Dr. Scott Safir, MD is a vascular surgeon in Garden City, NY specializing in vascular surgery. He graduated from SUNY Downstate Medical Center College of Medicine in 2015 and has 9 years of experience. Dr. Scott Safir, MD is affiliated with New York University, NYU Langone Health and NYU Langone Ambulatory Care Garden City.
1111 Franklin Avenue 1st Floor
Garden City, NY 11530
200 Old Country Road Suite 120
Mineola, NY 11501
211 Station Road Suite 6-300
Mineola, NY 11501
228-02 Merrick Boulevard 1st Floor
Springfield Gardens, NY 11413
Angioplasty
Angioplasty is a common, minimally invasive procedure performed to restore blood flow in arteries and veins that have become narrowed or blocked. Age or illness can cause plaque to build up at certain spots within the veins and arteries, and if enough collects, it can restrict the flow of blood. Angioplasty uses a tiny balloon at the end of a small, flexible tube to inflate within the narrowed section and open it up again.
Angioplasty may be performed in several different areas of the body and for a variety of reasons, most often:
During angioplasty, a patient is given a sedative while lying on a table under an x-ray machine. A catheter (a thin, flexible, and hollow tube) is inserted into the patient's skin in the arm or groin and guided into the blocked artery. Dye is injected via the catheter, and x-rays are used to position the tip of the catheter exactly at the blockage. The tiny balloon is guided through the catheter and inflated with saline. It pushes the plaque out of the way, squishing it against the walls of the artery. The balloon may be inflated and deflated several times to let blood pass by. A stent, a tiny tube of metal mesh like a spring, may be inserted to help keep the artery open. Then the x-ray is used again to check that blood is flowing properly, the catheter is removed, and the tiny incision is bandaged.
There are no nerves within veins and arteries, so an angioplasty is generally not painful. However, there may be some discomfort at the site of the incision and when the balloon is inflated. Overall, angioplasty is a very effective and low-risk procedure, useful for helping patients avoid more difficult bypass surgery.
Dialysis
Dialysis is a procedure that replicates renal (kidney) function by filtering patients' blood. When kidneys do not work properly, waste can accumulate in the blood and unbalanced chemicals can impair the body's critical functions. In order to stay healthy, a person without proper kidney function must receive dialysis. There are two forms of dialysis treatment: hemodialysis and peritoneal dialysis. Both forms of dialysis are recurring treatments that in many cases last throughout the lifetime of the affected patient. Patients who briefly lose renal function may slowly reduce the frequency of dialysis sessions until their kidneys recover. However, most patients who start on dialysis remain on dialysis for the rest of their lives or until they receive a kidney transplant.
A number of conditions can worsen renal function and lead to end-stage or acute kidney failure. When kidneys fail (i.e. nearly 90 percent of their function is lost), dialysis is typically prescribed. Conditions that cause chronic kidney failure (eventually requiring dialysis) include:
For hemodialysis (the more common form of dialysis), a patient will visit a hospital or clinic and be connected to a dialysis machine by a needle attached to a tube that draws blood from the arm. The drawn blood is transferred to the dialysis machine, where it is filtered and separated until clean. Waste products from the blood pass into a fluid called dialysate, which is pumped out of the machine into a waste receptacle. The machine also measures and helps ensure the blood has the appropriate level of fluid, electrolytes, and pH. A tube delivers the cleaned blood back into the patient's body. A dialysis session like this will typically last for three to four hours, with a patient undergoing dialysis around three times per week.
A second method of dialysis is known as peritoneal dialysis. Unlike hemodialysis, peritoneal dialysis can be performed at home by oneself after an initial surgery. To start, a physician (generally a surgeon) will make a small incision in the lower abdomen and insert and surgically attach a catheter (thin tube). At home, the patient connects a pump to the abdomen catheter, delivering dialysate (dialysis fluid) from a bag hanging on a wheeled stand. This fluid enters the peritoneal cavity (greater abdomen area containing the stomach, liver, and intestines) and collects waste through osmosis, where waste in the blood moves across a membrane and into the dialysate. This process continues for several hours until the fluid concentration is equal between the blood and dialysate, at which point the fluid can be drained. The fluid can then be passed through a machine called a cycler, which removes waste and allows for the dialysate to be reused. This process is repeated about four times per day. Dialysis patients must limit the amount of fluid they consume prior to receiving dialysis and should also avoid eating salty foods. The cycler cannot filter more than a certain amount of waste products from the blood.
Kidneys are important organs, and dialysis treatments are vital for those with renal dysfunction. For many, dialysis is not so much a medical procedure but a part of their normal life.
Stroke
A stroke is a medical emergency that occurs when a blood vessel supplying oxygen and nutrients to the brain is ruptured or blocked. The brain cannot function without a steady supply of oxygen and nutrients, so when the blood supply to the brain is interrupted, even for a brief moment, brain cells begin to die. When a sufficient number of brain cells die, the brain itself can no longer function, meaning that strokes are very dangerous. Strokes can result in impaired movement, speech, cognitive ability, the impairment of important physical functions, and even death.
Anyone can have a stroke, regardless of age and health. Strokes are known to happen at random. However, certain conditions and behaviors can increase one's risk of stroke over time.
Risk factors for stroke include:
There are two main types of stroke: ischemic stroke and hemorrhagic stroke. Ischemic stroke occurs more commonly and is when a blood vessel in the brain becomes blocked. Blockages are caused by blood clots and built-up plaque (deposits of fat and cholesterol), which leads to atherosclerosis, a condition where the blood vessels narrow and harden. The resultant restricted blood flow may lead to an ischemic stroke by blocking essential oxygen to the brain, causing the heart to exert more effort to pump blood.
Hemorrhagic stroke occurs when a blood vessel in or around the brain ruptures. The burst vessel leaks blood into surrounding brain tissue, causing irreparable brain damage.
Hemorrhagic strokes are less common and may occur from head injuries, brain aneurysms, brain tumors, and bleeding disorders, amongst other conditions.
Both ischemic and hemorrhagic strokes require immediate medical treatment. Medical intervention can prevent severe and life-threatening brain damage. Signs of stroke include:
-Disorientation or confusion
-Difficulty speaking
-Difficulty walking
-Impaired vision
-Weakness in the face, legs, or arms
-Severe headaches
When someone suspected of having a stroke reaches the hospital, the patient will usually receive a CT or other scan that provides an image of the brain. The scan results can reveal clotted or leaking blood in the brain. Physical exams, neurological exams, and blood tests may also be used to check for blood clotting and sugar. Treatment begins generally immediately if a stroke is detected.
Medical treatment for ischemic strokes includes a thrombolytic medicine which breaks up and disperses blood clots. This medicine can greatly improve stroke recovery and long-term health. However, the thrombolytic medicine must be administered as soon as possible to achieve these results. Other treatments for ischemic strokes are blood thinners and thrombectomy, a surgical procedure to remove a blood clot in the brain. Thrombectomy is performed by inserting a catheter (thin needle) into the artery to reach the blood clot and mechanically remove it. With the clot removed, normal blood flow to the brain resumes. Thrombectomy is typically performed at most six hours after a patient shows signs of a stroke.
Hemorrhagic strokes are treated with blood-saving medication and surgery. For a hemorrhagic stroke caused by the rupture of an aneurysm (blood vessel bulges), surgery to stem the bleeding aneurysm and vessel may be used. One surgical technique is stent-assisted coiling, which adds a stent (small wire-meshed tube) into the blood vessel to block the leaking opening of the aneurysm. A non-surgical procedure is endovascular coiling, where a catheter (thin, hollow needle) places a platinum wire coil at the spot of the aneurysm. The coil blocks bleeding and prevents the aneurysm from continuing to leak blood. These procedures are usually combined with blood-thickening medications. Blood transfusions may be administered if substantial blood loss has occurred.
Since stroke patients may have lost some essential functions while the blood flow to their brains was obstructed, both ischemic stroke and hemorrhage stroke patients may receive post-stroke rehabilitation to rebuild their physical and mental abilities. Some restorative treatments include occupational, physical, and speech therapy. Patients may also receive care from neurologists, who can assist patients in recovering certain brain functions and cognitive abilities, and rehabilitation psychologists, who may help patients with their emotional, behavioral, and cognitive recovery. Some stroke patients require lengthy rehabilitation and may never fully regain function, while others may recover more quickly. While the fastest recovery improvements are usually seen in the first three or four months, stroke rehabilitation can last for years.
If someone begins to show signs of stroke, contact emergency services and call 9-1-1 immediately since blood flow must be restored as soon as possible to help avoid significant brain damage. If an ambulance takes the person to the hospital, paramedics can initiate stroke treatment as soon as the patient enters the ambulance, allowing for more prompt medical intervention and care.
Volume of procedures performed by Dr. Scott Safir, MD for Medicare patients.
The highest averages for the top procedures that Dr. Scott Safir, MD treated as a vascular surgeon in Garden City, NY were hospital care, inpatient care and catheterization.
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| 111 | |
| 68 | |
| 68 |
Dr. Scott Safir, MD graduated from SUNY Downstate Medical Center College of Medicine in 2015. He completed residency at Icahn School of Medicine at Mount Sinai, General Surgery. He is certified by the American Board of Surgery (Vascular Surgery) and has a state license in New York.
Medical School: SUNY Downstate Medical Center College of Medicine (2015)
Residency: Icahn School of Medicine at Mount Sinai, General Surgery (2016)
Board Certification: American Board of Surgery (Vascular Surgery) (2023)
Licensed In: New York
Dr. Scott Safir, MD is associated with these hospitals and organizations:
Dr. Scott Safir, MD appears to accept the following insurance providers: Local 1199, Centerlight Healthcare, Hotel Trades Council, Fidelis Care, Centers Plan For Healthy Living, HIP, Healthfirst, Multiplan, Cigna, First Health, Aetna, United Healthcare, POMCO Insurance Company, Anthem BCBS Health Plus, Tricare, VNS Choice Advantage, Magnacare, Oxford, Humana, Medicare, Village Care, NYSHIP - The Empire Plan, MetroPlusHealth, Sedgwick WTC, Elderplan, VA Community Care Network, Medicaid of New York, GHI, Anthem Blue Cross Blue Shield, Wellcare, Qualcare Inc., Amida Care, Emblem, Railroad Medicare, Connecticare, WTC Health Program, HIP EPO, HIP Access II, HIP Access I, MagnaCare PPO, Humana Medicare Advantage, Private Healthcare Systems (PHCS), BlueCross BlueShield of Florida, CIGNA Open Access, United Healthcare PPO, United Healthcare POS, United Healthcare Indemnity, United Healthcare HMO, United Healthcare EPO, United Healthcare Choice, Aetna Open Access HMO, Vytra HMO, Healthfirst Medicaid, TRICARE, Anthem, Aetna PPO, Aetna HMO, Healthfirst Medicare, Blue Cross Blue Shield Medicare HMO, Aetna Open Access EPO, AARP, WellCare Medicare, WellCare, United Healthcare Medicare, Medicare Part B, Medicare Advantage, United Healthcare, Medicaid, Humana, Cigna, 1199SEIU, Guardian, Fidelis Care, HIP PPO, HIP POS, HIP HMO, Aetna, Aetna Medicare, HIP Child Health Plus, MultiPlan PPO, MultiPlan, GHI Medicare Supplement, United Healthcare Navigate, Aetna POS, First Health PPO, Great-West Healthcare HMO, Aetna Indemnity, Great-West Healthcare, Golden Rule, Community Care Network (CCN), MetroPlus Child Health Plus, Trustmark , MetroPlus Medicare, MetroPlus Medicaid, MetroPlus Health, Beech Street PPO, Kaiser Permanente, GHI HMO, CIGNA PPO, Group Health Incorporated (GHI), EmblemHealth, CIGNA HMO, CIGNA Indemnity, Healthfirst Child Health Plus, Medicaid Managed Care, TriWest, Blue Cross Blue Shield HMO, Blue Cross Blue Shield POS, Blue Cross Blue Shield EPO, Local 1199 PPO, Blue Cross Blue Shield Indemnity, US Family Health Plan, UnitedHealthcare, Blue Cross Blue Shield PPO, Railroad Medicare, GEHA, BCBS PPO - Empire PPO (Sunset Park/Family Health Center Employees), BCBS Healthplus Special Needs, BCBS PPO/EPO Small Group, Teamsters Allied Benefits, Healthfirst Green Leaf Exchange, Apwu Health Plan, Christian Brothers Services, Qualcare Inc, BCBS EPO - Empire EPO (Sunset Park/Family Health Center Employees), HIP Prime Silver Exchange, Insurance Design Administrators, Healthfirst Essential Plan 1 & 2, Health Net of California, Global Excel, Healthfirst Silver Leaf Exchange, BCBS Healthplus Essential Plan 4, BCBS Healthplus Essential Plan 3, BCBS Healthplus Essential Plan 2, BCBS Healthplus Essential Plan 1, American Plan Administrators, HIP Prime Platinum Exchange, Healthfirst Platinum Leaf Exchange, BCBS Local 32BJ Employees, HIP Prime Gold Exchange, AXA Assistance USA, Healthfirst Gold Total, Pro, Plus EPO, Fiserv Health, Mutual of Omaha, UMR, VillageCare, BCBS Mediblue Medicare PPO, BCBS Healthplus Gatekeeper exchange, BCBS EPO (LICH Employees), Screen Actors Guild, HIP Prime Silver, HIP Prime Bronze Exchange, Partners Health Plan FIDA, Meritain Health, CenterLight Healthcare DIRECT, HIP VIP Medicare Bold, Administrative Concepts, HIP Bridge, Healthfirst Silver Total, Pro, Plus EPO, Connecticare Bridge, BCBS PPO (LICH Employees), BCBS Healthplus NY Child Health Plus NY, BCBS EPO - Empire NYU Care (NYU Langone Employees), NY Fire Department - WTC, HIP Prime Bronze, Healthfirst Personal Wellness Plan, BCBS Blue Access EPO Small Group, BCBS Healthplus Mediblue Advantage, Connecticare Commercial, HIP Prime Gold, Healthfirst Platinum Total, Pro, Plus EPO, Health Republic of New Jersey, Nippon Life Ins Co, Healthfirst Essential Plan 3 & 4, HIP VIP Medicare Prime, New York Hotel Trades, HIP Prime Basic Exchange, Global Health, Healthfirst Bronze Leaf Exchange, HIP Prime Platinum, Partners Health Plan Medicare, NYS Health Insurance Plan - The Empire Plan, Excelsior Plan, NY Student Employee Health Plan, World Trade Center - Sedgwick, US Life Insurance Company, BCBS Blue Access PPO Large Group, BCBS EPO - Empire EPO (NYU Langone Employees), Oxford Health Plans Liberty, Wlny-TV Inc., CenterLight Healthcare PACE, BCBS EPO - Empire NYU Care (Sunset Park/Family Health Center Employees), Hamaspik Choice Medicare DSNP, Medicare Part A and B, Healthfirst Gold Leaf Exchange, BCBS PPO (BlackRock Employees), Healthfirst Bronze Total, Pro, Plus EPO, BCBS Mediblue Select HMO/Extra HMO, IUOE Local 14-14B, Chesterfield Resources Inc, HIP Medicare Supplement, Diversified Administration Corporation, VNS NY Choice Select Health, WellNet, Bind Benefits inc, BCBS EPO (BlackRock Employees), Health And Recovery Plan (Harp), Centerlight Pace Medicare HMO, HIP Prime Catastrophic Exchange, Allied, Oxford Metro, Empire Mediblue Healthplus Dual, Qualcare Direct, Oxford Health Plans Freedom, Professional Benefit Admin, BCBS Blue Access GEPO Small Group, Wellfleet-NYU Student, Starmark, BCBS Blue Access EPO Large Group, Longevity Health Plan Medicare, CenterLight Healthcare Select and BCBS Federal Program.
According to our sources, Dr. Scott Safir, MD accepts the following insurance providers:
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These charts describe general payments received by Dr. Scott Safir, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.
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$895
ADVANCE $654 |
Zenith Spiral-Z $136 |
Cook Celect $38 |
Zilver PTX $27 |
MICROPUNCTURE $10 |
Other $30 |
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$431
Zilver PTX $431 |
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$338
SHOCKWAVE IVL SYSTEM WITH THE SHOCKWAVE C2 CORONARY IVL CATHETER $338 |
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$289
ENDURANT IIS $289 |
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$227
ELUVIA $211 |
EKOSONIC $17 |
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$571
MARS Anterior Retractor $158 |
Lutonix Drug Coated Balloon $158 |
COLLAGENASE SANTYL $145 |
ENTRE PLUS $26 |
Indigo System $25 |
Other $60 |
| $1,879 | |
| $813 | |
| $60 |
Dr. Scott Safir is a vascular surgery specialist. These areas are among Dr. Safir's clinical interests: thoracic outlet syndrome, bloodless medicine/transfusion-free surgery, and thoracoabdominal aneurysm (TAA). He accepts Trustmark, Anthem, and Blue California, in addition to other insurance carriers. He graduated from SUNY Downstate Medical Center College of Medicine. He is affiliated with NYU Langone Medical Center.
