DR. ADI DAVIDOV MD
NPI 1356324677
Obstetrics & Gynecology in Staten Island, NY

Q: What is Adi Davidov's NPI number?

The NPI number for Adi Davidov is 1356324677. It was assigned to this individual provider in the NPPES registry on November 21, 2005.

Q: What is Adi Davidov's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Adi Davidov was last updated on January 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since November 21, 2005PECOS EnrolledAccepts Medicare Assignment

91.25/100

CMS Quality Rating

440 SEAVIEW AVE, STATEN ISLAND, NY 10305(718) 226-6550 Get Directions Write a Review

NPPES record last updated: January 28, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Adi Davidov Md NPPES

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

DR. ADI DAVIDOV MD (NPI 1356324677) is an individual obstetrics & gynecology provider in Staten Island, New York, licensed in New York (212520) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Staten Island University Hospital, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1356324677

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDR. ADI DAVIDOVCredential: MD

Location Address440 SEAVIEW AVEStaten Island, NY 10305-3401

Mailing Address1 Edgewater St, 6th Fl. Payer RelationsStaten Island, NY 10305-4900 · (718) 226-1008 · Fax (718) 226-1039

Phone(718) 226-6550

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateNovember 21, 2005

Last NPPES UpdateJanuary 28, 2011

✔ NPI 1356324677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in NY · 212520

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.

Also ListedInternal MedicineTaxonomy 207R00000X · License 212520 (NY)

440 SEAVIEW AVE, Staten Island, NY 10305

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Other Identifiers 3

Medicare UPINI10629NY

Medicare PIN718E41NY

Medicaid02568707NY

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. Adi Davidov Md 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 ID5193797504

PECOS Enrollment IDI20040806000883

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.

18 services17 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Staten Island University Hospital

Acute Care Hospitals · Staten Island, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330160

Location475 Seaview AvenueStaten Island, NY 10305 · Richmond County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10305 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.

91.25/100

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

Scored through an Alternative Payment Model

Quality

74.92

Promoting Interoperability

91.67

Improvement Activities

Other Providers at the Same Location NPPES 9

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

DR. KENNETH WORTMAN MD

Obstetrics & Gynecology