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PAC 5092865873 Provider group
NURSE PRACTITIONER · PORT JEFFERSON, NY · hospital-affiliated
Specialty NURSE PRACTITIONER — most common member specialty (multi-specialty groups carry one label; see Methods)
Footprint Registered in PORT JEFFERSON, NY · bills Medicare in 4 states (AL, LA, NY, PA)
Scale 58 providers on the CMS registry roster · 166 codes billed (five-year data window) · 47,879 services (all billed codes, CY2024)
Medicare paid $4.4M · across all billed codes, CY2024, attributed & disclosed
Affiliation Hospital-affiliated — at least one member holds a hospital affiliation in the CMS registry
Contact (631) 686-2565 — CMS registry listing
CMS Doctors & Clinicians registry · Medicare Part B physician/supplier claims · figures are attributed (single-group clinicians) and disclosed fee-for-service — a subset, never complete totals · group series shown over the most recent 5 years (rosters archived from 2019)
Group analytics

Who's billing in this group, plus the paid volume analytics · CY2024

Clinician makeup · CY2024
Physicians 39Advanced-practice 9Other clinicians 0= 48 clinicians billed · CY2024
By clinician headcount, CY2024. 'Physician' follows Medicare's §1861(r) definition (MD/DO, podiatry, optometry, dental medicine, chiropractic); facility and supplier enrollments are not counted as clinicians. These 48 are the clinicians who billed in CY2024 — a subset of the all-time registry roster shown on the group's identity card.

Billed 106 of the group's 166 codes this year, across 4 states (CY2024).

The full analytics for this group

Premium

The billed-volume rank, trajectory, and economics behind this group — computed on the same disclosed Medicare Part B data.

What Medicare paid this group in CY2024 is on the group's identity card — free, on every tier. Premium breaks that figure down per code and per service, and puts the volume behind it in national and peer context.

  • Per-code payment breakdown & avg $/service — dollars behind the volume
  • Beneficiary-episode volume — reach, not just service counts
  • Office vs. facility setting mix — place-of-service code split
  • National billed-volume rank — percentile, cohort & year disclosed
  • Size-peer billed-volume benchmark — vs. groups of similar size
  • Top-3 clinician share — how volume distributes
  • 5-year volume trend — direction across the window
  • Business mix — largest codes by payment

Rank and benchmark figures are billed-volume positions among peers, not measures of care. All figures attributed (single-group clinicians) and disclosed Medicare Part B fee-for-service.

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Medicare Part B FFS · CY2024 · as published by CMS

Provider volumes, all codes · CY2024

NPIProviderCredentialsTypeCitySt Services (all codes) locked column
1558351411 Ahmed, Aitezaz M.D. Rheumatology RochesterNY premium
1417920208 Fruth Giacobbe, Christine D.O. Internal Medicine Port Jefferson StationNY premium
1205803053 Dong, Jinwen M.D. Cardiology East SetauketNY premium
1558338152 Matilsky, Michael M.D. Cardiology East SetauketNY premium
1144548918 Blydenburgh, Jessica D.O. Family Practice Port JeffersonNY premium
1720055569 Korlipara, Giridhar M.D. Cardiology East SetauketNY premium
1598783953 Bhatti, Ahmad MD Vascular Surgery Port JeffersonNY premium
1811922529 Obrien, Kristen M.D. Family Practice SmithtownNY premium
1205832383 Kvilekval, Kara MD Vascular Surgery East SetauketNY premium
1720153570 Sussman, Scott FNP-C Nurse Practitioner Stony BrookNY premium
1902899057 Petersen, Michael M.D. Vascular Surgery East SetauketNY premium
1164927661 Boryushkina, Varvara MD Internal Medicine Port Jefferson StationNY premium
1457650210 Kulina, Georgia M.D. Endocrinology Port JeffersonNY premium
1457640088 Persaud, Priscilla M.D. Internal Medicine Port JeffersonNY premium
1811275548 Rosenbloom, Ella M.D. Endocrinology Port JeffersonNY premium
1396716403 Ushkow, Deborah MD Pulmonary Disease Lake SuccessNY premium
1821406810 Subramaniam, Shreya Endocrinology BronxNY premium
1619629284 Bawuah, Sandy FNP-BC Nurse Practitioner Hampton BaysNY premium
1689052680 Semenova, Liliya Internal Medicine ScrantonPA premium
1134373335 Kacherski, Deborah N.P. Nurse Practitioner Port Jefferson StationNY premium
1477895829 Janson, Luke M.D. Internal Medicine AstoriaNY premium
1235725672 Liebold, Melissa PA-C Physician Assistant Port Jefferson StationNY premium
1720716988 Wanlass, Stephanie AGNP-C Nurse Practitioner Rocky PointNY premium
1952336596 Rajapakse, Ramona M.D. Gastroenterology East SetauketNY premium
1063974236 Nwaiser, Christine Sleep Medicine Great RiverNY premium
1154394930 Giacobbe, Robert D.O. Internal Medicine Port Jefferson StationNY premium
1073939625 Khan, Zarlasht Rheumatology Port Jefferson StationNY premium
1629205182 Bornstein, Joseph MD, MBA General Surgery MobileAL premium
1255865242 Summers, Kelli MD Vascular Surgery New OrleansLA premium
1144464421 Abouzeid, Mohamad M.D. General Surgery Port JeffersonNY premium
1316566110 Root, Hannah MD Family Practice Rocky PointNY premium
1023679503 Conville, Katlyn NP Nurse Practitioner Port JeffersonNY premium
1891071544 Cimino-Nardolillo, Nicole PA Physician Assistant Port JeffersonNY premium
1710388319 Elliano, Nicole PHYSICIAN ASSISTANT Physician Assistant Port JeffersonNY premium
1811429343 Fatakhova, Karina M.D. Internal Medicine BrooklynNY premium
1821361684 Acevedo-Danzi, Elizabeth D.O. Family Practice East MeadowNY premium
1467216531 Mason, Kara Nurse Practitioner HolbrookNY premium
1548528565 Ali, Mubdiul · member of 2 groups M.D. Critical Care (Intensivists) New HavenCT premium
1881073740 Chykyda, Halyna · member of 2 groups Hospitalist Port JeffersonNY premium
1558462770 Gruberg, Luis · member of 2 groups M.D. Cardiology East SetauketNY premium
1427344761 Iftikhar, Asma · member of 4 groups M.D. Critical Care (Intensivists) ElkhartIN premium
1861455412 Nguyen, Tien · member of 2 groups M.D. Cardiology East SetauketNY premium
1336116177 Perera, Rohan · member of 2 groups M.D. Cardiology East SetauketNY premium
1063831428 Sharma, Mohit · member of 2 groups M.D. Nuclear Medicine Port JeffersonNY premium
1326165549 Shenouda, David · member of 2 groups D.O. Cardiology East SetauketNY premium
1396907309 Singh, Jagdeep · member of 2 groups MD, FACC Cardiology East SetauketNY premium
1922492305 Weber, Andrew · member of 2 groups MD Critical Care (Intensivists) ManhassetNY premium
1275162752 Zaman, Tunisha · member of 2 groups MD Family Practice BrooklynNY premium

Volumes are attributed to a group only for clinicians affiliated with exactly one group. Clinicians in several groups are listed ("member of N groups") but shown as "—" — their volume is not attributed to any single group. A "—" on a single-group clinician means CMS suppressed the figure (fewer than 11 beneficiaries), never zero. Beneficiary-episodes count CMS's per-setting beneficiary figures, not unique patients. Average Medicare payment is the amount Medicare actually paid per service, weighted by service volume across office and facility settings. Where the roster is a single clinician, that clinician's service counts match the group's attributed volume shown on the ranked results, so they are shown here; the per-provider split across a larger roster is a premium feature. See Methods & Sources.