DR. TATYANA ANTONEVICH M.D.
NPI 1528054368
Internal Medicine - Pulmonary Disease in New Hartford, NY

Active since September 27, 2005PECOS EnrolledAccepts Medicare Assignment
2 ELLINWOOD DR, NEW HARTFORD, NY 13413(315) 624-5960(315) 849-5923 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 8, 2025, Dec 5, 2025 (2 updates tracked since 2025).

About Dr. Tatyana Antonevich M.d. NPPES

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

DR. TATYANA ANTONEVICH M.D. (NPI 1528054368) is an individual pulmonary disease provider in New Hartford, New York, licensed in Florida (ME90499) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1528054368
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameDR. TATYANA ANTONEVICHCredential: M.D.
Location Address2 ELLINWOOD DRNew Hartford, NY 13413-1102
Mailing Address2 Ellinwood DrNew Hartford, NY 13413-1102 · (315) 624-5960 · Fax (315) 624-5960
Fax(315) 849-5923
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateSeptember 27, 2005
Last NPPES UpdateDecember 8, 20252 updates tracked since enumeration
NPPES CertifiedDecember 8, 2025
NPI 1528054368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in FL · ME90499
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

2 ELLINWOOD DR, New Hartford, NY 13413

Other Identifiers 1

Medicaid274104100FL

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. Tatyana Antonevich 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 ID5597752212
PECOS Enrollment IDI20040426001797, I20041220000688
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 18

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.
1,104 services631 patients
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
Albuterol is a medication used to treat breathing problems. It is administered as an inhalation solution through a device called DME (Durable Medical Equipment). The solution is FDA-approved and non-compounded. Each unit dose contains 1 mg of the medicine.
423 services140 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
246 services243 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
246 services243 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
161 services160 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.
111 services111 patients

Hospital Affiliations CMS Care Compare 2

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

Wynn Hospital

Acute Care Hospitals · Utica, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330044
Location111 Hospital DriveUtica, NY 13502 · Oneida County
Emergency services Birthing friendly

Rome Memorial Hospital, Inc

Acute Care Hospitals · Rome, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330215
Location1500 North James StreetRome, NY 13440 · Oneida County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13413 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Referred Medical Equipment & Supplies CMS DME claims 32

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
13 suppliers857 claims857 services$36.91 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
4 suppliers118 claims221 services$1.45 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
3 suppliers12 claims12 services$12.97 avg. paid by Medicare
Aerosol mask, used with dme nebulizer A7015
DME-Other DME · category DE000N
2 suppliers12 claims12 services$1.06 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
12 suppliers663 claims663 services$89.19 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
12 suppliers652 claims1,848 services$33.25 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Urology
2 ELLINWOOD DR
NEW HARTFORD, NY 13413
Urology
2 ELLINWOOD DR
NEW HARTFORD, NY 13413
Radiology (Radiation Oncology)
2 ELLINWOOD DR
NEW HARTFORD, NY 13413
Urology
2 ELLINWOOD DR
NEW HARTFORD, NY 13413
Urology
2 ELLINWOOD DR
NEW HARTFORD, NY 13413
Specialist
2 ELLINWOOD DR
NEW HARTFORD, NY 13413
Clinic/Center (Dental)
2 ELLINWOOD DR
NEW HARTFORD, NY 13413
General Practice
2 ELLINWOOD DR
NEW HARTFORD, NY 13413

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 Tatyana Antonevich's NPI number?

The NPI number for Tatyana Antonevich is 1528054368. It was assigned to this individual provider in the NPPES registry on September 27, 2005.

Where is Tatyana Antonevich located?

Tatyana Antonevich practices at 2 Ellinwood Dr, New Hartford, NY 13413. The listed phone number is (315) 624-5960.

What is Tatyana Antonevich's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Tatyana Antonevich enrolled in Medicare?

Yes. Tatyana Antonevich 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 Tatyana Antonevich affiliated with any hospitals?

According to CMS data, Tatyana Antonevich is affiliated with Wynn Hospital and Rome Memorial Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Tatyana Antonevich was last updated on December 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.