DR. JOSEPH ONORATO M.D. NPI 1992882773
Dermatology in Garden City, NY

About DR. JOSEPH ONORATO M.D.

Joseph Onorato is a provider established in Garden City, New York and his medical specialization is Dermatology with more than 34 years of experience. He graduated from State University Of New York Downstate Medical Center in 1989. The NPI number of this provider is 1992882773 and was assigned on November 2006. The practitioner's primary taxonomy code is 207N00000X with license number 183551 (NY). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1992882773
Provider NameDR. JOSEPH ONORATO M.D.
Location Address54 NEW HYDE PARK RD GARDEN CITY, NY 11530
Location Phone(516) 488-1313
Mailing Address54 NEW HYDE PARK RD GARDEN CITY, NY 11530
GenderMale
NPI Entity TypeIndividual
Medical School NameSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduation Year1989
Is Sole Proprietor?Yes
Enumeration Date11-01-2006
Last Update Date02-26-2020

A dermatologist like Joseph Onorato is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.Joseph Onorato is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Joseph Onorato is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 45, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The following quality measures were reported for this provider: e-prescribing, medication reconciliation, one-time screening for hepatitis c virus (hcv) for patients at risk, pain assessment and follow-up, patient-specific education, pneumococcal vaccination status for older adults, preventive care and screening: unhealthy alcohol use: screening & brief counseling, provide patient access and security risk analysis.

The typical physician office visit costs for Medicare beneficiaries in this area are: $27.39 for a new patient copayment and $22.04 for an established patient copayment.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207N00000X
ClassificationDermatology
TypeAllopathic & Osteopathic Physicians
License No.183551
License StateNY
Taxonomy DescriptionA dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Business Address

54 NEW HYDE PARK RD
GARDEN CITY, NY
ZIP 11530
Phone: (516) 488-1313
Fax: (516) 488-1368

Get Directions


Mailing Address

54 NEW HYDE PARK RD
GARDEN CITY, NY
ZIP 11530
Phone: (516) 488-1313
Fax: (516) 488-1368


Secondary Locations

13800 Tamiami Trl N Ste 112
Naples, FL 34110
(239) 500-75463 School St Ste 102A
Glen Cove, NY 11542
(516) 676-3554


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID5294702171
PECOS Enrollment IDI20040910000917, I20200106002225
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 11530 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$71.49 $215.02 $109.58
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$17.87 $53.75 $27.39
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$22.05 $174.06 $88.17
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$5.51 $43.51 $22.04

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% N/A
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% N/A
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 45
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Quality Reporting

The following quality measures meet Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
e-Prescribing 100% 1707
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Medication Reconciliation 0% 4674
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
One-Time Screening for Hepatitis C Virus (HCV) for Patients at Risk 0% 2170
Percentage of patients aged 18 years and older with one or more of the following: a history of injection drug use, receipt of a blood transfusion prior to 1992, receiving maintenance hemodialysis, OR birthdate in the years 1945-1965 who received one-time screening for hepatitis C virus (HCV) infection
Pain Assessment and Follow-Up 2% 23890
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
Patient-Specific Education 1% 17126
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Pneumococcal Vaccination Status for Older Adults 7% 3178
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling 2% 6008
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
Provide Patient Access 1% 17126
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information.
Security Risk AnalysisYesN/A
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 3472Destruction of 2-14 skin growths (HCPCS:17003)
  • 1713Biopsy of single growth of skin and/or tissue (HCPCS:11100)
  • 1320Biopsy of each additional growth of skin and/or tissue (HCPCS:11101)
  • 1297Destruction of skin growth (HCPCS:17000)
  • 451Destruction of up to 14 skin growths (HCPCS:17110)
  • 133Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • 36Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1992882773
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291821684714
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 8 + 2 + 1 + 6 + 8 + 4 + 7 + 1 + 4 + 24 = 77
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 77 = 33

The NPI number 1992882773 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013084763MRS. DINA MARIE PUGLISSI RPAC
Individual
Specialist54 NEW HYDE PARK RD
GARDEN CITY, NY 11530
(516) 488-1313
1942362215MS. KELLY LEDERMANN N.P.
Individual
Nurse Practitioner54 NEW HYDE PARK RD
GARDEN CITY, NY 11530
(516) 488-1313
1265727333 MICHAEL STEVEN MCLEMORE MD
Individual
Pathology (Dermatopathology)54 NEW HYDE PARK RD
GARDEN CITY, NY 11530
(516) 488-1313
1922196617DR. JONATHAN BESCHLOSS
Individual
Dermatology54 NEW HYDE PARK RD
GARDEN CITY, NY 11530
(516) 488-1313
1306187711 ERAN SYKES FNP-BC
Individual
Clinical Nurse Specialist (Family Health)54 NEW HYDE PARK RD
GARDEN CITY, NY 11530
(516) 488-1313
1881245876MS. KATHERINE ANN MURPHY PA
Individual
Physician Assistant54 NEW HYDE PARK RD
GARDEN CITY, NY 11530
(516) 231-2146
1598820698JOSEPH ONORATO M.D., P.C.
Organization
Specialist54 NEW HYDE PARK RD
GARDEN CITY, NY 11530
(516) 488-1313
1033145255 ELENA MAYDAN M.D.
Individual
Dermatology (MOHS-Micrographic Surgery)54 NEW HYDE PARK RD
GARDEN CITY, NY 11530
(516) 488-1313
1376595215 CAROLYN WILLIS
Individual
Dermatology54 NEW HYDE PARK RD SUITE 400
GARDEN CITY, NY 11530
(516) 488-1313
1366742744 RENEE JAKYMEC PA
Individual
Physician Assistant (Medical)54 NEW HYDE PARK RD
GARDEN CITY, NY 11530
(516) 488-1313
1114648649 SYDNEY JACOBY FNP-BC
Individual
Nurse Practitioner (Family)54 NEW HYDE PARK RD
GARDEN CITY, NY 11530
(516) 488-1313

Frequently Asked Questions

What is Dr. Joseph Onorato M.D. NPI number?

The NPI number assigned to this healthcare provider is 1992882773, registered as an "individual" on November 01, 2006

Where is Dr. Joseph Onorato M.D. located?

The provider is located at 54 New Hyde Park Rd Garden City, Ny 11530 and the phone number is (516) 488-1313

Which is Dr. Joseph Onorato M.D. specialty?

The provider's speciality is Dermatology

How many years of experience does Dr. Joseph Onorato M.D. have?

The provider has more than 34 years of experience. He graduated from State University Of New York Downstate Medical Center in 1989.

Is Dr. Joseph Onorato M.D. registered in PECOS?

Yes, as of January 10, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Dr. Joseph Onorato M.D.?

Medicare beneficiaries should expect a typical cost of $109.58 with an average copayment of $27.39 for new patient appointments. Established patients should expect a typical charge of $88.17 and an average copayment of 22.04. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Dr. Joseph Onorato M.D.?

The most common procedures or services performed by this practitioner are: Destruction of 2-14 skin growths, Biopsy of single growth of skin and/or tissue, Biopsy of each additional growth of skin and/or tissue, Destruction of skin growth, Destruction of up to 14 skin growths, Injection, triamcinolone acetonide, not otherwise specified, 10 mg and Pathology examination of tissue using a microscope, intermediate complexity.

How do I update my NPI information?

The NPI record of Dr. Joseph Onorato M.D. was last updated on November 01, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]