DR. THADDEUS DEMETRIUS MAMIENSKI D.O.
NPI 1104979194
Obstetrics & Gynecology in Bethesda, MD

Active since January 21, 2007PECOS EnrolledAccepts Medicare Assignment
80.17/100
CMS Quality Rating
8901 WISCONSIN AVE, DEPARTMENT OF OBSTETRICS AND GYNECOLOGY, BETHESDA, MD 20889(215) 872-7216 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Thaddeus Demetrius Mamienski D.o. NPPES

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

DR. THADDEUS DEMETRIUS MAMIENSKI D.O. (NPI 1104979194) is an individual obstetrics & gynecology provider in Bethesda, Maryland, licensed in Virginia (0102201967) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (2005).

NPPES Registry Identity

NPI1104979194
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. THADDEUS DEMETRIUS MAMIENSKICredential: D.O.
Location Address8901 WISCONSIN AVE, DEPARTMENT OF OBSTETRICS AND GYNECOLOGYBethesda, MD 20889-0001
Mailing Address4512 Everett StKensington, MD 20895-4124 · (215) 872-7216
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2005
Enumeration DateJanuary 21, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1104979194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in VA · 0102201967
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
8901 WISCONSIN AVE, Bethesda, MD 20889

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

Dr. Thaddeus Demetrius Mamienski D.o. 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 ID6800021916
PECOS Enrollment IDI20131026000076
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20889 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
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.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.69
Promoting Interoperability100
Improvement Activities40
Cost53.49

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.

Pharmacist
8901 WISCONSIN AVE
BETHESDA, MD 20889
Radiology (Diagnostic Radiology)
8901 WISCONSIN AVE
BETHESDA, MD 20889
Student in an Organized Health Care Education/Training Program
8901 WISCONSIN AVE
BETHESDA, MD 20889
Internal Medicine (Infectious Disease)
8901 WISCONSIN AVE
BETHESDA, MD 20889
General Practice
8901 WISCONSIN AVE
BETHESDA, MD 20889
General Practice
8901 WISCONSIN AVE
BETHESDA, MD 20889
Psychiatry & Neurology (Psychiatry)
8901 WISCONSIN AVE, WRNMMC, NICOE, BUILDING 51
BETHESDA, MD 20889
Physical Therapist
8901 WISCONSIN AVE
BETHESDA, MD 20889

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 Thaddeus Mamienski's NPI number?

The NPI number for Thaddeus Mamienski is 1104979194. It was assigned to this individual provider in the NPPES registry on January 21, 2007.

Where is Thaddeus Mamienski located?

Thaddeus Mamienski practices at 8901 Wisconsin Ave Department Of Obstetrics And Gynecology, Bethesda, MD 20889. The listed phone number is (215) 872-7216.

What is Thaddeus Mamienski's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Thaddeus Mamienski enrolled in Medicare?

Yes. Thaddeus Mamienski 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.

When was this NPI record last updated?

The NPPES record for Thaddeus Mamienski was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.