DR. ANDREW M ANTILLON DO
NPI 1952867558
Family Medicine in Far Rockaway, NY

Active since February 19, 2019PECOS EnrolledAccepts Medicare Assignment
327 BEACH 19TH ST, FAR ROCKAWAY, NY 11691(214) 771-6210 Get Directions Write a Review

NPPES record last updated: June 13, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Andrew M Antillon Do NPPES

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

DR. ANDREW M ANTILLON DO (NPI 1952867558) is an individual family medicine provider in Far Rockaway, New York, licensed in Texas (T7854) and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1952867558
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ANDREW M ANTILLONCredential: DO
Location Address327 BEACH 19TH STFar Rockaway, NY 11691-4423
Mailing Address3700 Ross Ave Apt 123Dallas, TX 75204-5429 · (214) 771-6210
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 19, 2019
Last NPPES UpdateJune 13, 2022
NPPES CertifiedJune 13, 2022
NPI 1952867558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · T7854
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
327 BEACH 19TH ST, Far Rockaway, NY 11691

Accepted Insurance

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. Andrew M Antillon Do 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 ID9133500382
PECOS Enrollment IDI20220719001582
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

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.

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.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11691 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Physician Assistant
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691
Student in an Organized Health Care Education/Training Program
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691
Student in an Organized Health Care Education/Training Program
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691
Student in an Organized Health Care Education/Training Program
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691
Physician Assistant
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691
Internal Medicine
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691
Podiatrist (Foot & Ankle Surgery)
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691
Student in an Organized Health Care Education/Training Program
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691

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 Andrew Antillon's NPI number?

The NPI number for Andrew Antillon is 1952867558. It was assigned to this individual provider in the NPPES registry on February 19, 2019.

Where is Andrew Antillon located?

Andrew Antillon practices at 327 Beach 19th St, Far Rockaway, NY 11691. The listed phone number is (214) 771-6210.

What is Andrew Antillon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Andrew Antillon enrolled in Medicare?

Yes. Andrew Antillon 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.

What insurance does Andrew Antillon accept?

Health plans from Blue Cross and Blue Shield of Texas list Andrew Antillon 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.

When was this NPI record last updated?

The NPPES record for Andrew Antillon was last updated on June 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.