MARIA ANATOLY DIZHGALVIS NP
NPI 1184144792
Nurse Practitioner - Acute Care in Rochester, NY

Active since June 24, 2017PECOS EnrolledAccepts Medicare Assignment
98.78/100
CMS Quality Rating
1000 SOUTH AVE, ROCHESTER, NY 14620(585) 341-6269(585) 341-0018 Get Directions Write a Review

NPPES record last updated: June 24, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Maria Anatoly Dizhgalvis Np NPPES

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

MARIA ANATOLY DIZHGALVIS NP (NPI 1184144792) is an individual acute care provider in Rochester, New York, licensed in New York (431126) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1184144792
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMARIA ANATOLY DIZHGALVISCredential: NP
Location Address1000 SOUTH AVERochester, NY 14620-2733
Mailing Address1000 South AvenueRochester, NY 14620 · (585) 473-2200
Fax(585) 341-0018
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 24, 2017
NPI 1184144792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in NY · 431126
1000 SOUTH AVE, Rochester, NY 14620

Accepted Insurance

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

Maria Anatoly Dizhgalvis Np 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 ID4183974884
PECOS Enrollment IDI20200107001889, I20220314001496, I20220315001847, I20230428000670, I20240418002551
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 11

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.

Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month 99489
Complex chronic care management is a service for patients with multiple chronic conditions. It involves an additional 60 minutes per month of clinical staff time directed by a healthcare professional. This service assists in managing your health conditions effectively.
2,063 services343 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
1,972 services411 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
1,414 services432 patients
Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487
Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.
810 services346 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
172 services172 patients
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458
This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.
165 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14620 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
$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.

98.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality79.61
Improvement Activities40
Cost100

Reported Quality Measures

Advance Care Plan
87%414 patients4/55-star benchmark: 100%
Controlling High Blood Pressure
40%186 patients2/55-star benchmark: 98%
Falls: Plan of Care
100%21 patients
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
69%849 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 3% · 77 patients
Patients screened: 100% · 77 patients
100%23 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 940 patients
Patients totalRate: 0% · 940 patients
0%940 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Walker, heavy duty, wheeled, rigid or folding, any type E0149
DME-Other DME · category DE000N
2 suppliers12 claims12 services$11.19 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 20

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

Pharmacist
1000 SOUTH AVE
ROCHESTER, NY 14620
Dietitian, Registered
1000 SOUTH AVE, BOX 95
ROCHESTER, NY 14620
Obstetrics & Gynecology
1000 SOUTH AVE
ROCHESTER, NY 14620
Dietitian, Registered
1000 SOUTH AVE
ROCHESTER, NY 14620
Nurse Practitioner (Gerontology)
1000 SOUTH AVE
ROCHESTER, NY 14620
Internal Medicine
1000 SOUTH AVE
ROCHESTER, NY 14620
Specialist
1000 SOUTH AVE, # 95
ROCHESTER, NY 14620
Nurse Anesthetist, Certified Registered
1000 SOUTH AVE
ROCHESTER, NY 14620

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 Maria Dizhgalvis's NPI number?

The NPI number for Maria Dizhgalvis is 1184144792. It was assigned to this individual provider in the NPPES registry on June 24, 2017.

Where is Maria Dizhgalvis located?

Maria Dizhgalvis practices at 1000 South Ave, Rochester, NY 14620. The listed phone number is (585) 341-6269.

What is Maria Dizhgalvis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Maria Dizhgalvis enrolled in Medicare?

Yes. Maria Dizhgalvis 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.

What insurance does Maria Dizhgalvis accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Blue Cross and Blue Shield of Texas, Medica and UnitedHealthcare list Maria Dizhgalvis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maria Dizhgalvis was last updated on June 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.