Dr. Nicholas Sgaglione, MD
611 Northern Blvd, Ste 200, Great Neck, NY 11021 • +1-628-555-5148
Medical Education: Accredited U.S. Medical School (Class of 2001)
What This Doctor Actually Performs: CMS Medicare Utilization & Great Neck Percentiles
NPI #1639126345 • CBSA Regional • Orthopedic Surgery
Operating out of Great Neck, NY (611 Northern Blvd, Ste 200), Orthopedic Surgery clinician Dr. Nicholas Sgaglione, MD (accredited MD/DO training, 2001) maintains a focused low-volume boutique caseload (3.23th Great Neck percentile) (6.97th NY percentile; Z-score -0.48σ across 799 documented services) with sub-specialty concentration in 27 Active CMS HCPCS Codes.
Among 6 tracked CMS fee-schedule codes for Dr. Sgaglione (averaging 4.2 services per beneficiary), 99213 (Focused Orthopedic Joint & Spine Mobility Evaluation) represents 23% of tracked volume (181 encounters), paired with 20610 (136x).
At 611 Northern Blvd, Ste 200 (11021), Dr. Nicholas Sgaglione, MD accommodates direct self-pay scheduling (in-person clinic visits only) at ~$232.00 per new consult (4.83/5 bedside rating).
Clinical background for Dr. Sgaglione (MD, NPI #1639126345) includes accredited doctoral training (2001, 25 yrs in practice) and dedicated on-site consultations at 611 Northern Blvd, Ste 200.
Compared against Great Neck, NY Orthopedic Surgery peers
799 annual services across 189 beneficiaries
Standard deviations from NY Orthopedic Surgery mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Orthopedic Joint & Spine Mobility Evaluation | 181 | 12th | $165 – $227 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 136 | 12th | $176 – $241 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 96 | 12th | $99 – $135 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 55 | 12th | $237 – $325 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 35 | 12th | $1527 – $2093 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (27 HCPCS billing breadth) | 295 | 3.23th | $186 – $270 |
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Dr. Nicholas Sgaglione, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Sgaglione National Provider Identifier | NPI #1639126345 (MD) | CMS NPPES Registry (11021) |
| Dr. Sgaglione Great Neck CMS Volume Rank | 3.23th Pct (799 CMS svcs; Z -0.484σ) | CMS Medicare Part B (NY Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $232.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Great Neck, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $232.00 avg paid • 16 min lobby wait | 18 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.83/5 Listening • 4.92/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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