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MARIE WELSHINGER MD
NPI 1518909282
Obstetrics & Gynecology - Gynecologic Oncology in Fresh Meadows, NY

Active since June 10, 2006PECOS EnrolledAccepts Medicare Assignment
98.67/100
CMS Quality Rating
16303 HORACE HARDING EXPY, 3RD FLOOR, FRESH MEADOWS, NY 11365(718) 670-1170(516) 437-4167 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marie Welshinger Md NPPES

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

MARIE WELSHINGER MD (NPI 1518909282) is an individual gynecologic oncology provider in Fresh Meadows, New York, licensed in New York (180477) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of University Of Minnesota Medical School (1988).

NPPES Registry Identity

NPI1518909282
Entity TypeIndividualFemale
Primary Taxonomy207VX0201X
Provider Legal NameMARIE WELSHINGERCredential: MD
Location Address16303 HORACE HARDING EXPY, 3RD FLOORFresh Meadows, NY 11365-1449
Mailing AddressPo Box 27842New York, NY 10087-7842 · (718) 670-1651 · Fax (516) 437-4167
Phone(718) 670-1170
Fax(516) 437-4167
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1988
Enumeration DateJune 10, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1518909282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
License✔ Licensed in NY · 180477
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
16303 HORACE HARDING EXPY, Fresh Meadows, NY 11365
Open in Google Maps ↗

Other Identifiers 3

Medicaid02133342NY
Medicare UPING37651NY
Medicare ID-Type Unspecified01610KNY

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

Marie Welshinger 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 ID4981672458
PECOS Enrollment IDI20141208001011
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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
143 services97 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.
123 services95 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
41 services41 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
23 services19 patients
Removal of uterus, tubes, and/or ovaries through abdomen using an endoscope, 250.0 g or less 58571
This procedure involves the removal of certain internal structures through small incisions in the abdomen, using a special tool called an endoscope. It's performed when these structures are causing health issues. The weight reference (250.0 g or less) relates to the size of the structures being removed.
13 services13 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310001
Location30 Prospect AveHackensack, NJ 07601 · Bergen County
Emergency services Birthing friendly

Valley Hospital

Acute Care Hospitals · Paramus, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310012
Location4 Valley Health PlazaParamus, NJ 07652 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11365 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
$201.98 typical visit price
range $67.00 – $201.98
Typical copayment $50.49 (range $16.75 – $50.49)
Most-billed visit code 99205
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
Most-billed visit code 99214
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.

98.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality93.57
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%181 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
47%856 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
99%856 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
36%856 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
49%856 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 20

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

NEW YORK QUEENS MEDICINE AND SURGERY, P.C.
Pediatrics
16303 HORACE HARDING EXPY, 4TH FLOOR
FRESH MEADOWS, NY 11365
Queens County (718) 670-1019
MELISSA CRUZ OTR/L
Occupational Therapist
16303 HORACE HARDING EXPY
FRESH MEADOWS, NY 11365
Queens County (855) 377-3422
LOUISE DELA CRUZ PT, DPT
Physical Therapist
16303 HORACE HARDING EXPY
FRESH MEADOWS, NY 11365
Queens County (855) 377-3422
DR. LYNDON F ROSE M.D.
Preventive Medicine (Public Health & General Preventive Medicine)
16303 HORACE HARDING EXPY, 4TH FLOOR
FLUSHING, NY 11365
Queens County (718) 670-4201
MITCHELL I CHOROST M.D.
Surgery (Surgical Oncology)
16303 HORACE HARDING EXPY, SUITE 100
FRESH MEADOWS, NY 11365
Queens County (718) 454-4600
YI-WEN CHEN RPA/C
Physician Assistant
16303 HORACE HARDING EXPY, 5TH FLOOR
FRESH MEADOWS, NY 11365
Queens County (718) 888-9121
CHS PHYSICIAN PARTNERS, PC
Internal Medicine (Interventional Cardiology)
16303 HORACE HARDING EXPY, SUITE 100
FRESH MEADOWS, NY 11365
Queens County (718) 454-4600
ANGELA PETROUTSOS MPT, DPT, CLT
Physical Therapist
16303 HORACE HARDING EXPY
FRESH MEADOWS, NY 11365
Queens County (718) 670-2533

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 Marie Welshinger's NPI number?

The NPI number for Marie Welshinger is 1518909282. It was assigned to this individual provider in the NPPES registry on June 10, 2006.

Where is Marie Welshinger located?

Marie Welshinger practices at 16303 Horace Harding Expy 3rd Floor, Fresh Meadows, NY 11365. The listed phone number is (718) 670-1170.

What is Marie Welshinger's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Is Marie Welshinger enrolled in Medicare?

Yes. Marie Welshinger 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.

Is Marie Welshinger affiliated with any hospitals?

According to CMS data, Marie Welshinger is affiliated with Hackensack University Medical Center and Valley Hospital.

When was this NPI record last updated?

The NPPES record for Marie Welshinger was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.