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: November 01, 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
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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

10

Medicare enrollment records show Jane Van Dis reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
601 ELMWOOD AVE, BOX 668
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 182 clinicians in this Medicare group
Obstetrics & Gynecology
990 SOUTH AVE, SUITE 103
Rochester, NY 14620
  • Reassigned Medicare billing, New York enrollment
  • 107 clinicians in this Medicare group
Internal Medicine
222 ALEXANDER ST
Rochester, NY 14607
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
General Acute Care Hospital
350 PARRISH ST
Canandaigua, NY 14424
  • Reassigned Medicare billing, New York enrollment
  • 347 clinicians in this Medicare group
Family Medicine
127 NORTH ST
Batavia, NY 14020
  • Reassigned Medicare billing, New York enrollment
  • 782 clinicians in this Medicare group
General Acute Care Hospital
621 10TH ST
Niagara Falls, NY 14302
  • Reassigned Medicare billing, New York enrollment
  • Also billed through NPI 1982659256 (New York)
  • 156 clinicians in this Medicare group
Skilled Nursing Facility
323 GENESEE ST
Oneida, NY 13421
  • Reassigned Medicare billing, New York enrollment
  • 46 clinicians in this Medicare group
Obstetrics & Gynecology
1144 MEADOWS DR, ATTN: WOMENS HEALTH
Oneida, NY 13421
  • Reassigned Medicare billing, New York enrollment
  • 13 clinicians in this Medicare group
121 mi
Family Medicine
111 HOSPITAL DR
Utica, NY 13502
  • Reassigned Medicare billing, New York enrollment
  • 657 clinicians in this Medicare group
General Acute Care Hospital
50 LEROY STREET
Potsdam, NY 13676
  • Reassigned Medicare billing, New York enrollment
  • 414 clinicians in this Medicare group

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

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.

Which organizations bill Medicare for Jane Van Dis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jane Van Dis reassigns Medicare benefits to 10 organizations: Strong Obstetrics-Gynecology Group (Rochester, NY), Highlands Womens Health (Rochester, NY), Rochester General Hospital (Rochester, NY), The Frederick Ferris Thompson Hospital (Canandaigua, NY), United Memorial Medical Center (Batavia, NY) and 5 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jane Van Dis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 7 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.