Bogdan Makartchuk, DO, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

239761 Issued in NY

Practice address

332 W Montauk Hwy
Ste 3
Hampton Bays, NY 11946-3551

Phone

(631) 728-0393

Fax

(631) 728-0394

NPI assigned

May 18, 2007

Last updated

Feb 24, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

93.07 of 100Reported as apm

Quality

79.77

Promoting interoperability

88.77

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Long Island Surgery P.C.

  • Surgery Physician
  • Patchogue, NY
  • NPI 1790716546
  Medicare reassignment NPD
• Central Suffolk Hospital

  dba Peconic Bay Medical Center

  • General Acute Care Hospital
  • Riverhead, NY
  • NPI 1386649804
  NPD (past)
• Twin Forks Surgical Associates, PC

  • Surgery Physician
  • Hampton Bays, NY
  • NPI 1174717623
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1982812756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 OLD COUNTRY RD",
            "address_2": "SUITE 2",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012121",
            "telephone_number": "631-298-4479",
            "fax_number": "631-591-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 W MONTAUK HWY",
            "address_2": "STE 3",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119463551",
            "telephone_number": "631-728-0393",
            "fax_number": "631-728-0394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKARTCHUK",
        "first_name": "BOGDAN",
        "name_prefix": "Dr.",
        "credential": "DO, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "239761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Diane Ludlow, RN, LMT
• Leigh Erin Lynch
• Elizabeth Helene Lyngholm, L.P.
• Michelle Mackey, MA
• Kuldeep Mahal
• Zofia Malisiewicz, PHARMACIST
• Mark G. Creighton, MD PC
• Jacqueline Mauro, MS, NCSP
• Melissa Mayer, PT, D.P.T
• Kathleen McCabe

• Surgery Physician in Hampton Bays, NY
• Providers in Hampton Bays, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.