MARIA THERESA PANLILIO-ORTIZ GNP
NPI 1053752022
Nurse Practitioner - Gerontology in Binghamton, NY

Q: What is Maria Panlilio-ortiz's NPI number?

The NPI number for Maria Panlilio-ortiz is 1053752022. It was assigned to this individual provider in the NPPES registry on July 8, 2013. The provider is also known as Maria Theresa Panlilio Gnp.

Q: What is Maria Panlilio-ortiz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Active since July 08, 2013PECOS Enrolled

84.63/100

CMS Quality Rating

159 FRONT ST, BINGHAMTON, NY 13905(607) 722-7225(607) 722-0061 Get Directions Write a Review

NPPES record last updated: March 23, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Maria Theresa Panlilio-ortiz Gnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIA THERESA PANLILIO-ORTIZ GNP (NPI 1053752022) is an individual gerontology provider in Binghamton, New York, licensed in New York (340908) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053752022

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameMARIA THERESA PANLILIO-ORTIZCredential: GNP

Location Address159 FRONT STBinghamton, NY 13905-3103

Mailing Address346 Grand AveJohnson City, NY 13790-2580 · (607) 722-7225 · Fax (607) 722-0061

Phone(607) 722-7225

Fax(607) 722-0061

Sole ProprietorNo

Enumeration DateJuly 8, 2013

Last NPPES UpdateMarch 23, 2020

NPPES CertifiedMarch 23, 2020

✔ NPI 1053752022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in NY · 340908

159 FRONT ST, Binghamton, NY 13905

Open in Google Maps ↗

Other Names 1

Other Name (5)Maria Theresa Panlilio Gnp

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maria Theresa Panlilio-ortiz Gnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Maria Panlilio-ortiz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

United Health Services Hospitals, Inc.

2.3 mi

Multi-Specialty

33-57 HARRISON ST.
Johnson City, NY 13790

Reassigned Medicare billing, New York enrollment
854 clinicians in this Medicare group

NPI 1962463851 (607) 762-3027

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

250 services143 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

106 services73 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

88 services70 patients

Nursing facility discharge management, more than 30 minutes 99316

Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.

58 services58 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

19 services15 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

19 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.63/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

87.96

Promoting Interoperability

100

Improvement Activities

Cost

54.42

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BROOME HEALTH CARE SERVICE LLC

Skilled Nursing Facility

159 FRONT ST
BINGHAMTON, NY 13905

Broome County (607) 722-7225

BRIDGEWATER CFD, LLC

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)

159 FRONT ST
BINGHAMTON, NY 13905

Broome County (607) 722-7225

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maria Panlilio-ortiz's NPI number?

The NPI number for Maria Panlilio-ortiz is 1053752022. It was assigned to this individual provider in the NPPES registry on July 8, 2013. The provider is also known as Maria Theresa Panlilio Gnp.

Where is Maria Panlilio-ortiz located?

Maria Panlilio-ortiz practices at 159 Front St, Binghamton, NY 13905. The listed phone number is (607) 722-7225.

What is Maria Panlilio-ortiz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Maria Panlilio-ortiz enrolled in Medicare?

Yes. Maria Panlilio-ortiz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Maria Panlilio-ortiz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maria Panlilio-ortiz reassigns Medicare benefits to United Health Services Hospitals, Inc. (Johnson City, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maria Panlilio-ortiz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Maria Panlilio-ortiz was last updated on March 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.