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DR. ANASTASIA BAKOULIS D.O.
NPI 1922380203
Surgery in Stony Brook, NY

Active since September 13, 2011PECOS EnrolledAccepts Medicare Assignment
98.52/100
CMS Quality Rating
3 EDMUND D PELLEGRINO RD, STONY BROOK, NY 11794(631) 638-1000(631) 638-0720 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Sep 18, 2017 (2 updates tracked since 2017).

About Dr. Anastasia Bakoulis D.o. NPPES

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

DR. ANASTASIA BAKOULIS D.O. (NPI 1922380203) is an individual surgery provider in Stony Brook, New York, licensed in New York (284277) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS, is affiliated with John T Mather Memorial Hospital Of Port Jefferson, and is a graduate of Philadelphia College Of Osteopathic Medicine (2010).

NPPES Registry Identity

NPI1922380203
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. ANASTASIA BAKOULISCredential: D.O.
Location Address3 EDMUND D PELLEGRINO RDStony Brook, NY 11794-2594
Mailing AddressStony Brook Surgical Associates Hsc T19, Room 20Stony Brook, NY 11794-8191 · (631) 444-5976 · Fax (631) 444-6348
Phone(631) 638-1000
Fax(631) 638-0720
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2010
Enumeration DateSeptember 13, 2011
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1922380203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NY · 284277
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
3 EDMUND D PELLEGRINO RD, Stony Brook, NY 11794
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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

Dr. Anastasia Bakoulis 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 ID7214202696
PECOS Enrollment IDI20171011001401
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 9

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.

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.
129 services110 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.
33 services33 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.
27 services27 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.
21 services21 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.
18 services18 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.
18 services18 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

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11794 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
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.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

MRS. JULIA SCHEUERMANN NP
Nurse Practitioner (Adult Health)
3 EDMUND D PELLEGRINO RD
STONY BROOK, NY 11794
Suffolk County (631) 638-0800
KRYSTAL DANIELLE AIROLA M.D.
Radiology (Diagnostic Radiology)
3 EDMUND D PELLEGRINO RD
STONY BROOK, NY 11794
Suffolk County (631) 638-1000
DR. EDWARD CHAN M.D.
Pediatrics (Pediatric Hematology-Oncology)
3 EDMUND D PELLEGRINO RD
STONY BROOK, NY 11794
Suffolk County (631) 638-0965
MISS JENNIFER LYN FITZGIBBON MS RD CDN
Dietitian, Registered
3 EDMUND D PELLEGRINO RD
STONY BROOK, NY 11794
Suffolk County (631) 638-0851
DR. MICHAEL ABRAMOV M.D.
Radiology (Diagnostic Radiology)
3 EDMUND D PELLEGRINO RD
STONY BROOK, NY 11794
Suffolk County (718) 594-7809
MINYI TAN MD
Anesthesiology (Pain Medicine)
3 EDMUND D PELLEGRINO RD, STONY BROOK ANAESTHESIOLOGY - PAIN MANAGEMENT CENTER
STONY BROOK, NY 11794
Suffolk County (631) 638-0800
DR. SYLVIA K WOOD DNP, ANP-BC
Nurse Practitioner (Adult Health)
3 EDMUND D PELLEGRINO RD
STONY BROOK, NY 11794
Suffolk County (631) 444-3577
RUBIN GUO NP
Nurse Practitioner (Adult Health)
3 EDMUND D PELLEGRINO RD
STONY BROOK, NY 11794
Suffolk County (631) 638-0916

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 Anastasia Bakoulis's NPI number?

The NPI number for Anastasia Bakoulis is 1922380203. It was assigned to this individual provider in the NPPES registry on September 13, 2011.

Where is Anastasia Bakoulis located?

Anastasia Bakoulis practices at 3 Edmund D Pellegrino Rd, Stony Brook, NY 11794. The listed phone number is (631) 638-1000.

What is Anastasia Bakoulis's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Anastasia Bakoulis enrolled in Medicare?

Yes. Anastasia Bakoulis 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 Anastasia Bakoulis affiliated with any hospitals?

According to CMS data, Anastasia Bakoulis is affiliated with John T Mather Memorial Hospital Of Port Jefferson and Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Anastasia Bakoulis was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.