JORGE M DAVIDENKO MD FACC
NPI 1215923990
Internal Medicine - Cardiovascular Disease in Cortland, NY

Q: What is Jorge Davidenko's NPI number?

The NPI number for Jorge Davidenko is 1215923990. It was assigned to this individual provider in the NPPES registry on September 27, 2005.

Q: What is Jorge Davidenko's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Jorge Davidenko was last updated on March 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 27, 2005PECOS EnrolledAccepts Medicare Assignment

82.9/100

CMS Quality Rating

134 HOMER AVE, CORTLAND, NY 13045(607) 756-3561(607) 428-5142 Get Directions Write a Review

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Jorge M Davidenko Md Facc NPPES

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

JORGE M DAVIDENKO MD FACC (NPI 1215923990) is an individual cardiovascular disease provider in Cortland, New York, licensed in New York (196572) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Guthrie Cortland Regional Medical Center, and is a graduate of Other (1976).

NPPES Registry Identity

NPI1215923990

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameJORGE M DAVIDENKOCredential: MD FACC

Location Address134 HOMER AVECortland, NY 13045-1206

Mailing Address134 Homer Ave, Po Box 628Cortland, NY 13045-1206 · (607) 756-3561 · Fax (607) 428-5142

Phone(607) 756-3561

Fax(607) 428-5142

Sole ProprietorNo

Medical School CMSOtherGraduated 1976

Enumeration DateSeptember 27, 2005

Last NPPES UpdateMarch 8, 2021

NPPES CertifiedMarch 8, 2021

✔ NPI 1215923990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in NY · 196572

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License 196572 (NY)

134 HOMER AVE, Cortland, NY 13045

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Other Identifiers 1

Medicaid01979708NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jorge M Davidenko Md Facc 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 ID1759295389

PECOS Enrollment IDI20080218000440

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.

Medicare Billing Reassignments

Medicare enrollment records show Jorge Davidenko reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Department Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In

30 mi

Internal Medicine

750 E ADAMS ST
Syracuse, NY 13210

Reassigned Medicare billing, New York enrollment
434 clinicians in this Medicare group

NPI 1063468239 (315) 464-4505

St Josephs Hospital Health Center

31 mi

General Acute Care Hospital

301 PROSPECT AVE, ADMINISTRATION
Syracuse, NY 13203

Reassigned Medicare billing, New York enrollment
369 clinicians in this Medicare group

NPI 1508815333 (315) 448-5880

St Josephs Medical PC

35 mi

Family Medicine

5100 W TAFT RD
Liverpool, NY 13088

Reassigned Medicare billing, New York enrollment
625 clinicians in this Medicare group

NPI 1942501747 (315) 452-2828

Guthrie Medical Group, P.C.

47 mi

General Practice

1 GUTHRIE SQ
Sayre, PA 18840

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: Guthrie Medical Group PC
798 clinicians in this Medicare group

NPI 1245246644 (570) 888-5858

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

201 services198 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

56 services55 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.

54 services51 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

36 services34 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

28 services28 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

22 services22 patients

Hospital Affiliations CMS Care Compare 4

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

Guthrie Cortland Regional Medical Center

Acute Care Hospitals · Cortland, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330175

Location134 Homer AvenueCortland, NY 13045 · Cortland County

Emergency services Birthing friendly

Corning Hospital

Acute Care Hospitals · Corning, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330277

Location1 Guthrie DriveCorning, NY 14830 · Steuben 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

Robert Packer Hospital

Acute Care Hospitals · Sayre, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390079

LocationOne Guthrie SquareSayre, PA 18840 · Bradford County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13045 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.

82.9/100

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

Scored as part of a group practice

Quality

74.09

Promoting Interoperability

100

Improvement Activities

Cost

65.94

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

6%585 patients1/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

2%517 patients1/55-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.

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.

DR. NGOZI C MEZU MD

Internal Medicine (Infectious Disease)