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JENNIFER J STALICA MD
NPI 1093824674
Internal Medicine - Pulmonary Disease in Rochester, NY

Active since August 29, 2006PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
1561 LONG POND ROAD, SUITE 408, ROCHESTER, NY 14626(585) 723-7575(585) 368-4890 Get Directions Write a Review

NPPES record last updated: May 16, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer J Stalica Md NPPES

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

JENNIFER J STALICA MD (NPI 1093824674) is an individual pulmonary disease provider in Rochester, New York, licensed in New York (248623) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with United Memorial Medical Center, and is a graduate of State University Of New York At Buffalo School Of Medicine (2005).

NPPES Registry Identity

NPI1093824674
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameJENNIFER J STALICACredential: MD
Location Address1561 LONG POND ROAD, SUITE 408Rochester, NY 14626-4135
Mailing Address1561 Long Pond Road, Suite 408Rochester, NY 14626-4135 · (585) 723-7575 · Fax (585) 368-4890
Phone(585) 723-7575
Fax(585) 368-4890
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2005
Enumeration DateAugust 29, 2006
Last NPPES UpdateMay 16, 2019
✔ NPI 1093824674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in NY · 248623
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 248623 (NY)
1561 LONG POND ROAD, Rochester, NY 14626
Open in Google Maps ↗

Other Identifiers 1

Medicaid02969331NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer J Stalica Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890865455
PECOS Enrollment IDI20080609000471
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.

Areas of Expertise CMS Part B claims 9

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
71 services56 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
41 services19 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
31 services31 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
28 services14 patients
Test to determine lung volumes using gas dilution or washout 94727
This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.
26 services26 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
24 services20 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

United Memorial Medical Center

Acute Care Hospitals · Batavia, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330073
Location127 North StreetBatavia, NY 14020 · Genesee County
Emergency services Birthing friendly

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Unity Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330226
Location1555 Long Pond RoadRochester, NY 14626 · Monroe County
Emergency services Birthing friendly

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14626 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$13.64 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier22 claims22 services$3.52 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
6 suppliers68 claims68 services$64.27 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
5 suppliers53 claims53 services$35.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

RICHARD L ALWEIS MD
Internal Medicine
1561 LONG POND ROAD, SUITE 206
ROCHESTER, NY 14626
Monroe County (585) 368-4800
THOMAS J PASTOR MD
Internal Medicine
1561 LONG POND ROAD, SUITE #202
ROCHESTER, NY 14626
Monroe County (585) 723-7778
MICHAEL DISALLE MD
Internal Medicine
1561 LONG POND ROAD, SUITE #206
ROCHESTER, NY 14626
Monroe County (585) 368-4000
DR. JOSEPH N DYTOC MD
Internal Medicine (Gastroenterology)
1561 LONG POND ROAD, SUITE 110
ROCHESTER, NY 14626
Monroe County (585) 723-1510
JAY RAJDA MD
Internal Medicine
1561 LONG POND ROAD, SUITE #206
ROCHESTER, NY 14626
Monroe County (585) 368-4000
PUTHENPURAKAL K MATHEW MD
Internal Medicine (Cardiovascular Disease)
1561 LONG POND ROAD, SUITE 401
ROCHESTER, NY 14626
Monroe County (585) 723-7872

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 Jennifer Stalica's NPI number?

The NPI number for Jennifer Stalica is 1093824674. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Jennifer Stalica located?

Jennifer Stalica practices at 1561 Long Pond Road Suite 408, Rochester, NY 14626. The listed phone number is (585) 723-7575.

What is Jennifer Stalica's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Jennifer Stalica enrolled in Medicare?

Yes. Jennifer Stalica is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jennifer Stalica affiliated with any hospitals?

According to CMS data, Jennifer Stalica is affiliated with United Memorial Medical Center, Rochester General Hospital, Unity Hospital and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jennifer Stalica was last updated on May 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.