DR. MARLENE MARIE MANCUSO M.D.
NPI 1952561540
Surgery in Manhasset, NY

Active since June 17, 2008PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
1155 NORTHERN BLVD, MANHASSET, NY 11030(516) 222-2022 Get Directions Write a Review

NPPES record last updated: February 23, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Marlene Marie Mancuso M.d. NPPES

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

DR. MARLENE MARIE MANCUSO M.D. (NPI 1952561540) is an individual surgery provider in Manhasset, New York, licensed in New York (244998) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with St Francis Hospital - The Heart Center, and is a graduate of Icahn School Of Medicine At Mount Sinai (2001).

NPPES Registry Identity

NPI1952561540
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. MARLENE MARIE MANCUSOCredential: M.D.
Location Address1155 NORTHERN BLVDManhasset, NY 11030-3040
Mailing Address990 Stewart Ave, Suite 400Garden City, NY 11530-4822 · (516) 222-2022 · Fax (516) 222-8475
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 2001
Enumeration DateJune 17, 2008
Last NPPES UpdateFebruary 23, 2021
NPPES CertifiedFebruary 23, 2021
NPI 1952561540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in NY · 244998
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.

1155 NORTHERN BLVD, Manhasset, NY 11030

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. Marlene Marie Mancuso M.d. 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 ID4688727258
PECOS Enrollment IDI20120719000040
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 5

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 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.
55 services54 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.
53 services51 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.
22 services22 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
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.
12 services11 patients

Hospital Affiliations CMS Care Compare 5

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

St Francis Hospital - The Heart Center

Acute Care Hospitals · Roslyn, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330182
Location100 Port Washington BoulevardRoslyn, NY 11576 · Nassau County
Emergency services

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Mercy Medical Center

Acute Care Hospitals · Rockville Centre, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330259
Location1000 North Village AvenueRockville Centre, NY 11570 · Nassau County
Emergency services Birthing friendly

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330286
Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County
Emergency services Birthing friendly

Chsli St Joseph Hospital

Acute Care Hospitals · Bethpage, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330332
Location4295 Hempstead TurnpikeBethpage, NY 11714 · Nassau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11030 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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Other Providers at the Same Location NPPES 15

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

Internal Medicine (Gastroenterology)
1155 NORTHERN BLVD
MANHASSET, NY 11030
Internal Medicine
1155 NORTHERN BLVD
MANHASSET, NY 11030
Family Medicine
1155 NORTHERN BLVD
MANHASSET, NY 11030
Podiatrist
1155 NORTHERN BLVD
MANHASSET, NY 11030
Internal Medicine (Cardiovascular Disease)
1155 NORTHERN BLVD
MANHASSET, NY 11030
Surgery
1155 NORTHERN BLVD, STE 310
MANHASSET, NY 11030
Internal Medicine (Gastroenterology)
1155 NORTHERN BLVD, SUITE 360
MANHASSET, NY 11030
Plastic Surgery
1155 NORTHERN BLVD, SUITE 110
MANHASSET, NY 11030

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 Marlene Mancuso's NPI number?

The NPI number for Marlene Mancuso is 1952561540. It was assigned to this individual provider in the NPPES registry on June 17, 2008.

Where is Marlene Mancuso located?

Marlene Mancuso practices at 1155 Northern Blvd, Manhasset, NY 11030. The listed phone number is (516) 222-2022.

What is Marlene Mancuso's specialty?

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

Is Marlene Mancuso enrolled in Medicare?

Yes. Marlene Mancuso 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 Marlene Mancuso affiliated with any hospitals?

According to CMS data, Marlene Mancuso is affiliated with St Francis Hospital - The Heart Center, Nyu Langone Hospitals, Mercy Medical Center, Good Samaritan Hospital Medical Center and Chsli St Joseph Hospital.

When was this NPI record last updated?

The NPPES record for Marlene Mancuso was last updated on February 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.