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PHILIP KASMARCIK NP
NPI 1982165593
Nurse Practitioner - Family in Newark Valley, NY

Active since March 27, 2019PECOS EnrolledAccepts Medicare Assignment
84.63/100
CMS Quality Rating
119 WHIG ST, NEWARK VALLEY, NY 13811(607) 642-5211(607) 642-8908 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2024, Jul 31, 2019 (2 updates tracked since 2019).

About Philip Kasmarcik Np NPPES

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

PHILIP KASMARCIK NP (NPI 1982165593) is an individual family provider in Newark Valley, New York, licensed in New York (344877) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with United Health Services Hospitals, Inc, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1982165593
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NamePHILIP KASMARCIKCredential: NP
Location Address119 WHIG STNewark Valley, NY 13811-2423
Mailing Address33 Lewis Rd, 2nd FlBinghamton, NY 13905 · (607) 729-8156 · Fax (607) 729-3982
Phone(607) 642-5211
Fax(607) 642-8908
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 27, 2019
Last NPPES UpdateNovember 18, 20242 updates tracked since enumeration
NPPES CertifiedNovember 18, 2024
✔ NPI 1982165593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 344877
119 WHIG ST, Newark Valley, NY 13811
Open in Google Maps ↗

Other Names 1

Former Name (1)Philip Nedlik Np

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

Philip Kasmarcik Np 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 ID6901138726
PECOS Enrollment IDI20191029000983
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 3

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.
84 services56 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.
56 services47 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

United Health Services Hospitals, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330394
Location10-42 Mitchell AvenueBinghamton, NY 13903 · Broome County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13811 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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.

84.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.96
Promoting Interoperability100
Improvement Activities40
Cost54.42

Other Providers at the Same Location NPPES

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

AMY LORD FNP-C
Nurse Practitioner
119 WHIG ST
NEWARK VALLEY, NY 13811
Tioga County (607) 642-5211

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 Philip Kasmarcik's NPI number?

The NPI number for Philip Kasmarcik is 1982165593. It was assigned to this individual provider in the NPPES registry on March 27, 2019. The provider is also known as Philip Nedlik Np.

Where is Philip Kasmarcik located?

Philip Kasmarcik practices at 119 Whig St, Newark Valley, NY 13811. The listed phone number is (607) 642-5211.

What is Philip Kasmarcik's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Philip Kasmarcik enrolled in Medicare?

Yes. Philip Kasmarcik 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 Philip Kasmarcik affiliated with any hospitals?

According to CMS data, Philip Kasmarcik is affiliated with United Health Services Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Philip Kasmarcik was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.