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

Q: What is the provider's specialty?

The provider's specialty is Surgery with taxonomy code 2086X0206X and a focus in Surgical Oncology.

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: July 19, 2026.

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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 North Shore University 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

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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

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.

Areas of Expertise CMS Part B claims 18

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.

877 services148 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.

745 services580 patients

Established patient office or other outpatient visit, 20-29 minutes 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.

214 services186 patients

New patient office or other outpatient visit, 45-59 minutes 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.

85 services85 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.

71 services65 patients

New patient office or other outpatient visit, 60-74 minutes 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.

65 services65 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.

58 services57 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.

57 services56 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.

55 services53 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.

47 services47 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.

46 services46 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.

45 services44 patients

Vitamin d-3 level 82306

A Vitamin D-3 level test measures the amount of Vitamin D-3, a crucial nutrient, in your body. This test helps identify if your levels are too low or too high. Low levels may lead to bone weakness, while high levels could harm your kidneys. It's a simple blood test.

43 services40 patients

Established patient office or other outpatient visit, 40-54 minutes 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.

32 services27 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.

30 services30 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.

15 services15 patients

Melanoma (skin cancer) excision NAN03

Melanoma excision is a procedure where a surgeon removes melanoma, a type of skin cancer, and some surrounding healthy tissue. Local anesthesia is applied to numb the area. The goal is to completely remove the cancer and prevent its spread. Healing time varies.

0 services15 patients

Mastectomy NAN04

A mastectomy is a surgical procedure that involves the removal of all or part of the breast tissue. This is often done to treat or prevent conditions related to abnormal cell growth. There are different types, ranging from removing only the breast tissue to also removing nearby structures. The approach depends on individual health circumstances.

0 services57 patients

Hospital Affiliations CMS Care Compare 2

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

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

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. STEVEN M GOLDBERG M.D.

Internal Medicine (Cardiovascular Disease)

1010 NORTHERN BLVD, STE 110
GREAT NECK, NY 11021

Nassau County (516) 390-2430

DR. LESLIE B COOPERMAN M.D.

Internal Medicine (Cardiovascular Disease)

1010 NORTHERN BLVD, STE 110
GREAT NECK, NY 11021

Nassau County (516) 390-2420

DR. ALAN S ROSENBERG M.D.

Internal Medicine (Cardiovascular Disease)

1010 NORTHERN BLVD, STE 110
GREAT NECK, NY 11021

Nassau County (516) 390-2410

DR. JACOB M MERON M.D.

Internal Medicine (Cardiovascular Disease)

1010 NORTHERN BLVD
GREAT NECK, NY 11021

Nassau County (516) 390-2460

DR. MICHAEL R LOWENTHAL M.D.

Internal Medicine

1010 NORTHERN BLVD, STE 126
GREAT NECK, NY 11021

Nassau County (516) 390-7900

DR. SHARI B GREEN M.D.

Internal Medicine

1010 NORTHERN BLVD, STE 110
GREAT NECK, NY 11021

Nassau County (516) 390-7905

DR. RONALD B COHEN M.D.

Internal Medicine (Cardiovascular Disease)

1010 NORTHERN BLVD, STE 110
GREAT NECK, NY 11021

Nassau County (516) 390-2440

ELENA KOGAN DDS

Dentist (Dental Public Health)

1010 NORTHERN BLVD
GREAT NECK, NY 11021

Nassau County (516) 495-5469

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

About Dwight Carlton De Risi M.d. NPPES

NPPES Registry Identity

Specialties & Licenses

Medicare Participation & PECOS CMS

Medicare Enrollment Status

Areas of Expertise CMS Part B claims 18

Hospital Affiliations CMS Care Compare 2

North Shore University Hospital

St Francis Hospital - The Heart Center

Physician Visit Costs CMS claims · ZIP area

Medicare Quality Performance CMS QPP · MIPS

Referred Medical Equipment & Supplies CMS DME claims

Other Providers at the Same Location NPPES 20

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