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DR. MARLENE L. WARADZIN M.D.
NPI 1437168457
Obstetrics & Gynecology in Wallingford, CT

Active since August 07, 2006PECOS EnrolledAccepts Medicare Assignment
89.86/100
CMS Quality Rating
185 CENTER ST, SUITE H, WALLINGFORD, CT 06492(203) 284-1060(203) 284-4981 Get Directions Write a Review

NPPES record last updated: September 28, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Marlene L. Waradzin M.d. NPPES

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

DR. MARLENE L. WARADZIN M.D. (NPI 1437168457) is an individual obstetrics & gynecology provider in Wallingford, Connecticut, licensed in Connecticut (031062) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Connecticut School Of Medicine (1988).

NPPES Registry Identity

NPI1437168457
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. MARLENE L. WARADZINCredential: M.D.
Location Address185 CENTER ST, SUITE HWallingford, CT 06492-4100
Mailing Address185 Center St, Suite HWallingford, CT 06492-4100 · (203) 284-1060 · Fax (203) 284-4981
Phone(203) 284-1060
Fax(203) 284-4981
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 1988
Enumeration DateAugust 7, 2006
Last NPPES UpdateSeptember 28, 2011
✔ NPI 1437168457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CT · 031062
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.
185 CENTER ST, Wallingford, CT 06492
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Other Identifiers 3

Medicaid001310622CT
Medicare UPINF36466CT
Medicare ID-Type Unspecified160001079CT

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. Marlene L. Waradzin 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 ID4486821196
PECOS Enrollment IDI20120120000630
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 3

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.

Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
47 services47 patients
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.
46 services46 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06492 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

89.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.17
Promoting Interoperability100
Improvement Activities40
Cost73.04

Reported Quality Measures

Breast Cancer Screening
89%292 patients4/55-star benchmark: 93%
Cervical Cancer Screening
96%579 patients4/55-star benchmark: 98%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
14%769 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
70%877 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
31%1,065 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 585 patients
0%585 patients
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 10

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

JAMES B FANNING JR. M.D.
Obstetrics & Gynecology
185 CENTER ST, SUITE H
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 284-1060
DOC NUTRITION CLINIC
Clinic/Center (Health Service)
185 CENTER ST, SUITE 1B
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 269-2852
JOAN MARY LANDINO APRN
Nurse Practitioner (Psychiatric/Mental Health)
185 CENTER ST
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 676-3606
DR. CHARLES BRIAN HELM M.D.
Obstetrics & Gynecology
185 CENTER ST, SUITE H
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 284-1060
HELM & HELM, P.C.
Specialist
185 CENTER ST, SUITE H
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 284-1060
DR. JOSEPH A. PECCERILLO M.D.
Obstetrics & Gynecology
185 CENTER ST, SUITE H
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 284-1060
DR. THOMAS J. HELM M.D.
Obstetrics & Gynecology
185 CENTER ST, SUITE H.
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 284-1060
DR. RICHARD HAROLD ANDERSON M.D.
Psychiatry & Neurology (Psychiatry)
185 CENTER ST, SUITE F
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 269-6512

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 Marlene Waradzin's NPI number?

The NPI number for Marlene Waradzin is 1437168457. It was assigned to this individual provider in the NPPES registry on August 7, 2006.

Where is Marlene Waradzin located?

Marlene Waradzin practices at 185 Center St Suite H, Wallingford, CT 06492. The listed phone number is (203) 284-1060.

What is Marlene Waradzin's specialty?

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

Is Marlene Waradzin enrolled in Medicare?

Yes. Marlene Waradzin 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 Marlene Waradzin was last updated on September 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.