Active NPI 1780602730 Individual Practitioner Male Practitioner

Dr. Thomas Bilfinger , MD

Surgery • Stony Brook, NY

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Bilfinger, MD is a registered healthcare professional specializing in Surgery in Stony Brook, NY. Practice services are available at UNIVERSITY HOSPITAL, L5 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, replacement of aortic valve through the skin and femoral artery, new 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

University Hospital, L5

Stony Brook, NY 11794

Telephone 6314442565

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Stony Brook, NY

Active Practitioner

Practitioner Clinical Experience

Active

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

76.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	19	19	$175.79	$89.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	19	$110.00	$55.44
33361 Replacement of aortic valve through the skin and femoral artery	17	17	$5645.00	$1015.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$400.59	$197.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$275.00	$129.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$350.00	$163.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	110	100	$175.00	$86.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	82	77	$109.27	$52.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	73	73	$400.00	$191.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$275.00	$126.98
33361 Replacement of aortic valve through the skin and femoral artery	52	52	$5645.00	$1086.91
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	43	$350.47	$157.04
99221 Initial hospital inpatient care per day, typically 30 minutes	30	30	$280.00	$117.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$275.00	$88.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	138	122	$166.20	$84.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	96	96	$400.00	$189.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$259.33	$127.03
33361 Replacement of aortic valve through the skin and femoral artery	58	58	$5645.00	$1082.29
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	51	50	$350.39	$157.06
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	12	$170.00	$83.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	20	$110.50	$48.29
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$280.00	$117.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$261.54	$89.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	131	131	$379.08	$189.92
99213 Established patient office or other outpatient visit, typically 15 minutes	103	94	$160.00	$84.36
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	79	77	$350.25	$157.19
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	68	12	$155.44	$82.06
33361 Replacement of aortic valve through the skin and femoral artery	61	60	$5454.67	$1064.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$250.00	$127.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$250.00	$123.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$253.33	$84.82
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$450.00	$232.01
32663 Examination of lung with removal of lung lobe using an endoscope	13	13	$6525.00	$1781.91

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

01110392 (NY)

Commercial Insurance / Payer ID Aetna

4476852 (NY)

Commercial Insurance / Payer ID Empire Bc.bs

03F08 (NY)

Practice Associates & Co-Workers

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

6 Associated Practitioners

Dr. Apostolos Tassiopoulos , MD

Surgery - Vascular Surgery

NPI 1073555884

Doctor of Medicine (M.D.)

Dr. Frank Seifert , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1134148901

Doctor of Medicine (M.D.)

Dr. Allison Mclarty , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1376562769

Doctor of Medicine (M.D.)

Dr. Irvin Krukenkamp , MD

Surgery

NPI 1457373292

Doctor of Medicine (M.D.)

Dr. Marvin Corman , MD

Surgery - Surgical Oncology

NPI 1700808532

Doctor of Medicine (M.D.)

Dr. Marc Shapiro , MD

Surgery

NPI 1790706513

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) July 21, 2022

Surgery

✅

NPI Profile Active July 26, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 26, 2007

Registered at UNIVERSITY HOSPITAL, L5, STONY BROOK, NY 11794 (Tel: 6314442565)

📍

Updated Business Mailing Address July 26, 2007

Registered at P.O. BOX 1559, STONY BROOK, NY 11790

👤

Provider Name / Credentials Updated July 26, 2007

Recorded as THOMAS BILFINGER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2007

Surgery (License #$$$$$$$$$ in NY)

🟢

Initial NPI Registration & Enumeration July 18, 2006

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: 1780602730

Entity Type:

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

Enumeration Date: July 18, 2006

Last Update: July 21, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

P.o. Box 1559

Stony Brook, NY 11790

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.