Doctor profile · Federal record
Dr. Jacqueline Pandolfi, N.P.
Women's Health Nurse Practitioner (CMS: Nurse Practitioner) · Port Jefferson Station, NY
- NPI 1225197866
- Accepts Medicare
- MIPS 81.1 / 100 · 2023
- 31 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
12 Medical Dr
Port Jefferson Station, NY 117761588
(631) 331-4400
fax (631) 331-3190 - Additional location
-
807 S Oyster Bay RD
Bethpage, NY 117141030
(516) 822-0028
fax (516) 342-2480 - Mailing address
-
900 Merchants Concourse Ste 216
Westbury, NY 115905114
Credentials & registration
- NPI registered
- December 2006 — 20 yrs on file
- Profile last updated
- January 14, 2021
- Year of graduation
- 1995 — 31 yrs since
- Specialty taxonomy
- 363LW0102X — NUCC code
- State license (1)
- New York #388956-1
- Medicaid
- NY #388956
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1225197866. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
367
Distinct HCPCS
6
Medicare allowed
$15,410
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
96127 |
Assessment of emotional or behavioral problems | 97 | 97 | $6 | |
G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination | 93 | 93 | $41 | |
Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 87 | 87 | $44 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 56 | 47 | $88 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 18 | 16 | $123 | |
81002 |
Urinalysis, manual test | 16 | 14 | $3 |
In context: peer comparison
Among 1 peers in this city , average services per provider: 61. This provider delivers 6.0× the peer median.Open Payments
Industry payments received
All-time total
$38
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| MILLICENT US INC | 1 | $22.45 | |
| Exeltis, USA Inc. | 1 | $15.58 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
83
Patients
28
Total drug cost
$8,626
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Estradiol | Generic | 40 | 15 | $6,418 |
| Clotrimazole-Betamethasone (Clotrimazole/Betamethasone Dip) | Brand | 16 | 13 | $389 |
| Risedronate Sodium | Generic | 14 | 0 | $1,607 |
| Nitrofurantoin Mono-Macro (Nitrofurantoin Monohyd/M-Cryst) | Brand | 13 | 0 | $212 |
Frequently asked questions
What is Dr. Jacqueline Pandolfi's medical specialty?
Dr. Jacqueline Pandolfi practices Women's Health Nurse Practitioner in Port Jefferson Station, NY.
Where does Dr. Jacqueline Pandolfi practice?
Dr. Jacqueline Pandolfi practices at 12 Medical Dr, Port Jefferson Station, NY 117761588. Office phone: 6313314400.
What is Dr. Jacqueline Pandolfi's NPI?
Dr. Jacqueline Pandolfi's National Provider Identifier (NPI) is 1225197866, issued by NPPES.
Does Dr. Jacqueline Pandolfi accept Medicare assignment?
Yes. Dr. Jacqueline Pandolfi accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jacqueline Pandolfi commonly perform?
Top Medicare-reported procedures in 2023: Assessment of emotional or behavioral problems (HCPCS 96127); Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS G0101); Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory (HCPCS Q0091). Source: CMS Medicare Physician & Other Practitioners file.