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DR. PHILIP NIZZA D.O.
NPI 1912012410
Internal Medicine - Infectious Disease in East Setauket, NY

Active since August 21, 2006PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
14 TECHNOLOGY DR, SUITE 10, EAST SETAUKET, NY 11733(631) 689-5400(631) 689-8247 Get Directions Write a Review

NPPES record last updated: March 27, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Philip Nizza D.o. NPPES

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

DR. PHILIP NIZZA D.O. (NPI 1912012410) is an individual infectious disease provider in East Setauket, New York, licensed in New York (211788) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with John T Mather Memorial Hospital Of Port Jefferson, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (1993).

NPPES Registry Identity

NPI1912012410
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. PHILIP NIZZACredential: D.O.
Location Address14 TECHNOLOGY DR, SUITE 10East Setauket, NY 11733-3472
Mailing Address14 Technology Dr, Suite 10East Setauket, NY 11733-3472 · (631) 689-5400 · Fax (631) 689-8247
Phone(631) 689-5400
Fax(631) 689-8247
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 1993
Enumeration DateAugust 21, 2006
Last NPPES UpdateMarch 27, 2013
✔ NPI 1912012410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in NY · 211788
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
14 TECHNOLOGY DR, East Setauket, NY 11733
Open in Google Maps ↗

Other Identifiers 4

Other211788NY · License
Medicare UPINH60579NY
Medicare ID-Type Unspecified2X0581NY
Medicaid02349264NY

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. Philip Nizza D.o. 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 ID547447609
PECOS Enrollment IDI20110608000196
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 7

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.
1,189 services634 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.
389 services364 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 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.
339 services192 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 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.
107 services105 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.
101 services55 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.
79 services49 patients

Hospital Affiliations CMS Care Compare 2

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

John T Mather Memorial Hospital Of Port Jefferson

Acute Care Hospitals · Port Jefferson, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330185
Location75 North Country RoadPort Jefferson, NY 11777 · Suffolk County
Emergency services

St Charles Hospital

Acute Care Hospitals · Port Jefferson, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330246
Location200 Belle Terre RoadPort Jefferson, NY 11777 · Suffolk County
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.

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 20

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

DR. NICHOLAS DIVARIS
Orthopaedic Surgery (Orthopaedic Trauma)
14 TECHNOLOGY DR
EAST SETAUKET, NY 11733
Suffolk County (631) 444-4233
DR. JAMES NICHOLSON M.D.
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
14 TECHNOLOGY DR
EAST SETAUKET, NY 11733
Suffolk County (631) 444-4233
MARIA JOANA RIZZA RELEVO ROSAS PA-C
Physician Assistant
14 TECHNOLOGY DR, SUITE 11, 12, 15
EAST SETAUKET, NY 11733
Suffolk County (631) 444-4233
NARDEEN MICKAIL MD
Internal Medicine
14 TECHNOLOGY DR, SUITE 10
EAST SETAUKET, NY 11733
Suffolk County (631) 689-5400
MS. JENNIFER CASTELLI P.A.
Physician Assistant
14 TECHNOLOGY DR
EAST SETAUKET, NY 11733
Suffolk County (631) 444-4233
MEGAN CARROLL PAULUS M.D.
Orthopaedic Surgery (Foot and Ankle Surgery)
14 TECHNOLOGY DR, SUITE 11
EAST SETAUKET, NY 11733
Suffolk County (631) 444-4233
DR. STEPHEN KOTTMEIER M.D.
Orthopaedic Surgery (Sports Medicine)
14 TECHNOLOGY DR
EAST SETAUKET, NY 11733
Suffolk County (631) 444-4233
DR. STEVEN SAMPSON M.D.
Orthopaedic Surgery
14 TECHNOLOGY DR
EAST SETAUKET, NY 11733
Suffolk County (631) 444-4233

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 Nizza's NPI number?

The NPI number for Philip Nizza is 1912012410. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Philip Nizza located?

Philip Nizza practices at 14 Technology Dr Suite 10, East Setauket, NY 11733. The listed phone number is (631) 689-5400.

What is Philip Nizza's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Philip Nizza enrolled in Medicare?

Yes. Philip Nizza 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 Nizza affiliated with any hospitals?

According to CMS data, Philip Nizza is affiliated with John T Mather Memorial Hospital Of Port Jefferson and St Charles Hospital.

When was this NPI record last updated?

The NPPES record for Philip Nizza was last updated on March 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.