DR. JOHN PEZZULO D.O.
NPI 1942261540
Family Medicine in Albany, NY
About Dr. John Pezzulo D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN PEZZULO D.O. (NPI 1942261540) is an individual family medicine provider in Albany, New York, licensed in New York (175785) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Saratoga Hospital, and is a graduate of New York University School Of Medicine (1987).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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. John Pezzulo 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.
Medicare Billing Reassignment
Medicare enrollment records show John Pezzulo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ballston Lake, NY 12019
- Reassigned Medicare billing, New York enrollment
- Also billed through NPI 1356764021 (New York)
- 456 clinicians in this Medicare group
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 6
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saratoga Hospital
Acute Care Hospitals · Saratoga Springs, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 12208 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 5
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 John Pezzulo's NPI number?
The NPI number for John Pezzulo is 1942261540. It was assigned to this individual provider in the NPPES registry on March 31, 2006.
Where is John Pezzulo located?
John Pezzulo practices at 315 S Manning Blvd, Albany, NY 12208. The listed phone number is (518) 525-5064.
What is John Pezzulo's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is John Pezzulo enrolled in Medicare?
Yes. John Pezzulo 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 John Pezzulo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Pezzulo reassigns Medicare benefits to Saratoga Hospital (Ballston Lake, 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 John Pezzulo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is John Pezzulo affiliated with any hospitals?
According to CMS data, John Pezzulo is affiliated with Saratoga Hospital.
When was this NPI record last updated?
The NPPES record for John Pezzulo was last updated on February 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. John Pezzulo, D.O. · NPI 1942261540
Family Medicine physician in Albany, New York. Individual provider, active in the CMS NPPES registry since March 31, 2006.
## Identity
- **NPI:** 1942261540 (Entity type: Individual)
- **Enumerated:** March 31, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 175785 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 315 S MANNING BLVD, Albany, NY 12208-1707
- **Phone:** (518) 525-5064
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Saratoga Hospital (NPI 1437418795, Ballston Lake, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York University School Of Medicine, class of 1987
## Record status
- **NPPES last updated:** February 9, 2023
- **Other identifiers:** Medicaid 01405605 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1942261540) · Data from the CMS NPPES public registry.