PATRICIA PEZZELLO MD
NPI 1952340150
Surgery in Great Neck, NY

Active since June 05, 2006PECOS Enrolled
84.14/100
CMS Quality Rating
1010 NORTHERN BLVD, SUITE 102, GREAT NECK, NY 11021(516) 487-8888(516) 487-8887 Get Directions Write a Review

NPPES record last updated: October 1, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Patricia Pezzello Md NPPES

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

PATRICIA PEZZELLO MD (NPI 1952340150) is an individual surgery provider in Great Neck, New York, licensed in New York (136277) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952340150
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NamePATRICIA PEZZELLOCredential: MD
Location Address1010 NORTHERN BLVD, SUITE 102Great Neck, NY 11021-5306
Mailing Address1010 Northern Blvd, Suite 102Great Neck, NY 11021-5306 · (516) 487-8888 · Fax (516) 487-8887
Fax(516) 487-8887
Sole ProprietorNo
Enumeration DateJune 5, 2006
Last NPPES UpdateOctober 1, 2007
✔ NPI 1952340150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NY · 136277
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.
1010 NORTHERN BLVD, Great Neck, NY 11021

Other Identifiers 1

Medicare UPINB18911NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patricia Pezzello Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

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

Urgent Care
555 N BROADWAY
Jericho, NY 11753
  • Reassigned Medicare billing, New York enrollment
  • 413 clinicians in this Medicare group
Cardiovascular Disease
90 SOUTH BEDFORD RD, MT KISCO MEDICAL GROUP PC
Mount Kisco, NY 10549
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Optum Medical Care PC
  • 1,601 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.

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
$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.

84.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.11
Promoting Interoperability100
Improvement Activities40
Cost69.05

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.

Internal Medicine (Cardiovascular Disease)
1010 NORTHERN BLVD, STE 110
GREAT NECK, NY 11021
Dermatology
1010 NORTHERN BLVD, SUITE 120
GREAT NECK, NY 11021
Psychiatry & Neurology (Psychiatry)
1010 NORTHERN BLVD, SUITE 208
GREAT NECK, NY 11021
Specialist
1010 NORTHERN BLVD, SUITE 208
GREAT NECK, NY 11021
Physician Assistant
1010 NORTHERN BLVD, SUITE 208
GREAT NECK, NY 11021
Occupational Therapy Assistant
1010 NORTHERN BLVD
GREAT NECK, NY 11021
Internal Medicine (Cardiovascular Disease)
1010 NORTHERN BLVD, STE 110
GREAT NECK, NY 11021
Psychiatry & Neurology (Psychosomatic Medicine)
1010 NORTHERN BLVD, SUITE 208
GREAT NECK, NY 11021

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 Patricia Pezzello's NPI number?

The NPI number for Patricia Pezzello is 1952340150. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Patricia Pezzello located?

Patricia Pezzello practices at 1010 Northern Blvd Suite 102, Great Neck, NY 11021. The listed phone number is (516) 487-8888.

What is Patricia Pezzello's specialty?

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

Is Patricia Pezzello enrolled in Medicare?

Yes. Patricia Pezzello is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Patricia Pezzello's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patricia Pezzello reassigns Medicare benefits to 2 organizations: Optum Urgent Care, PLLC (Jericho, NY) and Optum Medical Care, P.C. (Mount Kisco, NY). 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 Patricia Pezzello's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Patricia Pezzello was last updated on October 1, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.