Patrick Steven Depippo, M.D.
Individual provider Active NPI Vascular Surgery Physician · Greenvale, NY
NPI 1295861045 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1295861045
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Vascular Surgery Physician 2086S0129X
- License
- 199525 (NY)
- Practice address
- 2200 Northern Blvd Ste 126
Greenvale, NY 11548-1221 - Phone
- (516) 365-5333
- Fax
- (516) 365-3279
- NPI assigned
- Feb 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Vascular Surgery
- Education
- Albany Medical College of Union University, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2200 Northern Blvd
Suite 126
Greenvale, NY 11548-1221
Phone (516) 365-5333
327 Beach 19TH St
Far Rockaway, NY 11691-4423
PO Box
Suite 404
Manhasset, NY 11030-0404
Hospital & facility affiliations
- Catholic Home Care
- St Francis Hospital - the Heart Center
- St John'S Episcopal Hospital at South Shore
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.83 of 100
- Quality
- 78.68
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 82.43
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 15 |
| Laminectomy or laminotomy (partial removal of spine bones) | 1-10 |
| Varicose vein removal | 151 |
| Leg revascularization (restoring blood flow) | 74 |
| Removal of tissue | 215 |
| Removal or shaving of skin growth | 14 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100329000263 | NY | Practitioner - Vascular Surgery |
6103952213 |
Reassigns benefits to 1 organization Practice locations: Greenvale, NY |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St John'S Medical Services PC | Current |
Accepting new patients | |
| Patrick S Depippo,MD,PC | Specialist | Current |
Accepting new patients |
Locations
327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640
2200 Northern Blvd
Ste 126
Greenvale, NY 11548
Phone (516) 365-5333
1165 Northern Blvd
Ste 401
Manhasset, NY 11030
Phone (516) 365-5333
1615 Northern Blvd
Ste 5
Manhasset, NY 11030
Phone (516) 365-5333
10538 Rockaway Beach Blvd
Rockaway Park, NY 11694
Phone (718) 318-3434
Interoperability endpoints
- patrick.depippo.1@14448.direct.athenahealth.com
- https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 199525 | NY | |
| Vascular Surgery Physician | 2086S0129X | 199525 | NY | Yes |
Addresses
Primary practice location
2200 Northern Blvd Ste 126
Greenvale, NY 11548-1221
Mailing address
PO Box 404
Manhasset, NY 11030-0404
Phone (516) 365-5333
Other providers in Greenvale, NY
- Cosmetique Dermatology, Laser & Plastic Surgery, LLP
- Victoria Anne Cuomo
- Paige Daly
- Jillian Danzi
- Kalliope Demas
- Jennifer L Dorman
- Nickie Douroudakis
- East Hills Dentistry, PLLC
- Irene Edwards
- Dina M Farag
All providers in Greenvale, NY · Vascular Surgery Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.