GUIDO DALBAGNI MD
NPI 1215916697
Urology in New York, NY

Active since January 12, 2006PECOS Enrolled
90.76/100
CMS Quality Rating
1275 YORK AVE, NEW YORK, NY 10021(212) 639-2000 Get Directions Write a Review

NPPES record last updated: April 7, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Guido Dalbagni Md NPPES

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

GUIDO DALBAGNI MD (NPI 1215916697) is an individual urology provider in New York, New York, licensed in New York (180605) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215916697
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameGUIDO DALBAGNICredential: MD
Location Address1275 YORK AVENew York, NY 10021-6007
Mailing Address633 3rd Ave, Box 3New York, NY 10017-6706
Sole ProprietorNo
Enumeration DateJanuary 12, 2006
Last NPPES UpdateApril 7, 2015
NPI 1215916697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in NY · 180605
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.
1275 YORK AVE, New York, NY 10021

Other Identifiers 1

Medicare UPINF54731

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Guido Dalbagni Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 6

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.

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.
337 services254 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.
83 services73 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.
36 services36 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
29 services29 patients
Destruction of growth of bladder and urethra using an endoscope, less than 0.5 cm 52224
This procedure involves using a special instrument called an endoscope to remove a small growth in your bladder and urethra. It's a minimally invasive procedure and the growth being treated is less than half a centimeter in size.
20 services20 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
16 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

90.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.87
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 23

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
5 suppliers37 claims7,190 services$0.11 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
6 suppliers72 claims12,160 services$1.52 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
11 suppliers275 claims776 services$8.67 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
4 suppliers14 claims49 services$6.39 avg. paid by Medicare
Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
13 suppliers225 claims5,980 services$3.18 avg. paid by Medicare
Ostomy belt, each A4367
DME-Orthotic Devices · category DF010N
8 suppliers52 claims85 services$6.54 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.

Dermatology
1275 YORK AVE
NEW YORK, NY 10021
Nurse Anesthetist, Certified Registered
1275 YORK AVE
NEW YORK, NY 10021
Nurse Anesthetist, Certified Registered
1275 YORK AVE
NEW YORK, NY 10021
Pediatrics (Pediatric Hematology-Oncology)
1275 YORK AVE
NEW YORK, NY 10021
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10021
Radiology (Diagnostic Radiology)
1275 YORK AVE, DEPARTMENT OF RADIOLOGY
NEW YORK, NY 10021
Internal Medicine (Medical Oncology)
1275 YORK AVE
NEW YORK, NY 10021
Internal Medicine (Hematology & Oncology)
1275 YORK AVE
NEW YORK, NY 10021

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 Guido Dalbagni's NPI number?

The NPI number for Guido Dalbagni is 1215916697. It was assigned to this individual provider in the NPPES registry on January 12, 2006.

Where is Guido Dalbagni located?

Guido Dalbagni practices at 1275 York Ave, New York, NY 10021. The listed phone number is (212) 639-2000.

What is Guido Dalbagni's specialty?

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

Is Guido Dalbagni enrolled in Medicare?

Yes. Guido Dalbagni is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Guido Dalbagni was last updated on April 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.