Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669466363 Individual Practitioner Male Practitioner

Dr. John Impellizeri , DO

Internal Medicine • Mattituck, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Impellizeri, DO is a certified Internal Medicine practicing in Mattituck, NY. With approximately 27 years of clinical experience since graduating from New York College Of Osteo Medicine Of New York Institute Of Technology in 1999, Dr. Impellizeri delivers high-quality medical care to the local community at 13400 MAIN RD.

Dr. Impellizeri is affiliated with Southern California Permanente Medical Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include 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

13400 Main Rd

Mattituck, NY 119523209

Telephone 6312984008
Fax 6312985969
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

New York College Of Osteo Medicine Of New York Institute Of Technology

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Mattituck, NY

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
27 Yrs +5.0 yrs vs City Avg
City Avg: 22.0 Yrs
State Avg: 29.4 Yrs
Regional Practice Density
2 Specialists

Practicing in Mattituck, NY (12979 Statewide)

Telehealth Adoption Rate
50.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
51.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Impellizeri (27 Years) 27 Yrs
Mattituck Specialty Average (22.0 Years) 22.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
15 11 $280.00 $136.73

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NY 224524

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
02444824 (NY)

Hospital & Practice Group Affiliations

Southern California Permanente Medical Group

3955 Bonita Rd, Bonita, CA 919021230

Phone: 6195285000

Southern California Permanente Medical Group

4650 Palm Ave, San Diego, CA 921548404

Phone: 6195285000

Southern California Permanente Medical Group

4647 Zion Ave, San Diego, CA 921202507

Phone: 6195285000

Practice Associates & Co-Workers

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

2 Associated Practitioners
Christie Cotty , PA

Physician Assistant

NPI 1013106715

Physician Assistant

Valerie Kuemmel , PA

Physician Assistant - Medical

NPI 1285786624

Physician Assistant

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 26, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location June 26, 2008

Registered at 13400 MAIN RD, MATTITUCK, NY 119523209 (Tel: 6312984008)

📍
Updated Business Mailing Address June 26, 2008

Registered at 13400 MAIN RD, PO BOX 1619, MATTITUCK, NY 119523209 (Tel: 6312984479)

👤
Provider Name / Credentials Updated June 26, 2008

Recorded as JOHN IMPELLIZERI, D.O

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2008

Internal Medicine (License #224524 in NY)

🟢
Initial NPI Registration & Enumeration September 08, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669466363
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 08, 2005
Last Update: November 18, 2021
Sole Proprietor: No

Mailing Address

13400 Main Rd, Po Box 1619

Mattituck, NY 119523209

Phone: 6312984479

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.