DR. DEAN PAUL PAPPAS MD
NPI 1942205901
Specialist in Garden City, NY

Q: What is Dean Pappas's NPI number?

The NPI number for Dean Pappas is 1942205901. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Q: What is Dean Pappas's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Dean Pappas was last updated on January 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 June 16, 2005PECOS EnrolledAccepts Medicare Assignment

1100 FRANKLIN AVE, SUITE 203, GARDEN CITY, NY 11530(516) 248-2422(516) 248-5162 Get Directions Write a Review

NPPES record last updated: January 15, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Dean Paul Pappas Md NPPES

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

DR. DEAN PAUL PAPPAS MD (NPI 1942205901) is an individual specialist in Garden City, New York, licensed in New York (205432-1) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai South Nassau, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (1994).

NPPES Registry Identity

NPI1942205901

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. DEAN PAUL PAPPASCredential: MD

Location Address1100 FRANKLIN AVE, SUITE 203Garden City, NY 11530-3221

Mailing Address1100 Franklin Ave, Suite 203Garden City, NY 11530-3221 · (516) 248-2422 · Fax (516) 248-5162

Phone(516) 248-2422

Fax(516) 248-5162

Sole ProprietorYes

Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 1994

Enumeration DateJune 16, 2005

Last NPPES UpdateJanuary 15, 2015

✔ NPI 1942205901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NY · 205432-1

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1100 FRANKLIN AVE, Garden City, NY 11530

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Other Identifiers 15

Other030438737NY · United-empire Plan

Other9141819NY · Phcs

OtherP2214630NY · Oxford

Medicare ID-Type UnspecifiedWED581NY

Other2J3731NY · Bc/bs

Other7006141NY · Aetna Mc & Ppo

Other2085293NY · First Health

Other2819678NY · Aetna

Other9610114NY · Ghi

OtherAA71795NY · Mdny

Other33250-PNY · Hip

Medicare UPINH15578NY

Other00000093438NY · Beechstreet

Other107177NY · Vytra

Other4C1304NY · Phs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc..Insurance ›

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

Dr. Dean Paul Pappas Md 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 ID648291674

PECOS Enrollment IDI20051217000023

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 Reassignments

Medicare enrollment records show Dean Pappas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Shore Medical Group Of The Mount Sinai School Of Medicine

7.8 mi

Internal Medicine

2020 WANTAGH AVE
Wantagh, NY 11793

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

NPI 1992417323 (516) 961-4545

Icahn School Of Medicine At Mount Sinai

1,023 mi

Cardiovascular Disease

600 UNIVERSITY BLVD, SUITE 200
Jupiter, FL 33458

Reassigned Medicare billing, Florida enrollment
23 clinicians in this Medicare group

NPI 1356722425 (561) 627-2601

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 22

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.

246 services173 patients

Diagnostic exam of anus using an endoscope 46600

This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.

157 services134 patients

Injection of hemorrhoid 46500

An injection for hemorrhoids involves administering a substance into the swollen tissue to reduce its size. It's a simple, quick procedure, performed in a doctor's office, to help alleviate discomfort and inflammation.

110 services63 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.

84 services53 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

81 services81 patients

Control of bleeding of anus using an endoscope 46614

This procedure involves using an endoscope, a thin flexible tube with a light and camera, to view and treat bleeding in the lower digestive tract. It can involve methods like banding, where a tiny rubber band is placed around a bleeding source to stop the flow. It's a safe, effective method.

78 services47 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

73 services73 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.

71 services55 patients

Diagnostic exam of lower portion of large bowel using a flexible endoscope 45330

This procedure, known as a sigmoidoscopy, involves using a flexible tube with a camera to examine the lower part of your large bowel. It helps in identifying issues like inflammation, ulcers, or abnormal growths. It's a safe, minimally invasive procedure.

69 services58 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

52 services51 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

49 services48 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

49 services49 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

40 services38 patients

Removal of external hemorrhoids by rubber banding 46221

Rubber band ligation is a procedure used to treat external hemorrhoids. A doctor places small rubber bands around the base of the hemorrhoids. This cuts off blood supply, causing them to shrink and fall off, typically within a week.

34 services21 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.

34 services34 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.

25 services25 patients

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.

17 services12 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

16 services16 patients

Diagnostic exam of rectum and lower large bowel using an endoscope 45300

This procedure, known as a sigmoidoscopy, involves using a thin, flexible instrument called an endoscope to examine your lower large bowel and rectum. This helps in identifying any abnormalities or issues that could affect your digestive health.

14 services14 patients

Release of scar tissue at ureter 50715

This procedure involves removing scar tissue from a tube in your body that carries liquid waste from your kidneys to your bladder. Scar tissue can block this tube, causing discomfort and health issues. The goal is to restore normal function and alleviate any symptoms.

14 services14 patients

Control of bleeding of upper large bowel using a flexible endoscope 45382

This procedure involves using a flexible endoscope, a thin tube with a light and camera, to view and control bleeding in the upper large bowel. Special tools can be passed through the endoscope to stop the bleeding. It's a minimally invasive way to address this issue.

13 services13 patients

Injection of agent into vein to assess blood flow of skin graft or flap 15860

This procedure involves injecting a special substance into your vein to evaluate the blood flow in a skin graft or flap. The substance helps to highlight the blood vessels under imaging, providing a clear picture of how well the graft or flap is receiving blood supply.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Mount Sinai South Nassau

Acute Care Hospitals · Oceanside, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330198

LocationOne Healthy WayOceanside, NY 11572 · Nassau County

Emergency services Birthing friendly

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.

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

58%1,123 patients3/55-star benchmark: 99%

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.

100%2,801 patients5/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

84%461 patients4/55-star benchmark: 100%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

100%693 patients5/55-star benchmark: 100%

Patient-Centered Surgical Risk Assessment and Communication

Percentage of patients who underwent a non-emergency surgery who had their personalized risks of postoperative complications assessed by their surgical team prior to surgery using a clinical data-based, patient-specific risk calculator and who received…

0%366 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…

80%1,850 patients4/55-star benchmark: 100%

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

5%39 patients1/55-star benchmark: 100%

Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling

Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user

86%494 patients4/55-star benchmark: 100%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

83%591 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394

DME-Orthotic Devices · category DF010N

5 suppliers16 claims340 services$2.50 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407

DME-Orthotic Devices · category DF010N

5 suppliers13 claims610 services$8.47 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409

DME-Orthotic Devices · category DF010N

3 suppliers11 claims460 services$5.99 avg. paid by Medicare

Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each A4419

DME-Orthotic Devices · category DF010N

4 suppliers14 claims2,520 services$1.67 avg. paid by Medicare

Adhesive remover, wipes, any type, each A4456

DME-Medical/Surgical Supplies · category DA000N

5 suppliers15 claims1,035 services$0.22 avg. paid by Medicare

Skin barrier, wipes or swabs, each A5120

DME-Orthotic Devices · category DF010N

6 suppliers22 claims1,237 services$0.23 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 7

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

STEVEN PELAEZ M.D.

Colon & Rectal Surgery

1100 FRANKLIN AVE, SUITE 203
GARDEN CITY, NY 11530

Nassau County (516) 248-2422

FRANK J CALIENDO MD

Colon & Rectal Surgery

1100 FRANKLIN AVE, SUITE 203
GARDEN CITY, NY 11530

Nassau County (516) 248-2422

FRANK J CALIENDO MD PC

Specialist

1100 FRANKLIN AVE, SUITE 203
GARDEN CITY, NY 11530

Nassau County (516) 248-2422

COLON & RECTAL ASSOCIATES OF NASSAU, PLLC

Colon & Rectal Surgery

1100 FRANKLIN AVE, SUITE 203
GARDEN CITY, NY 11530

Nassau County (516) 248-2422

COLON & RECTAL SURGICAL PRACTICE OF NASSAU, PLLC

Colon & Rectal Surgery

1100 FRANKLIN AVE, STE 203
GARDEN CITY, NY 11530

Nassau County (516) 248-2422

MALA MURTHY BALAKUMAR MD

Colon & Rectal Surgery

1100 FRANKLIN AVE, SUITE 203
GARDEN CITY, NY 11530

Nassau County (516) 248-2422

DR. TONI R ZANETTI AU.D.

Audiologist

1100 FRANKLIN AVE, SUITE 300
GARDEN CITY, NY 11530

Nassau County (516) 248-0068

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 Dean Pappas's NPI number?

The NPI number for Dean Pappas is 1942205901. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Where is Dean Pappas located?

Dean Pappas practices at 1100 Franklin Ave Suite 203, Garden City, NY 11530. The listed phone number is (516) 248-2422.

What is Dean Pappas's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Dean Pappas enrolled in Medicare?

Yes. Dean Pappas 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 organizations bill Medicare for Dean Pappas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dean Pappas reassigns Medicare benefits to 2 organizations: North Shore Medical Group Of The Mount Sinai School Of Medicine (Wantagh, NY) and Icahn School Of Medicine At Mount Sinai (Jupiter, FL). Each 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 Dean Pappas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dean Pappas accept?

Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Dean Pappas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Dean Pappas affiliated with any hospitals?

According to CMS data, Dean Pappas is affiliated with Mount Sinai South Nassau.

When was this NPI record last updated?

The NPPES record for Dean Pappas was last updated on January 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.