE 208
GREAT NECK, NY 11021

Nassau County (718) 888-1467

JENNIFER D PIERRE

Occupational Therapy Assistant

1010 NORTHERN BLVD
GREAT NECK, NY 11021

Nassau County (516) 965-7100

DR. RONALD B COHEN M.D.

Internal Medicine (Cardiovascular Disease)

1010 NORTHERN BLVD, STE 110
GREAT NECK, NY 11021

Nassau County (516) 390-2440

JOSEPH S. WEINER, M.D., P.C.

Psychiatry & Neurology (Psychosomatic Medicine)

1010 NORTHERN BLVD, SUITE 208
GREAT NECK, NY 11021

Nassau County (516) 336-2585

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 Dwight De Risi's NPI number?

The NPI number for Dwight De Risi is 1902876204. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is Dwight De Risi located?

Dwight De Risi practices at 1010 Northern Blvd, Great Neck, NY 11021. The listed phone number is (516) 487-8888.

What is Dwight De Risi's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Dwight De Risi enrolled in Medicare?

Yes. Dwight De Risi 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.

Which organization bills Medicare for Dwight De Risi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dwight De Risi reassigns Medicare benefits to North Shore Hematology Oncology Associates PC (Port Jefferson Station, NY). The 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 Dwight De Risi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Dwight De Risi affiliated with any hospitals?

According to CMS data, Dwight De Risi is affiliated with Boca Raton Regional Hospital, North Shore University Hospital, St Francis Hospital - The Heart Center and Mercy Medical Center.

When was this NPI record last updated?

The NPPES record for Dwight De Risi was last updated on January 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.