DR. MARIELLEN DENTINO M.D.
NPI 1275533622
Internal Medicine - Nephrology in Evansville, IN

Active since July 28, 2005PECOS EnrolledAccepts Medicare Assignment
91.13/100
CMS Quality Rating
3801 BELLEMEADE AVE STE 330, EVANSVILLE, IN 47714(812) 479-3125 Get Directions Write a Review

NPPES record last updated: June 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mariellen Dentino M.d. NPPES

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

DR. MARIELLEN DENTINO M.D. (NPI 1275533622) is an individual nephrology provider in Evansville, Indiana, licensed in Indiana (1024941) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent Evansville, and is a graduate of Indiana University School Of Medicine (1973).

NPPES Registry Identity

NPI1275533622
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDR. MARIELLEN DENTINOCredential: M.D.
Location Address3801 BELLEMEADE AVE STE 330Evansville, IN 47714-0113
Mailing Address3801 Bellemeade Ave Ste 330Evansville, IN 47714-0113
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1973
Enumeration DateJuly 28, 2005
Last NPPES UpdateJune 17, 2022
NPPES CertifiedJune 17, 2022
NPI 1275533622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in IN · 1024941
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
3801 BELLEMEADE AVE STE 330, Evansville, IN 47714

Other Identifiers 2

Medicaid100242750IN
Other390004294IN · Railroad Medicare

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

Dr. Mariellen Dentino M.d. 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 ID4789729328
PECOS Enrollment IDI20100306000120
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 2

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.
76 services34 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
51 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension St Vincent Evansville

Acute Care Hospitals · Evansville, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150100
Location3700 Washington AveEvansville, IN 47750 · Vanderburgh County
Emergency services Birthing friendly

Indiana University Health Paoli Hospital

Critical Access Hospitals · Paoli, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151306
Location642 W Hospital RdPaoli, IN 47454 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47714 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

91.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.01
Promoting Interoperability100
Improvement Activities40
Cost51.38

Reported Quality Measures

Provide Patients Electronic Access to Their Health Information
92%49 patients4/55-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 6

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

Internal Medicine (Nephrology)
3801 BELLEMEADE AVE STE 330
EVANSVILLE, IN 47714
Internal Medicine (Nephrology)
3801 BELLEMEADE AVE STE 330
EVANSVILLE, IN 47714
Nurse Practitioner (Family)
3801 BELLEMEADE AVE STE 330
EVANSVILLE, IN 47714
Internal Medicine (Nephrology)
3801 BELLEMEADE AVE STE 330
EVANSVILLE, IN 47714
Internal Medicine (Infectious Disease)
3801 BELLEMEADE AVE STE 330
EVANSVILLE, IN 47714
Nurse Practitioner (Family)
3801 BELLEMEADE AVE STE 330
EVANSVILLE, IN 47714

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 Mariellen Dentino's NPI number?

The NPI number for Mariellen Dentino is 1275533622. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Mariellen Dentino located?

Mariellen Dentino practices at 3801 Bellemeade Ave Ste 330, Evansville, IN 47714. The listed phone number is (812) 479-3125.

What is Mariellen Dentino's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Mariellen Dentino enrolled in Medicare?

Yes. Mariellen Dentino 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 Mariellen Dentino accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Mariellen Dentino 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.

Is Mariellen Dentino affiliated with any hospitals?

According to CMS data, Mariellen Dentino is affiliated with Ascension St Vincent Evansville and Indiana University Health Paoli Hospital.

When was this NPI record last updated?

The NPPES record for Mariellen Dentino was last updated on June 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.