MARY L DOMBOVY MD
NPI 1104853969
Physical Medicine & Rehabilitation in Rochester, NY

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
2655 RIDGEWAY AVE, SUITE 420, ROCHESTER, NY 14626(585) 723-7972(585) 368-3119 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mary L Dombovy Md NPPES

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

MARY L DOMBOVY MD (NPI 1104853969) is an individual physical medicine & rehabilitation provider in Rochester, New York, licensed in New York (178528) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Mayo Medical School (1981).

NPPES Registry Identity

NPI1104853969
Entity TypeIndividualFemale
Primary Taxonomy208100000X
Provider Legal NameMARY L DOMBOVYCredential: MD
Location Address2655 RIDGEWAY AVE, SUITE 420Rochester, NY 14626-4285
Mailing Address2655 Ridgeway Ave, Suite 420Rochester, NY 14626-4285 · (585) 723-7972 · Fax (585) 368-3119
Fax(585) 368-3119
Sole ProprietorNo
Medical School CMSMayo Medical SchoolGraduated 1981
Enumeration DateJune 27, 2006
Last NPPES UpdateSeptember 15, 2022
NPPES CertifiedSeptember 15, 2022
✔ NPI 1104853969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License✔ Licensed in NY · 178528
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
2655 RIDGEWAY AVE, Rochester, NY 14626

Other Identifiers 2

Other1785286Workers Comp
Medicaid01674533NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary L Dombovy 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 ID1355249483
PECOS Enrollment IDI20031226000239
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 Reassignments

2

Medicare enrollment records show Mary Dombovy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
1555 LONG POND RD
Rochester, NY 14626
  • Reassigned Medicare billing, New York enrollment
  • 1,442 clinicians in this Medicare group
Family Medicine
2350 RIDGEWAY AVE
Rochester, NY 14626
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group

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

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

Other Providers at the Same Location NPPES 20

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

Dietitian, Registered
2655 RIDGEWAY AVE, SUITE 220
ROCHESTER, NY 14626
Physical Therapist
2655 RIDGEWAY AVE
ROCHESTER, NY 14626
Dietitian, Registered
2655 RIDGEWAY AVE
ROCHESTER, NY 14626
Neurological Surgery
2655 RIDGEWAY AVE, SUITE 340
ROCHESTER, NY 14626
Neurological Surgery
2655 RIDGEWAY AVE, SUITE 340
ROCHESTER, NY 14626
Physical Medicine & Rehabilitation (Spinal Cord Injury Medicine)
2655 RIDGEWAY AVE, SUITE 420
ROCHESTER, NY 14626
Physical Therapist
2655 RIDGEWAY AVE, SUITE 320
ROCHESTER, NY 14626
Physical Therapist
2655 RIDGEWAY AVE
ROCHESTER, NY 14626

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 Mary Dombovy's NPI number?

The NPI number for Mary Dombovy is 1104853969. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Mary Dombovy located?

Mary Dombovy practices at 2655 Ridgeway Ave Suite 420, Rochester, NY 14626. The listed phone number is (585) 723-7972.

What is Mary Dombovy's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Mary Dombovy enrolled in Medicare?

Yes. Mary Dombovy 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.

Which organizations bill Medicare for Mary Dombovy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Dombovy reassigns Medicare benefits to 2 organizations: The Unity Hospital Of Rochester (Rochester, NY) and Rochester General Hospital (Rochester, NY). Each 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 Mary Dombovy'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 Mary Dombovy was last updated on September 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.