DR. SERGIO APUZZO MD, PHD
NPI 1992261887
Radiology - Diagnostic Radiology in Plattsburgh, NY

Active since February 15, 2019PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
16 DEGRANDPRE WAY STE 600, PLATTSBURGH, NY 12901(518) 563-0490 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 18, 2024, May 16, 2024, Jan 27, 2022 and 3 more (6 updates tracked since 2019).

About Dr. Sergio Apuzzo Md, Phd NPPES

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

DR. SERGIO APUZZO MD, PHD (NPI 1992261887) is an individual diagnostic radiology provider in Plattsburgh, New York, licensed in New York (302949) and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS, is affiliated with Adirondack Medical Center - Saranac Lake, and is a graduate of Laval Universite, Faculte De Medecine (2014).

NPPES Registry Identity

NPI1992261887
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. SERGIO APUZZOCredential: MD, PHD
Location Address16 DEGRANDPRE WAY STE 600Plattsburgh, NY 12901-6454
Mailing Address1770 Iowa Ave Ste 280Riverside, CA 92507-7401 · (951) 786-0801
Sole ProprietorNo
Medical School CMSLaval Universite, Faculte De MedecineGraduated 2014
Enumeration DateFebruary 15, 2019
Last NPPES UpdateJuly 18, 20246 updates tracked since enumeration
NPPES CertifiedJuly 18, 2024
NPI 1992261887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in NY · 302949 Licensed in VT · 042-0014354 Licensed in TX · V1396
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
16 DEGRANDPRE WAY STE 600, Plattsburgh, NY 12901

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. Sergio Apuzzo Md, Phd 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 ID4486981958
PECOS Enrollment IDI20200803000929
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 70

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.

Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
886 services886 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
621 services590 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
448 services379 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
227 services213 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
185 services172 patients
Low dose ct scan of chest for lung cancer screening 71271
A low-dose CT scan of the chest is a quick, painless procedure that uses a small amount of radiation to create detailed images of your lungs. It's a key tool for early detection of lung cancer, especially for those at high risk.
173 services173 patients

Hospital Affiliations CMS Care Compare 5

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

Adirondack Medical Center - Saranac Lake

Acute Care Hospitals · Saranac Lake, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330079
Location2233 State Route 86, PO Box 471Saranac Lake, NY 12983 · Franklin County
Emergency services Birthing friendly

Champlain Valley Physicians Hospital Medical Ctr

Acute Care Hospitals · Plattsburgh, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330250
Location75 Beekman StreetPlattsburgh, NY 12901 · Clinton County
Emergency services Birthing friendly

Elizabethtown Community Hospital

Critical Access Hospitals · Elizabethtown, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331302
Location75 Park StreetElizabethtown, NY 12932 · Essex County
Emergency services Birthing friendly

The University Of Vermont Health Network-Alice Hy

Critical Access Hospitals · Malone, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331321
Location133 Park Street, PO Box 729Malone, NY 12953 · Franklin County
Emergency services

Univ. Of Vermont - Fletcher Allen Health Care

Acute Care Hospitals · Burlington, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470003
Location111 Colchester AveBurlington, VT 05401 · Chittenden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12901 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
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 12

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

Radiology (Diagnostic Radiology)
16 DEGRANDPRE WAY STE 600
PLATTSBURGH, NY 12901
Radiology (Diagnostic Radiology)
16 DEGRANDPRE WAY STE 600
PLATTSBURGH, NY 12901
Radiology (Vascular & Interventional Radiology)
16 DEGRANDPRE WAY STE 600, ASSOCIATES IN RADIOLOGY OF PLATTSBURGH
PLATTSBURGH, NY 12901
Radiology (Diagnostic Radiology)
16 DEGRANDPRE WAY STE 600
PLATTSBURGH, NY 12901
Radiology (Diagnostic Radiology)
16 DEGRANDPRE WAY STE 600
PLATTSBURGH, NY 12901
Radiology (Diagnostic Radiology)
16 DEGRANDPRE WAY STE 600
PLATTSBURGH, NY 12901
Radiology (Diagnostic Radiology)
16 DEGRANDPRE WAY STE 600
PLATTSBURGH, NY 12901
Radiology (Diagnostic Radiology)
16 DEGRANDPRE WAY STE 600
PLATTSBURGH, NY 12901

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 Sergio Apuzzo's NPI number?

The NPI number for Sergio Apuzzo is 1992261887. It was assigned to this individual provider in the NPPES registry on February 15, 2019.

Where is Sergio Apuzzo located?

Sergio Apuzzo practices at 16 Degrandpre Way Ste 600, Plattsburgh, NY 12901. The listed phone number is (518) 563-0490.

What is Sergio Apuzzo's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Sergio Apuzzo enrolled in Medicare?

Yes. Sergio Apuzzo 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 Sergio Apuzzo accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas and Imperial Insurance Companies, Inc. list Sergio Apuzzo 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.

Is Sergio Apuzzo affiliated with any hospitals?

According to CMS data, Sergio Apuzzo is affiliated with Adirondack Medical Center - Saranac Lake, Champlain Valley Physicians Hospital Medical Ctr, Elizabethtown Community Hospital, The University Of Vermont Health Network-Alice Hy and Univ. Of Vermont - Fletcher Allen Health Care.

When was this NPI record last updated?

The NPPES record for Sergio Apuzzo was last updated on July 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.