MARISSA DOMBOVY-JOHNSON D.O.
NPI 1225488596
Physical Medicine & Rehabilitation - Pain Medicine in Rochester, NY

Q: What is Marissa Dombovy-johnson's NPI number?

The NPI number for Marissa Dombovy-johnson is 1225488596. It was assigned to this individual provider in the NPPES registry on June 17, 2016.

Q: What is Marissa Dombovy-johnson's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Active since June 17, 2016PECOS EnrolledAccepts Medicare Assignment

95.19/100

CMS Quality Rating

2655 RIDGEWAY AVE STE 420, ROCHESTER, NY 14626(585) 723-7972(585) 368-3119 Get Directions Write a Review

NPPES record last updated: September 2, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 22, 2021, Aug 5, 2020, Jun 23, 2020 and 4 more (7 updates tracked since 2016).

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About Marissa Dombovy-johnson D.o. NPPES

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

MARISSA DOMBOVY-JOHNSON D.O. (NPI 1225488596) is an individual pain medicine provider in Rochester, New York, licensed in New York (310253) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1225488596

Entity TypeIndividualFemale

Primary Taxonomy2081P2900X

Provider Legal NameMARISSA DOMBOVY-JOHNSONCredential: D.O.

Location Address2655 RIDGEWAY AVE STE 420Rochester, NY 14626-4296

Mailing Address100 Kings Hwy SRochester, NY 14617-5504 · (585) 723-7972 · Fax (585) 368-3119

Phone(585) 723-7972

Fax(585) 368-3119

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJune 17, 2016

Last NPPES UpdateSeptember 2, 20217 updates tracked since enumeration

NPPES CertifiedSeptember 2, 2021

✔ NPI 1225488596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081P2900X

License✔ Licensed in NY · 310253

Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

2655 RIDGEWAY AVE STE 420, Rochester, NY 14626

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Secondary Practice Locations 2

Location 12655 Ridgeway Ave Ste 440Rochester, NY 14626-4296 · Phone (585) 723-7705 · Fax (585) 723-7788

Location 21425 Portland Ave Ste 445Rochester, NY 14621-3011 · Phone (585) 922-4111 · Fax (585) 922-5941

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

Marissa Dombovy-johnson D.o. 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 ID7911293329

PECOS Enrollment IDI20210914002150

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.

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.

59 services39 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.

40 services40 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.

28 services23 patients

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

21 services21 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

19 services19 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

12 services11 patients

Hospital Affiliations CMS Care Compare

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

Rochester General Hospital

Acute Care Hospitals · Rochester, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330125

Location1425 Portland AvenueRochester, NY 14621 · Monroe County

Emergency services Birthing friendly

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 16

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

CAROLYN ZYLONEY M.D.

Psychiatry & Neurology (Neurology)