DR. DAVID J FIORELLA M.D., PH.D.
NPI 1467416271
Radiology - Neuroradiology in Stony Brook, NY


Quality Rating: 93.94 out of 100 score

NPI Status: Active since April 17, 2006

Contact Information

HSC T12 RM 080
STONY BROOK, NY
ZIP 11794
Phone: (631) 444-1213
Fax: (631) 444-1535

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  • Individual
  • Male
  • Years of Experience 30
  • Radiology
  • Neuroradiology
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About DAVID FIORELLA

This page provides the complete NPI Profile along with additional information for David Fiorella, a provider established in Stony Brook, New York with a medical specialization in Radiology, focusing in neuroradiology and more than 30 years of experience. He graduated from State University Of New York At Buffalo School Of Medicine in 1996. The healthcare provider is registered in the NPI registry with number 1467416271 assigned on April 2006. The practitioner's primary taxonomy code is 2085N0700X with license number 29194 (AZ). The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1467416271
Provider Name
DR. DAVID J FIORELLA M.D., PH.D.
Gender
Male
Entity Type
Individual
Location Address
HSC T12 RM 080 STONY BROOK, NY 11794
Location Phone
(631) 444-1213
Location Fax
(631) 444-1535
Mailing Address
HSC T12 RM 080 STONY BROOK, NY 11794
Mailing Phone
(631) 444-1213
Mailing Fax
(631) 444-1535
Medical School Name
STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduation Year
1996
Is Sole Proprietor?
No
Enumeration Date
04-17-2006
Last Update Date
08-15-2014
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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

Radiology Neuroradiology

Taxonomy Code
2085N0700X
Type
Allopathic & Osteopathic Physicians
License No.
29194
License State
AZ
Taxonomy Description
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.

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.

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
2482219MEDICAID (05)OH 
3093556MEDICAID (05)NY 
252328OTHER (01)NYHIP
7930204OTHER (01)NYAETNA PPO
H11977MEDICARE UPIN (02)NY 
116754OTHER (01)AZPTAN

Medicare Participation & PECOS Enrollment Status

David Fiorella 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.

David Fiorella 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: 2062491749

    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: I20090504000371

    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.

3d radiographic procedure with computerized image postprocessing

A 3D radiographic procedure with computerized image postprocessing is a high-tech imaging test. It uses X-rays to create detailed 3D images of the body. The computerized postprocessing further enhances these images for more precise diagnosis and treatment planning.

This service was performed 53 times for 46 patients

Imaging of blood vessel

Imaging of blood vessels, also known as vascular imaging, is a non-invasive procedure that allows doctors to view the condition of your blood vessels. It employs techniques like ultrasound, CT scan, or MRI to capture images, enabling the detection of blockages or abnormalities.

This service was performed 87 times for 70 patients

Insertion of stent and blood clot protection device in neck artery with review by radiologist

This procedure involves placing a small mesh tube, or stent, in your neck artery to ensure blood flow. A protective device is also inserted to prevent blood clots from reaching the brain. A radiologist reviews the procedure to ensure everything is in place correctly.

This service was performed 26 times for 26 patients

Insertion of tube into brain artery for diagnosis or treatment with review by radiologist

This procedure involves inserting a thin tube into a brain artery. It aids in diagnosing or treating brain conditions. A radiologist reviews the process to ensure accuracy and safety. It's a critical step in managing brain health effectively.

This service was performed 97 times for 90 patients

Insertion of tube into chest artery for diagnosis or treatment with review by radiologist

This procedure involves placing a small tube into a chest artery. It helps diagnose or treat certain heart conditions. A radiologist, a doctor specialized in imaging techniques, will review the results to ensure accuracy and effectiveness.

This service was performed 21 times for 21 patients

Insertion of tube into external neck artery for diagnosis or treatment with review by radiologist

This procedure involves placing a small tube into an artery in your neck. This is done to diagnose or treat certain conditions. A radiologist, a doctor who specializes in medical imaging, will review the procedure to ensure everything is done correctly.

This service was performed 48 times for 46 patients

Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist

This procedure involves placing a small tube into your neck artery. It helps diagnose or treat certain conditions. A radiologist, a doctor specializing in medical imaging, reviews the process to ensure accuracy and safety.

This service was performed 62 times for 50 patients

Insertion of tube into intracranial artery for diagnosis or treatment with review by radiologist

This procedure involves placing a tube into an artery in the brain. It's typically done for diagnostic purposes or treatment. A radiologist, a doctor specializing in imaging, reviews the process to ensure accuracy and safety.

This service was performed 153 times for 144 patients

Occlusion of central nervous system or spinal cord artery

This procedure involves blocking a central nervous system or spinal cord artery to prevent blood flow. It's typically done to treat conditions like aneurysms or vascular malformations. It can help prevent strokes, bleeding, or other serious issues.

This service was performed 86 times for 70 patients

Removal of blood clot and injection to dissolve blood clot from head artery using fluoroscopic guidance

This procedure involves removing a blood clot from a head artery. A special imaging technique called fluoroscopy is used for guidance. Additionally, an injection is given to help dissolve any remaining clot. This helps restore normal blood flow to the brain.

This service was performed 58 times for 56 patients

Review by radiologist of image for insertion of material to block blood flow

This procedure involves a radiologist examining an image to plan the placement of a substance that will block blood flow in a specific area. This is usually done to prevent bleeding or to cut off the blood supply to a growth.

This service was performed 86 times for 70 patients

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 93.94, 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 Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS 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.

  • Final Score: 93.94 out of 100

    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 Score: 73.72

    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 Score: 100

    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 Score: 40

    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 activities measure category compromises 15% providers final MPIS scores.

    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 Score: 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.

  • Cost Score: 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.

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. David Fiorella is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
LONG ISLAND COMMUNITY HOSPITAL101 HOSPITAL ROAD
PATCHOGUE, NY 11772
(631) 654-7100Acute Care Hospitals
ST CHARLES HOSPITAL200 BELLE TERRE ROAD
PORT JEFFERSON, NY 11777
(631) 474-6000Acute Care Hospitals
SUNY/STONY BROOK UNIVERSITY HOSPITALHEALTH SCIENCES CENTER SUNY
STONY BROOK, NY 11794
(631) 444-4000Acute Care Hospitals

Reviews for DR. DAVID J FIORELLA M.D., PH.D.

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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.
1467416271
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241278112214
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 2 + 7 + 8 + 1 + 1 + 2 + 2 + 1 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1467416271 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1942336185MR. MITCHELL SCOTT ELSKY PA
Individual
Physician AssistantHSC T12 RM 080
STONY BROOK, NY 11794
(631) 444-1213
1588824296 DONNA ANDRICOPOULOS
Individual
Nurse Practitioner (Adult Health)HSC T12 RM 080
STONY BROOK, NY 11794
(631) 444-1213
1538392410NEW YORK SPINE AND BRAIN SURGERY
Organization
Nurse Practitioner (Adult Health)HSC T12 RM 080
STONY BROOK, NY 11794
(631) 444-8070
1346271517 MICHELLE TOMASETTI PA
Individual
Physician AssistantHSC T12 RM 080
STONY BROOK, NY 11794
(631) 444-1116
1477862225 SAMUEL B KRIVIT RPA-C
Individual
Physician Assistant (Surgical)HSC T12 RM 080
STONY BROOK, NY 11794
(631) 444-8070
1306215512 SUSAN CHEUNG NP
Individual
Nurse Practitioner (Adult Health)HSC T12 RM 080
STONY BROOK, NY 11794
(631) 444-8070
1114228210MR. MICHAEL ANTHONY LONGO RPA-C
Individual
Physician AssistantHSC T12 RM 080
STONY BROOK, NY 11794
(631) 444-1116
1982356911 AMANDA MARIE SALAY PA-C
Individual
Physician AssistantHSC T12 RM 080
STONY BROOK, NY 11794
(631) 444-1116

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467416271, enumerated in the NPI registry as an "individual" on April 17, 2006

The provider is located at Hsc T12 Rm 080 Stony Brook, Ny 11794 and the phone number is (631) 444-1213

The provider's speciality is Radiology with taxonomy code 2085N0700X with a focus in Neuroradiology

The provider has more than 30 years of experience. He graduated from State University Of New York At Buffalo School Of Medicine in 1996.

The provider might be accepting Accepts: Medicare, Medicaid and Aetna. 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.

The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.

The most common procedures or services performed by this practitioner are: 3d radiographic procedure with computerized image postprocessing, Imaging of blood vessel, Insertion of stent and blood clot protection device in neck artery with review by radiologist, Insertion of tube into brain artery for diagnosis or treatment with review by radiologist, Insertion of tube into chest artery for diagnosis or treatment with review by radiologist, Insertion of tube into external neck artery for diagnosis or treatment with review by radiologist, Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist, Insertion of tube into intracranial artery for diagnosis or treatment with review by radiologist, Occlusion of central nervous system or spinal cord artery, Removal of blood clot and injection to dissolve blood clot from head artery using fluoroscopic guidance and Review by radiologist of image for insertion of material to block blood flow.

The practitioner is affiliated to the following hospital(s): LONG ISLAND COMMUNITY HOSPITAL, ST CHARLES HOSPITAL and SUNY/STONY BROOK UNIVERSITY HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on April 17, 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].
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