DR. DALE A. DISTANT M.D.
NPI 1285612077
Surgery in Brooklyn, NY

NPI Status: Active since January 03, 2006

Contact Information

450 CLARKSON AVE
SUITE C
BROOKLYN, NY
ZIP 11203
Phone: (718) 270-1422
Fax: (718) 270-2826

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  • Individual
  • Male
  • Years of Experience 42
  • Surgery
  • Accepts Medicare Approved Payment
  • PECOS Enrolled
  • Medicare Quality Reporting

About DALE DISTANT

This page provides the complete NPI Profile along with additional information for Dale Distant, a provider established in Brooklyn, New York with a medical specialization in Surgery and more than 42 years of experience. The healthcare provider is registered in the NPI registry with number 1285612077 assigned on January 2006. The practitioner's primary taxonomy code is 208600000X with license number 190405-1 (NY). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1285612077
Provider Name
DR. DALE A. DISTANT M.D.
Gender
Male
Entity Type
Individual
Location Address
450 CLARKSON AVE SUITE C BROOKLYN, NY 11203
Location Phone
(718) 270-1422
Location Fax
(718) 270-2826
Mailing Address
450 CLARKSON AVE BOX 1262 BROOKLYN, NY 11203
Mailing Phone
(718) 270-8867
Mailing Fax
(718) 270-2826
Medical School Name
OTHER
Graduation Year
1984
Is Sole Proprietor?
Yes
Enumeration Date
01-03-2006
Last Update Date
07-08-2007
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A surgeon like Dale Distant treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
License No.
190405-1
License State
NY
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
80H621MEDICARE ID-TYPE UNSPECIFIED (04)NY 
01438926MEDICAID (05)NY 
F63140MEDICARE UPIN (02)NY 

Medicare Participation & PECOS Enrollment Status

Dale Distant is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Dale Distant 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.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 1951434885

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20100729000370

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • 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 to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Balloon dilation of dialysis segment with review by radiologist

Balloon dilation of a dialysis segment is a procedure where a tiny balloon is inserted and inflated in a narrowed area of your dialysis access site, improving blood flow. A radiologist reviews images to ensure success.

This service was performed 15 times for 12 patients

Balloon dilation of dialysis segment with review by radiologist

Balloon dilation of a dialysis segment is a procedure where a tiny balloon is inserted and inflated in a narrowed area of your dialysis access site, improving blood flow. A radiologist reviews images to ensure success.

This service was performed 89 times for 53 patients

Creation of artery-vein connection using tube graft for hemodialysis

This procedure involves connecting an artery to a vein using a tube graft. It's typically done for hemodialysis, a treatment for kidney disease. The connection allows blood to flow from the artery into the graft, then into the vein, and back to your body.

This service was performed 12 times for 12 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 59 times for 45 patients

Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist

This procedure involves inserting a needle or tube into your hemodialysis circuit, a system that cleans your blood when your kidneys can't. A balloon is then used to widen a narrow section of this circuit. A radiologist reviews the procedure to ensure accuracy.

This service was performed 125 times for 85 patients

Insertion of needle and/or tube into hemodialysis circuit with review by radiologist

This procedure involves inserting a needle or tube into your hemodialysis circuit, which is part of the system that cleans your blood when your kidneys can't. A radiologist, a doctor specialized in imaging techniques, will review the process to ensure everything is correct.

This service was performed 19 times for 14 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 21 times for 21 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

This service was performed 174 times for 112 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $26.26 for a new patient copayment and $20.86 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 11203 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $105.06
  • Minimum New Patient Price $67.4
  • Maximum New Patient Price $203.53
  • Average New Patient Copayment $26.26
  • Minimum New Patient Copayment $16.85
  • Maximum New Patient Copayment $50.88

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $83.44
  • Minimum Established Patient Price $21.66
  • Maximum Established Patient Price $164.45
  • Average Established Patient Copayment $20.86
  • Minimum Established Patient Copayment $5.41
  • Maximum Established Patient Copayment $41.11

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

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. 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
Anticoagulant Management ImprovementsYesN/A
Individual MIPS eligible clinicians and groups who prescribe oral Vitamin K antagonist therapy (warfarin) must attest that, for 60 percent of practice patients in the transition year and 75 percent of practice patients in Quality Payment Program Year 2 and future years, their ambulatory care patients receiving warfarin are being managed by one or more of the following improvement activities: • Patients are being managed by an anticoagulant management service, that involves systematic and coordinated care, incorporating comprehensive patient education, systematic prothrombin time (PT-INR) testing, tracking, follow-up, and patient communication of results and dosing decisions; • Patients are being managed according to validated electronic decision support and clinical management tools that involve systematic and coordinated care, incorporating comprehensive patient education, systematic PT-INR testing, tracking, follow-up, and patient communication of results and dosing decisions; • For rural or remote patients, patients are managed using remote monitoring or telehealth options that involve systematic and coordinated care, incorporating comprehensive patient education, systematic PT-INR testing, tracking, follow-up, and patient communication of results and dosing decisions; and/or • For patients who demonstrate motivation, competency, and adherence, patients are managed using either a patient self-testing (PST) or patient-self-management (PSM) program.
Clinical Information Reconciliation 73% 172
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation. The MIPS eligible clinician must implement clinical information reconciliation for the following three clinical information sets: (1) Medication. Review of the patient's medication, including the name, dosage, frequency, and route of each medication. (2) Medication allergy. Review of the patient's known medication allergies. (3) Current Problem list. Review of the patient's current and active diagnoses.
Collection and use of patient experience and satisfaction data on accessYesN/A
Collection of patient experience and satisfaction data on access to care and development of an improvement plan, such as outlining steps for improving communications with patients to help understanding of urgent access needs.
Engagement of New Medicaid Patients and Follow-upYesN/A
Seeing new and follow-up Medicaid patients in a timely manner, including individuals dually eligible for Medicaid and Medicare. A timely manner is defined as within 10 business days for this activity.
Engagement of Patients, Family, and Caregivers in Developing a Plan of CareYesN/A
Engage patients, family, and caregivers in developing a plan of care and prioritizing their goals for action, documented in the electronic health record (EHR) technology.
Implementation of medication management practice improvementsYesN/A
Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews.
Measurement and Improvement at the Practice and Panel LevelYesN/A
Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level.
Patient-Specific Education 100% 172
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Provide Patient Access 100% 172
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician ensures the patient's health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the Application Programing Interface (API) in the MIPS eligible clinician's certified EHR technology.
Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy 100% 123
Final reports for procedures using fluoroscopy that document radiation exposure indices, or exposure time and number of fluorographic images (if radiation exposure indices are not available)
Rate of Timely Documentation Transmission to Dialysis Unit/Referring Physician 100% 110
Percentage of patients aged 18 years and older for whom documentation is sent to the dialysis unit or referring physician within two days of the procedure completion or consultation.
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.
Send a Summary of Care 100% 172
For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider-(1) creates a summary of care record using certified EHR technology; and (2) electronically exchanges the summary of care record.
Use of certified EHR to capture patient reported outcomesYesN/A
In support of improving patient access, performing additional activities that enable capture of patient reported outcomes (e.g., home blood pressure, blood glucose logs, food diaries, at-risk health factors such as tobacco or alcohol use, etc.) or patient activation measures through use of certified EHR technology, containing this data in a separate queue for clinician recognition and review.
Use of decision support and standardized treatment protocolsYesN/A
Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs.
Use of Patient Safety ToolsYesN/A
Use of tools that assist specialty practices in tracking specific measures that are meaningful to their practice, such as use of a surgical risk calculator, evidence based protocols such as Enhanced Recovery After Surgery (ERAS) protocols, the CDC Guide for Infection Prevention for Outpatient Settings, (https://www.cdc.gov/hai/settings/outpatient/outpatient-care-guidelines.html), predictive algorithms, or other such tools.
Use of tools to assist patient self-managementYesN/A
Use tools to assist patients in assessing their need for support for self-management (e.g., the Patient Activation Measure or How’s My Health).

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Dale Distant is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN445 LENOX ROAD
BROOKLYN, NY 11203
(718) 270-1000Acute Care Hospitals

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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.
1285612077
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221651214014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 1 + 2 + 1 + 4 + 0 + 1 + 4 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1285612077 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1720082282DR. RICHARD J MACCHIA M.D.
Individual
Urology450 CLARKSON AVE
BROOKLYN, NY 11203
(718) 270-2554
1932192333DR. LOURDES C. ABRIGO M.D.
Individual
Anesthesiology450 CLARKSON AVE
BROOKLYN, NY 11203
(718) 270-3126
1669466090DR. PETER G. BAUER M.D.
Individual
Anesthesiology450 CLARKSON AVE
BROOKLYN, NY 11203
(718) 270-3126
1093709420DR. JEAN CHARCHAFLIEH M.D.
Individual
Anesthesiology450 CLARKSON AVE
BROOKLYN, NY 11203
(718) 270-3126
1538153978DR. ALLEN COOPERSMITH M.D.
Individual
Anesthesiology450 CLARKSON AVE
BROOKLYN, NY 11203
(718) 270-3126
1225021652DR. AUDREE BENDO M.D.
Individual
Anesthesiology450 CLARKSON AVE
BROOKLYN, NY 11203
(718) 270-3126
1710971163DR. MARIANA F. FISHMAN M.D.
Individual
Anesthesiology450 CLARKSON AVE
BROOKLYN, NY 11203
(718) 270-3126
1679567077DR. MYUNG S. LEE M.D.
Individual
Anesthesiology450 CLARKSON AVE
BROOKLYN, NY 11203
(718) 270-3126
1366436784DR. NABENDU PANDEY M.D.
Individual
Anesthesiology450 CLARKSON AVE
BROOKLYN, NY 11203
(718) 270-3126
1619961034DR. ANDREI E. RADIANU M.D.
Individual
Anesthesiology450 CLARKSON AVE
BROOKLYN, NY 11203
(718) 270-3126
1669466934DR. BETKA ZELENY M.D.
Individual
Anesthesiology450 CLARKSON AVE
BROOKLYN, NY 11203
(718) 270-3126
1962496265DR. HILARY E. BALDWIN M.D.
Individual
Dermatology450 CLARKSON AVE SUITE H
BROOKLYN, NY 11203
(718) 270-1230
1972597227DR. JUNG H. SON M.D.
Individual
Anesthesiology450 CLARKSON AVE
BROOKLYN, NY 11203
(718) 270-3126
1477547669DR. GANGACHARAN R. DUBEY M.D.
Individual
Internal Medicine (Pulmonary Disease)450 CLARKSON AVE SUITE A
BROOKLYN, NY 11203
(718) 270-1821
1790779957DR. MARY ANN BANERJI M.D.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)450 CLARKSON AVE SUITE A
BROOKLYN, NY 11203
(718) 270-1542
1962496117DR. EVE S. FABER M.D.
Individual
Family Medicine450 CLARKSON AVE SUITE B
BROOKLYN, NY 11203
(718) 270-2697
1417941683DR. ERDAL CAVUSOGLU M.D.
Individual
Internal Medicine (Cardiovascular Disease)450 CLARKSON AVE 2ND FL. RM# A2-393
BROOKLYN, NY 11203
(718) 270-1081
1508850686DR. LUTHER T. CLARK M.D.
Individual
Internal Medicine (Cardiovascular Disease)450 CLARKSON AVE 2ND FL. RM# A2-393
BROOKLYN, NY 11203
(718) 270-1081
1831183599DR. SAMIR A. FAHMY M.D.
Individual
Internal Medicine (Critical Care Medicine)450 CLARKSON AVE SUITE A
BROOKLYN, NY 11203
(718) 270-1821
1700870474DR. SWAMINATH K. IYER M.D.
Individual
Internal Medicine (Gastroenterology)450 CLARKSON AVE SUITE A
BROOKLYN, NY 11203
(718) 270-1112

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285612077, enumerated in the NPI registry as an "individual" on January 03, 2006

The provider is located at 450 Clarkson Ave Suite C Brooklyn, Ny 11203 and the phone number is (718) 270-1422

The provider's speciality is Surgery with taxonomy code 208600000X

The provider has more than 42 years of experience.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a 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.

Medicare beneficiaries should expect a typical cost of $105.06 with an average copayment of $26.26 for new patient appointments. Established patients should expect a typical charge of $83.44 and an average copayment of 20.86. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Balloon dilation of dialysis segment with review by radiologist, Balloon dilation of dialysis segment with review by radiologist, Creation of artery-vein connection using tube graft for hemodialysis, Established patient office or other outpatient visit, 20-29 minutes, Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist, Insertion of needle and/or tube into hemodialysis circuit with review by radiologist, New patient office or other outpatient visit, 45-59 minutes and Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes.

The practitioner is affiliated to the following hospital(s): SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on January 03, 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.