VATHASINLAPA DOMINIK VASAVONG PA-C
NPI 1144959909
Physician Assistant in Rochester, NY

Q: What is Vathasinlapa Vasavong's NPI number?

The NPI number for Vathasinlapa Vasavong is 1144959909. It was assigned to this individual provider in the NPPES registry on June 7, 2022.

Q: What is Vathasinlapa Vasavong's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since June 07, 2022PECOS EnrolledAccepts Medicare Assignment

95.19/100

CMS Quality Rating

1555 LONG POND RD, ROCHESTER, NY 14626(585) 723-7870 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 10, 2023, Jul 22, 2022, Jul 8, 2022 and 1 more (4 updates tracked since 2022).

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About Vathasinlapa Dominik Vasavong Pa-c NPPES

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

VATHASINLAPA DOMINIK VASAVONG PA-C (NPI 1144959909) is an individual physician assistant in Rochester, New York, licensed in New York (028479) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with Unity Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1144959909

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameVATHASINLAPA DOMINIK VASAVONGCredential: PA-C

Location Address1555 LONG POND RDRochester, NY 14626-4164

Mailing Address100 Kings Hwy SRochester, NY 14617-5504 · (585) 723-7870

Phone(585) 723-7870

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJune 7, 2022

Last NPPES UpdateAugust 10, 20234 updates tracked since enumeration

NPPES CertifiedAugust 10, 2023

✔ NPI 1144959909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NY · 028479

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1555 LONG POND RD, Rochester, NY 14626

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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

Vathasinlapa Dominik Vasavong Pa-c 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 ID143603902

PECOS Enrollment IDI20220811003336

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

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

20 services20 patients

Hospital Affiliations CMS Care Compare

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

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

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

$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

$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.

95.19/100

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

Scored through an Alternative Payment Model

Quality

70.62

Promoting Interoperability

100

Improvement Activities

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.

MACKENZIE R. PETTINELLA PA

Physician Assistant (Medical)

1555 LONG POND RD, DEPT. OF MEDICINE
ROCHESTER, NY 14626

Monroe County (585) 723-7870

FAROOQ CHAUDHARY MD

Student in an Organized Health Care Education/Training Program