LYUDMILA SHELESTOVSKY
NPI 1265060859
Physician Assistant in Vestal, NY

Q: What is Lyudmila Shelestovsky's NPI number?

The NPI number for Lyudmila Shelestovsky is 1265060859. It was assigned to this individual provider in the NPPES registry on March 30, 2020. The provider is also known as Lyudmila Levitskaya.

Q: What is Lyudmila Shelestovsky's specialty?

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

Active since March 30, 2020PECOS EnrolledAccepts Medicare Assignment

88.52/100

CMS Quality Rating

4433 VESTAL PKWY E, VESTAL, NY 13850(607) 771-2220(607) 251-2635 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 19, 2025, Jan 4, 2021, Mar 30, 2020 (3 updates tracked since 2020).

On this page

About Lyudmila Shelestovsky NPPES

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

LYUDMILA SHELESTOVSKY (NPI 1265060859) is an individual physician assistant in Vestal, New York, licensed in New York (025953) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with United Health Services Hospitals, Inc, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1265060859

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameLYUDMILA SHELESTOVSKY

Location Address4433 VESTAL PKWY EVestal, NY 13850-3556

Mailing Address33 Lewis Rd Ste 2Binghamton, NY 13905-1040 · (607) 770-0025 · Fax (607) 729-3982

Phone(607) 771-2220

Fax(607) 251-2635

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMarch 30, 2020

Last NPPES UpdateDecember 19, 20253 updates tracked since enumeration

NPPES CertifiedDecember 19, 2025

✔ NPI 1265060859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NY · 025953

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4433 VESTAL PKWY E, Vestal, NY 13850

Open in Google Maps ↗

Other Names 1

Former Name (1)Lyudmila Levitskaya

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

Lyudmila Shelestovsky 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 ID244644813

PECOS Enrollment IDI20210122002136

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

44 services21 patients

Hospital Affiliations CMS Care Compare

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

United Health Services Hospitals, Inc

Acute Care Hospitals · Binghamton, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330394

Location10-42 Mitchell AvenueBinghamton, NY 13903 · Broome County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13850 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.

88.52/100

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

Scored as part of a group practice

Quality

78.37

Promoting Interoperability

100

Improvement Activities

Cost

76.76

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.

THOMAS L KOMOR DPT

Physical Therapist