DMITRIY NIKOLAVSKY M.D.
NPI 1144435041
Urology in Syracuse, NY

Q: What is Dmitriy Nikolavsky's NPI number?

The NPI number for Dmitriy Nikolavsky is 1144435041. It was assigned to this individual provider in the NPPES registry on May 14, 2007. The provider is also known as Dmitriy Aleksandrovich Nikolayevskiy.

Q: What is Dmitriy Nikolavsky's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Active since May 14, 2007PECOS EnrolledAccepts Medicare Assignment

86.08/100

CMS Quality Rating

750 E ADAMS ST, SYRACUSE, NY 13210(315) 464-6106(315) 464-6117 Get Directions Write a Review

NPPES record last updated: August 27, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dmitriy Nikolavsky M.d. NPPES

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

DMITRIY NIKOLAVSKY M.D. (NPI 1144435041) is an individual urology provider in Syracuse, New York, licensed in New York (265866) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Samaritan Medical Center, and is a graduate of Wayne State University School Of Medicine (2005).

NPPES Registry Identity

NPI1144435041

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameDMITRIY NIKOLAVSKYCredential: M.D.

Location Address750 E ADAMS STSyracuse, NY 13210-2342

Mailing Address750 E Adams StSyracuse, NY 13210-2342 · (315) 464-6106 · Fax (315) 464-6117

Phone(315) 464-6106

Fax(315) 464-6117

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 2005

Enumeration DateMay 14, 2007

Last NPPES UpdateAugust 27, 2013

✔ NPI 1144435041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Licenses✔ Licensed in NY · 265866✔ Licensed in CO · 49881

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Also ListedSurgeryTaxonomy 208600000X · License 4301086420 (MI)

Also ListedUrology · Urogynecology and Reconstructive Pelvic SurgeryTaxonomy 2088F0040X · License 265866 (NY)

750 E ADAMS ST, Syracuse, NY 13210

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Other Names 1

Former Name (1)Dmitriy Aleksandrovich Nikolayevskiy

Other Identifiers 2

Medicaid03480646NY

Medicare PINJ400076696NY

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

Dmitriy Nikolavsky M.d. 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 ID4183895584

PECOS Enrollment IDI20120822000200

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 8

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.

Electronic assessment of bladder emptying 51741

Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.

82 services63 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

77 services66 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

34 services30 patients

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.

18 services16 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

15 services12 patients

Injection procedure for imaging of bladder during voiding 51600

This procedure involves injecting a safe, contrasting material into your bladder through a small tube. This helps capture clear images during voiding. The process helps doctors understand your bladder's function better and identify any potential issues.

14 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Samaritan Medical Center

Acute Care Hospitals · Watertown, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330157

Location830 Washington StreetWatertown, NY 13601 · Jefferson County

Emergency services Birthing friendly

Crouse Hospital

Acute Care Hospitals · Syracuse, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330203

Location736 Irving AvenueSyracuse, NY 13210 · Onondaga County

Emergency services Birthing friendly

University Hospital S U N Y Health Science Center

Acute Care Hospitals · Syracuse, NY

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number330241

Location750 East Adams StreetSyracuse, NY 13210 · Onondaga County

Emergency services Birthing friendly

Cayuga Medical Center At Ithaca

Acute Care Hospitals · Ithaca, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330307

Location101 Dates DriveIthaca, NY 14850 · Tompkins County

Emergency services Birthing friendly

United Health Services Hospitals, Inc

Acute Care Hospitals · Binghamton, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330394

Location10-42 Mitchell AvenueBinghamton, NY 13903 · Broome County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13210 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

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

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.

86.08/100

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

Scored as part of a group practice

Quality

99.25

Promoting Interoperability

100

Improvement Activities

Cost

46.35

Referred Medical Equipment & Supplies CMS DME claims 3

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

Lubricant, individual sterile packet, each A4332

DME-Medical/Surgical Supplies · category DA000N

2 suppliers52 claims5,070 services$0.08 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

4 suppliers80 claims11,404 services$1.29 avg. paid by Medicare

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

6 suppliers36 claims5,780 services$5.97 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

DAVID M KANTER MD

Physical Medicine & Rehabilitation