MIGNON AVENDANO ENECILLA MD
NPI 1538367263
Family Medicine in Geneva, NY

Active since July 03, 2007PECOS EnrolledAccepts Medicare Assignment
76.84/100
CMS Quality Rating
200 NORTH ST STE 101, GENEVA, NY 14456(315) 787-5200 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 19, 2025, Jul 17, 2023, May 10, 2022 (3 updates tracked since 2022).

About Mignon Avendano Enecilla Md NPPES

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

MIGNON AVENDANO ENECILLA MD (NPI 1538367263) is an individual family medicine provider in Geneva, New York, licensed in New York (243069) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with Newark-wayne Community Hospital, and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1538367263
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMIGNON AVENDANO ENECILLACredential: MD
Location Address200 NORTH ST STE 101Geneva, NY 14456-1561
Mailing Address100 Kings Hwy SRochester, NY 14617-5504
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJuly 3, 2007
Last NPPES UpdateJune 19, 20253 updates tracked since enumeration
NPPES CertifiedJune 19, 2025
NPI 1538367263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 243069
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X · License 243069 (NY)
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 243069 (NY)
200 NORTH ST STE 101, Geneva, NY 14456

Secondary Practice Location 1

Location 1959 Panorama Trl S Ste 100Rochester, NY 14625-2382 · Phone (585) 276-9361 · Fax (585) 248-3703

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

Mignon Avendano Enecilla 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 ID5395996557
PECOS Enrollment IDI20121115000604
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.

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.
95 services44 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
28 services28 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
23 services21 patients

Hospital Affiliations CMS Care Compare 4

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

Newark-Wayne Community Hospital

Acute Care Hospitals · Newark, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330030
Location111 Driving Park AvenueNewark, NY 14513 · Wayne County
Emergency services Birthing friendly

Geneva General Hospital

Acute Care Hospitals · Geneva, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330058
Location196 -198 North StreetGeneva, NY 14456 · Ontario County
Emergency services

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Clifton Springs Hospital And Clinic

Acute Care Hospitals · Clifton Springs, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330265
Location2 Coulter RoadClifton Springs, NY 14432 · Ontario County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14456 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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.

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.

76.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.2
Promoting Interoperability100
Improvement Activities40
Cost42.68

Other Providers at the Same Location NPPES 18

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

Internal Medicine (Cardiovascular Disease)
200 NORTH ST STE 101
GENEVA, NY 14456
Student in an Organized Health Care Education/Training Program
200 NORTH ST STE 101
GENEVA, NY 14456
Nurse Practitioner (Pediatrics)
200 NORTH ST STE 101
GENEVA, NY 14456
Nurse Practitioner (Pediatrics)
200 NORTH ST STE 101
GENEVA, NY 14456
Internal Medicine
200 NORTH ST STE 101
GENEVA, NY 14456
Internal Medicine (Nephrology)
200 NORTH ST STE 101
GENEVA, NY 14456
Nurse Practitioner (Family)
200 NORTH ST STE 101
GENEVA, NY 14456
Nurse Practitioner (Pediatrics)
200 NORTH ST STE 101
GENEVA, NY 14456

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 Mignon Enecilla's NPI number?

The NPI number for Mignon Enecilla is 1538367263. It was assigned to this individual provider in the NPPES registry on July 3, 2007.

Where is Mignon Enecilla located?

Mignon Enecilla practices at 200 North St Ste 101, Geneva, NY 14456. The listed phone number is (315) 787-5200.

What is Mignon Enecilla's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mignon Enecilla enrolled in Medicare?

Yes. Mignon Enecilla 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 Mignon Enecilla affiliated with any hospitals?

According to CMS data, Mignon Enecilla is affiliated with Newark-Wayne Community Hospital, Geneva General Hospital, Rochester General Hospital and Clifton Springs Hospital And Clinic.

When was this NPI record last updated?

The NPPES record for Mignon Enecilla was last updated on June 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.