Marilena Mirica, MD
NPI 1184660003 · Internal Medicine Physician · Smithtown, NY
Enrolled with Medicare as Practitioner - Hospitalist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marilena Mirica, MD is a Internal Medicine Physician provider in Smithtown, NY (NPI 1184660003).
Provider details
- NPI number
- 1184660003
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 207578 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
125 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 55 | $104 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 31 | $146 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 23 | $9 |
| Automated Urinalysis Test81003 | 16 | $2 |
Typical Medicare-allowed amounts for these services range $2–$146 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$55 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-20
- Last updated
- 2024-05-17
- Certified
- 2024-05-17
Frequently asked questions
- What is Marilena Mirica's NPI number?
- Marilena Mirica's National Provider Identifier (NPI) is 1184660003, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marilena Mirica's specialty?
- Marilena Mirica is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Marilena Mirica located?
- Marilena Mirica's practice location on file with NPPES is 267 E Main St Bldg C, Smithtown, NY 11787-2847.
- What is Marilena Mirica's phone number?
- The practice phone number listed in the NPPES registry for Marilena Mirica is (631) 418-8069.
- Does Marilena Mirica accept Medicare?
- Marilena Mirica is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marilena Mirica's NPI active?
- Yes — Marilena Mirica's NPI (1184660003) is active in the NPPES registry as of the last update on 2024-05-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.