DR. MARISSA CHRISTINA THEOFANIDES MD
NPI 1306119920
Urology in West Nyack, NY

Q: What is Marissa Theofanides's NPI number?

The NPI number for Marissa Theofanides is 1306119920. It was assigned to this individual provider in the NPPES registry on February 13, 2012.

Q: What is Marissa Theofanides's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Active since February 13, 2012PECOS Enrolled

100/100

CMS Quality Rating

2 CENTEROCK RD, WEST NYACK, NY 10994(845) 703-6999(845) 703-6297 Get Directions Write a Review

NPPES record last updated: October 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 16, 2020, Jun 15, 2018, Feb 26, 2016 (3 updates tracked since 2016).

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About Dr. Marissa Christina Theofanides Md NPPES

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

DR. MARISSA CHRISTINA THEOFANIDES MD (NPI 1306119920) is an individual urology provider in West Nyack, New York, licensed in New York (290620) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Js Weill Medical College, Cornell University (2008).

NPPES Registry Identity

NPI1306119920

Entity TypeIndividualFemale

Primary Taxonomy208800000X

Provider Legal NameDR. MARISSA CHRISTINA THEOFANIDESCredential: MD

Location Address2 CENTEROCK RDWest Nyack, NY 10994-2215

Mailing Address155 Crystal Run RdMiddletown, NY 10941-4057 · (845) 703-6999 · Fax (845) 703-6297

Phone(845) 703-6999

Fax(845) 703-6297

Sole ProprietorNo

Medical School CMSJs Weill Medical College, Cornell UniversityGraduated 2008

Enumeration DateFebruary 13, 2012

Last NPPES UpdateOctober 16, 20203 updates tracked since enumeration

NPPES CertifiedOctober 16, 2020

✔ NPI 1306119920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in NY · 290620

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

2 CENTEROCK RD, West Nyack, NY 10994

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Marissa Christina Theofanides Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800142159

PECOS Enrollment IDI20180629000310

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 4

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.

34 services28 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.

24 services21 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

17 services17 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.

14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330059

Location111 East 210th StreetBronx, NY 10467 · Bronx County

Emergency services Birthing friendly

Montefiore Mount Vernon Hospital

Acute Care Hospitals · Mount Vernon, NY

OwnershipVoluntary non-profit - Private

CMS Certification Number330086

Location12 North 7th AvenueMount Vernon, NY 10550 · Westchester County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10994 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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

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.

100/100

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

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

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

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