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SILVANA GAUDINO MD
NPI 1467520239
Obstetrics & Gynecology - Gynecology in Montclair, NJ

Active since December 01, 2006PECOS EnrolledAccepts Medicare Assignment
127 PINE ST STE 10, MONTCLAIR, NJ 07042(973) 707-2122(973) 655-9559 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 4, 2023, Jul 15, 2022 (2 updates tracked since 2022).

About Silvana Gaudino Md NPPES

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

SILVANA GAUDINO MD (NPI 1467520239) is an individual gynecology provider in Montclair, New Jersey, licensed in New Jersey (25MA04978100) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Hackensack Meridian Health, Mountainside Medical, and is a graduate of State University Of Ny Upstate Medical University (1983).

NPPES Registry Identity

NPI1467520239
Entity TypeIndividualFemale
Primary Taxonomy207VG0400X
Provider Legal NameSILVANA GAUDINOCredential: MD
Location Address127 PINE ST STE 10Montclair, NJ 07042-4869
Mailing Address33 North Fullerton AvenueMontclair, NJ 07042-3412 · (973) 744-2226 · Fax (973) 509-0978
Phone(973) 707-2122
Fax(973) 655-9559
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 1983
Enumeration DateDecember 1, 2006
Last NPPES UpdateDecember 4, 20232 updates tracked since enumeration
NPPES CertifiedDecember 4, 2023
✔ NPI 1467520239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in NJ · 25MA04978100
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
127 PINE ST STE 10, Montclair, NJ 07042
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Other Identifiers 1

Medicaid3089606NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Silvana Gaudino 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 ID1254515596
PECOS Enrollment IDI20110411000487
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 7

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.

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.
144 services144 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
141 services141 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.
68 services61 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.
35 services34 patients
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.
14 services14 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Hackensack Meridian Health, Mountainside Medical

Acute Care Hospitals · Montclair, NJ
2/5 CMS rating
OwnershipProprietary
CMS Certification Number310054
Location1 Bay AvenueMontclair, NJ 07042 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07042 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

Reported Quality Measures

Breast Cancer Screening
44%898 patients2/55-star benchmark: 93%
Cervical Cancer Screening
97%1,763 patients4/55-star benchmark: 98%
Chlamydia Screening for Women
85%420 patients
Closing the Referral Loop: Receipt of Specialist Report
20%156 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
1%1,155 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
77%26 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
0%39 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
97%39 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
91%3,238 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
1%272 patients1/55-star benchmark: 100%
HIV Screening
18%2,031 patients2/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
37%2,343 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
20%2,496 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
59%2,742 patients4/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 1% · 2,022 patients
1%2,022 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
88%261 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 316 patients
Patients totalRate: 2% · 317 patients
2%317 patients4/55-star benchmark: 100%
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.

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 Silvana Gaudino's NPI number?

The NPI number for Silvana Gaudino is 1467520239. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is Silvana Gaudino located?

Silvana Gaudino practices at 127 Pine St Ste 10, Montclair, NJ 07042. The listed phone number is (973) 707-2122.

What is Silvana Gaudino's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Silvana Gaudino enrolled in Medicare?

Yes. Silvana Gaudino 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.

What insurance does Silvana Gaudino accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Silvana Gaudino as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Silvana Gaudino affiliated with any hospitals?

According to CMS data, Silvana Gaudino is affiliated with Hackensack Meridian Health, Mountainside Medical.

When was this NPI record last updated?

The NPPES record for Silvana Gaudino was last updated on December 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.