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DR. JANE VAN DIS M.D.
NPI 1275699266
Obstetrics & Gynecology in Rochester, NY

Active since December 28, 2006PECOS EnrolledAccepts Medicare Assignment
601 ELMWOOD AVE DEPT OBGYN, ROCHESTER, NY 14642(585) 276-5368 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 24, 2026, Mar 14, 2025, Jul 7, 2023 and 3 more (6 updates tracked since 2021).

About Dr. Jane Van Dis M.d. NPPES

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

DR. JANE VAN DIS M.D. (NPI 1275699266) is an individual obstetrics & gynecology provider in Rochester, New York, licensed in New York (308289) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Newark, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1275699266
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. JANE VAN DISCredential: M.D.
Location Address601 ELMWOOD AVE DEPT OBGYNRochester, NY 14642-1437
Mailing Address601 Elmwood Ave Dept ObgynRochester, NY 14642-0001 · (310) 254-7023
Phone(585) 276-5368
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateDecember 28, 2006
Last NPPES UpdateMarch 24, 20266 updates tracked since enumeration
NPPES CertifiedMarch 24, 2026
✔ NPI 1275699266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in NY · 308289✔ Licensed in MN · 50732
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
601 ELMWOOD AVE DEPT OBGYN, Rochester, NY 14642
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Secondary Practice Location 1

Location 11250 Driving Park AveNewark, NY 14513-1057 · Phone (315) 332-2427

Other Identifiers 4

Other308289NY · Statte License
OtherA90758CA · State License
Other50732MN · State License
OtherMD492147PA · State

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. Jane Van Dis 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 ID941384259
PECOS Enrollment IDI20210421000118
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14642 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.

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 Jane Van Dis's NPI number?

The NPI number for Jane Van Dis is 1275699266. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Where is Jane Van Dis located?

Jane Van Dis practices at 601 Elmwood Ave Dept Obgyn, Rochester, NY 14642. The listed phone number is (585) 276-5368.

What is Jane Van Dis's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Jane Van Dis enrolled in Medicare?

Yes. Jane Van Dis 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.

When was this NPI record last updated?

The NPPES record for Jane Van Dis was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.