DI FAN CONEYBEARE (M.D.) – Emergency Medicine Physician, NPI 1003253964

DI FAN CONEYBEARE (M.D.) is a healthcare provider. based in New york, New York. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 282317-1 (NY). The NPI Number for DI FAN CONEYBEARE (M.D.) is 1003253964

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
DI FAN CONEYBEARE (M.D.)
NPI
1003253964
Phone
(760) 808-2557
Address
20 E 14TH ST
Enumeration Date
31 May 2013
Last Update Date
29 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2013 (13 years ago)
PAC ID
1951693217
Group Practice PAC ID
8527972546
Professional Enrollment ID
I20170523001636
Address ID
NY100323720NE622XXSTXX400
Telehealth
Yes

Contacts

FHIR Endpoint
https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
FHIR Endpoint
https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
Secure Messaging
CWID@direct.nyp.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

4,915 EMERGENCY MEDICINE in NY

Provider Addresses for DI FAN CONEYBEARE (M.D.)

  • 20 E 14TH ST

    APT 3

    NEW YORK, NY 100033182

    Phone: (760) 808-2557

    Type: Mailing

  • 462 1ST AVE

    SUITE A-345

    NEW YORK, NY 100169196

    Phone: (212) 562-4141

    Type: Location

  • 622 W 168TH ST # VC260

    NEW YORK, NY 100323720

    Phone: (760) 808-2557

    Type: Mailing

  • 622 W 168TH ST

    NEW YORK, NY 100323720

    Phone: (760) 808-2557

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-05-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170523001636IEmergency MedicineNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making4545$0
99285Emergency department visit with high level of medical decision making4242$0
99291Critical care, first 30-74 minutes2020$0
99283Emergency department visit with low level of medical decision making1818$0
View full utilization report →

Insurance plans in this area (ZIP 10003)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8527972546View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm DI FAN CONEYBEARE (M.D.)'s NPI?
Yes. DI FAN CONEYBEARE (M.D.) is listed with NPI 1003253964 in the public NPI dataset.
Does CMS list DI FAN CONEYBEARE (M.D.) as active?
Yes — DI FAN CONEYBEARE (M.D.) is active in the NPI listing used on this page.
What taxonomy line describes DI FAN CONEYBEARE (M.D.)?
For research purposes, treat DI FAN CONEYBEARE (M.D.) as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DI FAN CONEYBEARE (M.D.)?
DI FAN CONEYBEARE (M.D.)'s geographic hint is New York, New York in our summary view.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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