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DR. MELANIE LILA WEGENER M.D.
NPI 1528419918
Radiology - Diagnostic Radiology in New York City, NY

Active since June 27, 2016PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
550 FIRST AVENUE, NYU LANGONE MEDICAL CENTER, NEW YORK CITY, NY 10016(212) 263-5506 Get Directions Write a Review

NPPES record last updated: October 12, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 12, 2022, Apr 24, 2017, Jun 27, 2016 (3 updates tracked since 2016).

About Dr. Melanie Lila Wegener M.d. NPPES

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

DR. MELANIE LILA WEGENER M.D. (NPI 1528419918) is an individual diagnostic radiology provider in New York City, New York, licensed in New York (291908) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Long Island Community Hospital, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2016).

NPPES Registry Identity

NPI1528419918
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameDR. MELANIE LILA WEGENERCredential: M.D.
Location Address550 FIRST AVENUE, NYU LANGONE MEDICAL CENTERNew York City, NY 10016
Mailing Address550 First Avenue, Nyu Langone Medical CenterNew York, NY 10016 · (212) 263-5506
Phone(212) 263-5506
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2016
Enumeration DateJune 27, 2016
Last NPPES UpdateOctober 12, 20223 updates tracked since enumeration
NPPES CertifiedOctober 12, 2022
✔ NPI 1528419918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in NY · 291908
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
550 FIRST AVENUE, New York City, NY 10016
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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. Melanie Lila Wegener 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 ID8123351657
PECOS Enrollment IDI20220804001177
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 14

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.

Injection, gadobutrol, 0.1 ml A9585
Gadobutrol is a contrast agent used during MRI scans to help provide clearer images. It's injected into your vein before the scan. This helps doctors to see certain areas more clearly for better diagnosis. It's generally safe with few side effects.
5,464 services64 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
1,235 services656 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
1,231 services654 patients
Complete ultrasound scan of 1 breast 76641
A complete ultrasound scan of one breast is a non-invasive imaging test that uses sound waves to create detailed images of the inside of your breast. It helps in detecting any abnormalities or changes, ensuring your breast health.
264 services134 patients
Diagnostic mammography of 1 breast 77065
Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.
226 services112 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
178 services89 patients

Hospital Affiliations CMS Care Compare 2

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

Long Island Community Hospital

Acute Care Hospitals · Patchogue, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330141
Location101 Hospital RoadPatchogue, NY 11772 · Suffolk County
Emergency services

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

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.

MR. HERBERT I JAMES III
Student in an Organized Health Care Education/Training Program
550 FIRST AVENUE
NEW YORK, NY 10016
New York County (315) 399-3628
JENNIFER AHN M.D.
Student in an Organized Health Care Education/Training Program
550 FIRST AVENUE, NYU LANGONE MEDICAL CENTER
NEW YORK, NY 10016
New York County (212) 263-5506
UGO UGURU MD
Student in an Organized Health Care Education/Training Program
550 FIRST AVENUE
NEW YORK, NY 10016
New York County (212) 263-5506
TRACY M WRIGHT M.D.
Ophthalmology
550 FIRST AVENUE, NYU LANGONE MEDICAL CENTER
NEW YORK, NY 10016
New York County (212) 263-5506
RANDIE KIM MD, PHD
Dermatology
550 FIRST AVENUE, NYU LANGONE MEDICAL CENTER
NEW YORK, NY 10016
New York County (212) 263-5506
YAJUVENDRA VASANTRAO GAWAI MBBS
Student in an Organized Health Care Education/Training Program
550 FIRST AVENUE, NYU LANGONE MEDICAL CENTER
NEW YORK, NY 10016
New York County (212) 263-5506
NEW YORK UNIVERSITY
Otolaryngology
550 FIRST AVENUE, SUITE 8S
NEW YORK, NY 10016
New York County (212) 263-5565
LESLIE JAMES MD
Student in an Organized Health Care Education/Training Program
550 FIRST AVENUE
NEW YORK, NY 10016
New York County (212) 263-5506

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 Melanie Wegener's NPI number?

The NPI number for Melanie Wegener is 1528419918. It was assigned to this individual provider in the NPPES registry on June 27, 2016.

Where is Melanie Wegener located?

Melanie Wegener practices at 550 First Avenue Nyu Langone Medical Center, New York City, NY 10016. The listed phone number is (212) 263-5506.

What is Melanie Wegener's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Melanie Wegener enrolled in Medicare?

Yes. Melanie Wegener 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 Melanie Wegener affiliated with any hospitals?

According to CMS data, Melanie Wegener is affiliated with Long Island Community Hospital and Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Melanie Wegener was last updated on October 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.