Active NPI 1194044719 Individual Practitioner Male Practitioner

Dr. Anthony John Hesketh , MD, MS

Surgery • Stony Brook, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Anthony Hesketh, MD, MS is a certified Surgery practicing in Stony Brook, NY. With approximately 16 years of clinical experience since graduating from Wright State University Boonshoft School Of Medicine in 2010, Dr. Hesketh delivers high-quality medical care to the local community at STONY BROOK UNIVERSITY HOSPITAL.

Dr. Hesketh is affiliated with Beth Israel Lahey Health Specialty Care, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least, new patient outpatient office visit, 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

Stony Brook University Hospital
Medical Staff Office T9

Stony Brook, NY 117947097

Telephone 6314442754

Fax 6314446031

Associated Practice Facility / Clinic

🏢 Stonybrook University Hospital Facility NPI 1720491475

Medicare Profile & Education

Medical School

Wright State University Boonshoft School Of Medicine

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Stony Brook, NY

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs -1.1 yrs vs City Avg

City Avg: 17.1 Yrs

State Avg: 27.8 Yrs

Regional Practice Density

32 Specialists

Practicing in Stony Brook, NY (2269 Statewide)

Telehealth Adoption Rate

6.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hesketh (16 Years) 16 Yrs

Stony Brook Specialty Average (17.1 Years) 17.1 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
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	38	$408.95	$144.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$348.52	$127.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	27	$397.50	$143.30
99231 Follow-up hospital inpatient care per day, typically 15 minutes	28	19	$154.50	$54.36
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	22	$592.78	$191.00
49650 Repair of groin hernia using an endoscope	16	16	$2692.19	$553.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$553.33	$204.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$519.00	$189.87
47562 Removal of gallbladder using an endoscope	11	11	$3105.25	$682.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	37	$380.53	$137.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$335.33	$125.38
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	12	$113.67	$51.17
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$571.67	$185.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	15	$341.24	$142.80
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$483.25	$189.16
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$649.14	$227.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	15	$169.00	$70.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$204.94	$134.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$121.47	$82.53
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$471.00	$195.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$131.00	$98.15
49650 Repair of groin hernia using an endoscope	11	11	$988.00	$382.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$120.02	$83.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	21	$127.00	$99.86
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	12	$164.00	$71.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$211.11	$135.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	15	$311.00	$134.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$124.94	$75.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$182.00	$128.60
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$91.00	$51.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	14	$158.48	$74.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$109.00	$74.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	13	$325.00	$145.75
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$97.54	$50.34
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	11	11	$1680.00	$286.22

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NY 267272

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Surgery

NUCC Taxonomy Code: 208600000X

State License ME MD23041

Hospital & Practice Group Affiliations

Beth Israel Lahey Health Specialty Care, Inc.

41 Mall Rd, Burlington, MA 018050001

Phone: 7817448400

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Benjamin Hodson , MD

Emergency Medicine

NPI 1003136235

Doctor of Medicine (M.D.)

Dr. Lucas Mcarthur , MD

Family Medicine

NPI 1013150077

Doctor of Medicine (M.D.)

Dr. Jeff Chuang , MD

Student in an Organized Health Care Education/Training Program

NPI 1033379425

Doctor of Medicine (M.D.)

Dr. Elaine Fox , MD

Student in an Organized Health Care Education/Training Program

NPI 1063646149

Doctor of Medicine (M.D.)

Dr. Lawrence Kelly , MD

Emergency Medicine

NPI 1073773578

Doctor of Medicine (M.D.)

Dr. Sofia Geralemou , MD

Anesthesiology

NPI 1073776100

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2023

Student in an Organized Health Care Education/Training Program

✅

NPI Profile Active September 23, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location September 23, 2014

Registered at STONY BROOK UNIVERSITY HOSPITAL, MEDICAL STAFF OFFICE T9, STONY BROOK, NY 117947097 (Tel: 6314442754)

📍

Updated Business Mailing Address September 23, 2014

Registered at STONY BROOK UNIVERSITY HOSPITAL, MEDICAL STAFF OFFICE T9, STONY BROOK, NY 117947097 (Tel: 6314442754)

👤

Provider Name / Credentials Updated September 23, 2014

Recorded as ANTHONY HESKETH, M.D., M.S.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2014

Surgery (License #267272 in NY)

🟢

Initial NPI Registration & Enumeration May 21, 2010

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: 1194044719

Entity Type:

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

Enumeration Date: May 21, 2010

Last Update: March 07, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Stony Brook University Hospital, Medical Staff Office T9

Stony Brook, NY 117947097

Phone: 6314442754

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.