Doctor profile · Federal record
Dr. Jack Nussbaum, MD
Family Medicine Physician (CMS: Family Practice) · Lake Ronkonkoma, NY
- NPI 1346242690
- Accepts Medicare
- 42 yrs in practice
- Male
- No sanctions
Practice & contact
- Primary practice
-
388 Hawkins Ave, Ste 1
Lake Ronkonkoma, NY 117794280
(631) 588-8460
fax (631) 588-8480
Credentials & registration
- NPI registered
- June 2005 — 21 yrs on file
- Profile last updated
- July 8, 2007
- Year of graduation
- 1984 — 42 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- New York #165161
- Medicaid
- NY #01824322
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1346242690. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
3,062
Distinct HCPCS
10
Medicare allowed
$142,728
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 775 | 274 | $107 | |
36415 |
Insertion of needle into vein for collection of blood sample | 676 | 263 | $8 | |
81002 |
Urinalysis, manual test | 675 | 258 | $3 | |
80061 |
Blood test, lipids (cholesterol and triglycerides) | 329 | 176 | $13 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 160 | 122 | $150 | |
71046 |
X-ray of chest, 2 views | 140 | 121 | $41 | |
G0444 |
Annual depression screening, 5 to 15 minutes | 98 | 98 | $22 | |
93000 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 75 | 74 | $18 | |
82043 |
Urine microalbumin (protein) level | 33 | 30 | $6 | |
82274 |
Stool analysis for blood, by fecal hemoglobin determination by immunoassay | 33 | 33 | $16 |
In context: peer comparison
Among 4 peers in this city , average services per provider: 121. This provider delivers 25× the peer median.Open Payments
Industry payments received
All-time total
$1,429
Transactions
66
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| AstraZeneca Pharmaceuticals LP | 18 | $359.94 | |
| Novo Nordisk Inc | 12 | $236.42 | |
| Lilly USA, LLC | 10 | $210.05 | |
| Amgen Inc. | 4 | $111.68 | |
| PFIZER INC. | 5 | $101.80 | |
| Boehringer Ingelheim Pharmaceuticals, Inc. | 3 | $67.91 | |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | 4 | $66.15 | |
| Janssen Pharmaceuticals, Inc | 3 | $58.22 | |
| Verity Pharmaceuticals Inc. | 1 | $29.63 | |
| E.R. Squibb & Sons, L.L.C. | 1 | $26.73 | |
| Corcept Therapeutics | 1 | $26.65 | |
| Avvisto Therapeutics, LLC | 1 | $22.58 | |
| Regeneron Healthcare Solutions, Inc. | 1 | $22.00 | |
| Novartis Pharmaceuticals Corporation | 1 | $20.52 | |
| Lundbeck LLC | 1 | $18.37 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
2,494
Patients
796
Total drug cost
$184,038
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 336 | 109 | $3,636 |
| Metoprolol Succinate | Generic | 309 | 100 | $6,472 |
| Rosuvastatin Calcium | Generic | 290 | 87 | $4,728 |
| Levothyroxine Sodium | Generic | 253 | 75 | $4,430 |
| Amlodipine Besylate | Generic | 233 | 84 | $1,737 |
| Pantoprazole Sodium | Generic | 143 | 50 | $2,430 |
| Eliquis (Apixaban) | Brand | 133 | 34 | $150,119 |
| Tamsulosin Hcl | Generic | 118 | 39 | $2,245 |
| Losartan Potassium | Generic | 115 | 42 | $1,536 |
| Omeprazole | Generic | 101 | 37 | $1,644 |
Hospital affiliations
Frequently asked questions
What is Dr. Jack Nussbaum's medical specialty?
Dr. Jack Nussbaum practices Family Medicine Physician in Lake Ronkonkoma, NY.
Where does Dr. Jack Nussbaum practice?
Dr. Jack Nussbaum practices at 388 Hawkins Ave, Lake Ronkonkoma, NY 117794280. Office phone: 6315888460.
What is Dr. Jack Nussbaum's NPI?
Dr. Jack Nussbaum's National Provider Identifier (NPI) is 1346242690, issued by NPPES.
Does Dr. Jack Nussbaum accept Medicare assignment?
Yes. Dr. Jack Nussbaum accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jack Nussbaum commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Insertion of needle into vein for collection of blood sample (HCPCS 36415); Urinalysis, manual test (HCPCS 81002). Source: CMS Medicare Physician & Other Practitioners file.