Active NPI 1184601072 Individual Practitioner Male Practitioner

Dr. Thomas Panetta , MD

Surgery - Vascular Surgery • Great Neck, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Panetta, MD is a certified Surgery - Vascular Surgery practicing in Great Neck, NY. With approximately 49 years of clinical experience since graduating from State University Of New York Downstate Medical Center in 1977, Dr. Panetta delivers high-quality medical care to the local community at 600 NORTHERN BLVD.

Dr. Panetta is affiliated with Prine Health Medical Group, Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml, insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

600 Northern Blvd
Suite 115

Great Neck, NY 110215206

Telephone 5164828220

Fax 5164828221

Associated Practice Facility / Clinic

🏢 Gb Audiology, Pllc Facility NPI 1558367342

Medicare Profile & Education

Medical School

State University Of New York Downstate Medical Center

Graduation Year

1977

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Great Neck, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

49 Yrs -0.3 yrs vs City Avg

City Avg: 49.3 Yrs

State Avg: 29.4 Yrs

Regional Practice Density

5 Specialists

Practicing in Great Neck, NY (431 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Panetta (49 Years) 49 Yrs

Great Neck Specialty Average (49.3 Years) 49.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	6,693	148	$0.28	$0.13
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	317	133	$4163.94	$1328.28
99213 Established patient office or other outpatient visit, typically 15 minutes	286	167	$274.90	$102.82
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	281	121	$159.69	$58.10
93990 Ultrasound of dialysis access	194	118	$415.07	$151.56
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	102	50	$34.28	$14.02
36907 Balloon dilation of dialysis segment with review by radiologist	67	34	$2118.32	$676.07
93985 Complete ultrasound of artery and vein blood flow pre-op assessment on both sides of body for hemodialysis access	64	57	$794.52	$266.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$340.24	$119.57
36821 Relocation of arm vein with connection to arm artery, open procedure	32	32	$2247.05	$776.28
37252 Ultrasound evaluation of blood vessel with review by radiologist, initial vessel	30	13	$3539.27	$1091.29
37248 Balloon dilation of first vein, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation	29	29	$4541.89	$166.95
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	26	24	$2323.00	$765.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	20	$169.55	$64.90
37246 Balloon dilation of artery with review by radiologist, initial artery	18	14	$6401.15	$2086.66
93923 Complete ultrasound study of arm and leg arteries	15	15	$414.95	$149.13
36905 Excision of blood clot and/or infusion to dissolve blood clot in dialysis circuit and balloon dilation of dialysis segment, , accessed through the skin, with imaging including radiological supervision and interpretation, with balloon catheter	14	11	$7817.95	$2601.94
37607 Tying or banding of a passage between an artery and vein	13	13	$1258.77	$339.77
36589 Removal of central venous catheter for infusion	11	11	$534.40	$190.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	5,090	146	$0.28	$0.15
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	258	131	$4156.34	$1428.59
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	243	125	$159.45	$60.70
93990 Ultrasound of dialysis access	185	115	$415.78	$157.23
99213 Established patient office or other outpatient visit, typically 15 minutes	133	100	$275.12	$106.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	77	$389.55	$151.02
36907 Balloon dilation of dialysis segment with review by radiologist	52	26	$2118.32	$731.60
93985 Complete ultrasound of artery and vein blood flow pre-op assessment on both sides of body for hemodialysis access	49	49	$830.62	$302.22
36821 Relocation of arm vein with connection to arm artery, open procedure	42	42	$2247.05	$840.67
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	42	32	$34.37	$14.00
37248 Balloon dilation of first vein, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation	42	42	$2121.20	$177.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	31	$169.55	$67.68
37252 Ultrasound evaluation of blood vessel with review by radiologist, initial vessel	36	21	$3539.27	$1186.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$341.09	$131.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$509.10	$198.08
93923 Complete ultrasound study of arm and leg arteries	24	16	$414.95	$151.77
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	22	20	$2323.00	$815.05
37253 Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel	21	13	$584.42	$212.81
93880 Ultrasound of both sides of head and neck blood flow	18	12	$622.07	$233.07
93970 Ultrasound study of arm or leg veins with compression and maneuvers	17	14	$610.60	$232.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	6,689	160	$2.82	$0.12
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	314	147	$3849.80	$1535.99
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	307	136	$142.60	$63.63
93990 Ultrasound of dialysis access	147	87	$398.49	$167.43
99213 Established patient office or other outpatient visit, typically 15 minutes	109	81	$243.19	$109.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	95	74	$381.41	$151.67
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	78	46	$31.45	$14.44
93985 Complete ultrasound of artery and vein blood flow pre-op assessment on both sides of body for hemodialysis access	76	72	$786.99	$319.13
36907 Balloon dilation of dialysis segment with review by radiologist	71	40	$1860.37	$778.31
93923 Complete ultrasound study of arm and leg arteries	45	34	$380.36	$158.15
37252 Ultrasound evaluation of blood vessel with review by radiologist, initial vessel	45	23	$3071.63	$1266.88
36821 Relocation of arm vein with connection to arm artery, open procedure	43	41	$2224.36	$899.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$319.14	$136.45
37248 Balloon dilation of first vein, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation	42	39	$2283.27	$191.42
37253 Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel	34	18	$490.81	$219.50
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	25	$537.31	$210.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$487.37	$203.60
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	24	22	$2090.21	$890.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	19	$136.46	$69.78
36903 Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist	18	16	$11849.30	$5758.52
93970 Ultrasound study of arm or leg veins with compression and maneuvers	17	15	$576.60	$240.67
36589 Removal of central venous catheter for infusion	15	14	$450.56	$142.12
76937 Ultrasonic guidance for blood vessel access	14	11	$113.09	$48.92
36832 Revision of dialysis graft, open procedure	13	13	$2552.47	$1017.39
93880 Ultrasound of both sides of head and neck blood flow	12	11	$535.08	$241.01
36010 Insertion of tube into vena cava	11	11	$1501.69	$592.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	9,497	152	$10.00	$0.12
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	346	147	$1788.55	$1636.57
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	318	134	$68.04	$64.29
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	143	77	$15.00	$13.92
99213 Established patient office or other outpatient visit, typically 15 minutes	111	85	$121.96	$110.73
93990 Ultrasound of dialysis access	100	64	$214.46	$168.01
36907 Balloon dilation of dialysis segment with review by radiologist	91	49	$996.24	$857.63
93985 Complete ultrasound of artery and vein blood flow pre-op assessment on both sides of body for hemodialysis access	52	52	$457.35	$332.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	52	41	$81.73	$68.55
37252 Ultrasound evaluation of blood vessel with review by radiologist, initial vessel	46	21	$1800.00	$1432.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	39	$164.69	$157.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$234.40	$196.83
37248 Balloon dilation of first vein, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation	39	39	$1907.69	$193.47
36821 Relocation of arm vein with connection to arm artery, open procedure	38	38	$2011.39	$909.77
93923 Complete ultrasound study of arm and leg arteries	33	28	$245.25	$156.25
37253 Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel	32	14	$300.00	$236.61
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	25	20	$964.79	$902.77
93970 Ultrasound study of arm or leg veins with compression and maneuvers	20	17	$335.14	$235.09
76937 Ultrasonic guidance for blood vessel access	17	12	$54.42	$47.54
93880 Ultrasound of both sides of head and neck blood flow	16	11	$274.11	$251.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$138.96	$138.53
36589 Removal of central venous catheter for infusion	13	13	$220.00	$133.14
37246 Balloon dilation of artery with review by radiologist, initial artery	13	11	$2911.63	$2491.60
36832 Revision of dialysis graft, open procedure	12	12	$1176.48	$1009.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	10,283	162	$10.00	$0.11
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	362	154	$1652.71	$1586.20
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	328	135	$67.70	$62.47
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	123	70	$15.49	$13.71
99213 Established patient office or other outpatient visit, typically 15 minutes	112	79	$99.77	$90.14
36907 Balloon dilation of dialysis segment with review by radiologist	94	44	$991.75	$868.27
93990 Ultrasound of dialysis access	63	37	$212.00	$170.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	36	$58.84	$55.75
37252 Ultrasound evaluation of blood vessel with review by radiologist, initial vessel	40	22	$1822.50	$1474.39
37248 Balloon dilation of first vein, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation	30	30	$1913.33	$196.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$152.92	$127.09
36821 Relocation of arm vein with connection to arm artery, open procedure	29	29	$2044.76	$903.25
37253 Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel	26	13	$300.00	$241.72
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	26	20	$964.79	$871.05
93985 Complete ultrasound of artery and vein blood flow pre-op assessment on both sides of body for hemodialysis access	26	26	$466.38	$333.05
37246 Balloon dilation of artery with review by radiologist, initial artery	19	16	$2911.63	$2589.47
93923 Complete ultrasound study of arm and leg arteries	17	15	$231.24	$165.02
36589 Removal of central venous catheter for infusion	14	14	$220.00	$134.90
36832 Revision of dialysis graft, open procedure	13	13	$1101.62	$1030.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	15,020	214	$10.00	$0.11
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	513	208	$1662.95	$1495.29
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	469	196	$67.99	$61.09
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml	242	26	$10.00	$1.61
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	199	103	$15.30	$13.22
99213 Established patient office or other outpatient visit, typically 15 minutes	119	87	$102.78	$85.48
36907 Balloon dilation of dialysis segment with review by radiologist	83	45	$991.75	$877.32
93990 Ultrasound of dialysis access	80	54	$217.19	$163.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	76	64	$60.33	$52.92
37252 Ultrasound evaluation of blood vessel with review by radiologist, initial vessel	71	38	$1812.68	$1544.76
G0365 Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow)	62	60	$277.31	$149.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$145.83	$126.35
93923 Complete ultrasound study of arm and leg arteries	52	39	$257.92	$153.04
37248 Balloon dilation of first vein, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation	52	50	$1907.69	$183.25
36821 Relocation of arm vein with connection to arm artery, open procedure	49	47	$2017.66	$852.20
37253 Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel	40	23	$303.75	$243.44
37246 Balloon dilation of artery with review by radiologist, initial artery	29	20	$2911.63	$2464.00
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	29	29	$827.12	$745.83
36589 Removal of central venous catheter for infusion	24	22	$235.36	$133.67
36905 Excision of blood clot and/or infusion to dissolve blood clot in dialysis circuit and balloon dilation of dialysis segment, , accessed through the skin, with imaging including radiological supervision and interpretation, with balloon catheter	24	20	$3200.00	$2868.32
75827 Radiological supervision and interpretation of imaging of major chest vein	19	17	$307.07	$163.06
36832 Revision of dialysis graft, open procedure	18	16	$1101.62	$937.87
93970 Ultrasound study of arm or leg veins with compression and maneuvers	18	13	$292.49	$232.12
36010 Insertion of tube into vena cava	16	15	$787.79	$557.64
36903 Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist	13	13	$7417.79	$6556.54
76937 Ultrasonic guidance for blood vessel access	13	13	$43.38	$40.30
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	12	12	$28.00	$26.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	14,302	196	$10.00	$0.12
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	719	160	$15.40	$13.10
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	523	197	$1667.65	$1401.54
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	449	169	$67.96	$59.78
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml	243	27	$10.08	$1.85
99213 Established patient office or other outpatient visit, typically 15 minutes	220	131	$100.94	$81.08
36907 Balloon dilation of dialysis segment with review by radiologist	112	60	$999.04	$882.70
93990 Ultrasound of dialysis access	96	56	$224.97	$161.89
37252 Ultrasound evaluation of blood vessel with review by radiologist, initial vessel	79	43	$1822.78	$1609.93
37253 Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel	68	39	$304.41	$244.57
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	65	52	$805.43	$672.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$149.79	$123.36
93923 Complete ultrasound study of arm and leg arteries	42	29	$231.24	$153.95
G0365 Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow)	41	36	$281.28	$150.95
37248 Balloon dilation of first vein, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation	34	33	$1750.00	$176.90
36821 Relocation of arm vein with connection to arm artery, open procedure	34	33	$1763.31	$821.52
37246 Balloon dilation of artery with review by radiologist, initial artery	32	22	$3010.90	$2298.43
36832 Revision of dialysis graft, open procedure	26	26	$1176.40	$936.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	19	$60.51	$50.16
93970 Ultrasound study of arm or leg veins with compression and maneuvers	22	20	$308.46	$228.79
36905 Excision of blood clot and/or infusion to dissolve blood clot in dialysis circuit and balloon dilation of dialysis segment, , accessed through the skin, with imaging including radiological supervision and interpretation, with balloon catheter	17	15	$3441.18	$2535.33
36909 Permanent blockage of hemodialysis circuit with review by radiologist	16	14	$2742.72	$2176.48
93880 Ultrasound of both sides of head and neck blood flow	15	13	$274.11	$232.11
76937 Ultrasonic guidance for blood vessel access	14	14	$60.77	$35.81
75827 Radiological supervision and interpretation of imaging of major chest vein	14	13	$357.08	$161.16
36589 Removal of central venous catheter for infusion	13	13	$248.35	$124.88
36215 Insertion of catheter into chest or arm artery	11	11	$1500.00	$698.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	13,406	189	$10.00	$0.12
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	647	151	$15.46	$13.52
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	448	190	$1636.16	$1387.62
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	407	164	$67.97	$60.91
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml	256	21	$10.00	$1.86
99213 Established patient office or other outpatient visit, typically 15 minutes	132	95	$101.99	$83.03
36907 Balloon dilation of dialysis segment with review by radiologist	93	56	$1000.53	$868.04
93990 Ultrasound of dialysis access	75	43	$221.91	$156.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$138.96	$127.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	50	$56.00	$51.15
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	53	38	$812.12	$650.78
G0365 Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow)	43	41	$269.56	$148.78
37248 Balloon dilation of first vein, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation	36	36	$1205.56	$194.42
36821 Relocation of arm vein with connection to arm artery, open procedure	33	33	$940.00	$854.81
36909 Permanent blockage of hemodialysis circuit with review by radiologist	31	29	$2665.57	$2357.93
93923 Complete ultrasound study of arm and leg arteries	30	23	$231.24	$155.59
37246 Balloon dilation of artery with review by radiologist, initial artery	25	17	$2911.63	$2429.32
36215 Insertion of catheter into chest or arm artery	24	20	$1500.00	$761.46
36832 Revision of dialysis graft, open procedure	23	20	$1143.89	$974.61
36589 Removal of central venous catheter for infusion	23	22	$220.00	$116.10
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	22	21	$28.04	$23.61
93880 Ultrasound of both sides of head and neck blood flow	21	17	$294.65	$229.87
36905 Excision of blood clot and/or infusion to dissolve blood clot in dialysis circuit and balloon dilation of dialysis segment, , accessed through the skin, with imaging including radiological supervision and interpretation, with balloon catheter	21	17	$3058.99	$2736.00
93970 Ultrasound study of arm or leg veins with compression and maneuvers	19	17	$267.41	$236.57
36596 Mechanical removal of tissue or obstructive material from central venous tube	16	12	$175.00	$128.54
36010 Insertion of tube into vena cava	15	15	$700.00	$526.00
75827 Radiological supervision and interpretation of imaging of major chest vein	15	15	$314.85	$155.55
76937 Ultrasonic guidance for blood vessel access	14	11	$49.18	$34.26
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	12	12	$360.84	$193.82

Medical Specialties & State Licenses

CMS Verified: 2023-12-04

Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License NY 137978

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00799404 (NY)

Hospital & Practice Group Affiliations

Prine Health Medical Group, Pllc

1129 Northern Blvd, Manhasset, NY 110303022

Phone: 5164072727

Secondary Practice Locations

27111 76th Ave

New Hyde Park, NY 110401436

Phone: 5163877463

250 Pettit Ave Ste 2

Bellmore, NY 117103657

Phone: 5165140541

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Rafik Moufid , MD

Surgery - Vascular Surgery

NPI 1184887101

Doctor of Medicine (M.D.)

Heather Hurd , PA

Physician Assistant - Surgical

NPI 1518193770

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active November 04, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location November 04, 2011

Registered at 600 NORTHERN BLVD, SUITE 115, GREAT NECK, NY 110215206 (Tel: 5164828220)

📍

Updated Business Mailing Address November 04, 2011

Registered at 600 NORTHERN BLVD, SUITE 115, GREAT NECK, NY 110215206 (Tel: 5164828220)

👤

Provider Name / Credentials Updated November 04, 2011

Recorded as THOMAS PANETTA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2011

Surgery (License #137978 in NY)

🟢

Initial NPI Registration & Enumeration December 30, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1184601072

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 30, 2005

Last Update: December 04, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

600 Northern Blvd, Suite 115

Great Neck, NY 110215206

Phone: 5164828220

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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