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TATYANA MISYULYA MD
NPI 1588860209
Family Medicine in Utica, NY

Active since June 21, 2007PECOS Enrolled
78.7/100
CMS Quality Rating
417 TRENTON AVE, UTICA, NY 13502(315) 797-5810(315) 732-7030 Get Directions Write a Review

NPPES record last updated: March 20, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tatyana Misyulya Md NPPES

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

TATYANA MISYULYA MD (NPI 1588860209) is an individual family medicine provider in Utica, New York, licensed in New York (254974-1) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588860209
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTATYANA MISYULYACredential: MD
Location Address417 TRENTON AVEUtica, NY 13502-1613
Mailing Address417 Trenton AveUtica, NY 13502-1613 · (315) 797-5810 · Fax (315) 732-7030
Phone(315) 797-5810
Fax(315) 732-7030
Sole ProprietorNo
Enumeration DateJune 21, 2007
Last NPPES UpdateMarch 20, 2017
✔ NPI 1588860209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 254974-1
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.
417 TRENTON AVE, Utica, NY 13502
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tatyana Misyulya Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Tatyana Misyulya reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mvhs Inc
1.6 mi
Family Medicine
111 HOSPITAL DR
Utica, NY 13502
  • Reassigned Medicare billing, New York enrollment
  • 657 clinicians in this Medicare group
NPI 1770690737 (315) 917-9966

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13502 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.

78.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.73
Promoting Interoperability99
Improvement Activities40
Cost42.38

Referred Medical Equipment & Supplies CMS DME claims 8

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers12 claims21 services$6.59 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier16 claims16 services$46.80 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers17 claims17 services$14.16 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier23 claims23 services$4.63 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers17 claims17 services$71.01 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
4 suppliers16 claims1,878 services$0.02 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 7

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

YANET MARTINEZ MEDEROS MD
Family Medicine
417 TRENTON AVE
UTICA, NY 13502
Oneida County (315) 797-5810
PHYU THWE MD
Family Medicine
417 TRENTON AVE
UTICA, NY 13502
Oneida County (315) 797-5810
VIKTOR IVANOVICH PETROVETS FNP-BC
Nurse Practitioner (Family)
417 TRENTON AVE
UTICA, NY 13502
Oneida County (315) 797-5810
DR. SHAZIA ANWAR CHAUDHRY M.D.
Family Medicine
417 TRENTON AVE
UTICA, NY 13502
Oneida County (315) 797-5810
KYAWZAY LATT MD
Family Medicine
417 TRENTON AVE
UTICA, NY 13502
Oneida County (315) 797-5810
HNINN KHINE MD
Family Medicine
417 TRENTON AVE
UTICA, NY 13502
Oneida County (315) 797-5810
OLEG DULKIN MD
Family Medicine
417 TRENTON AVE
UTICA, NY 13502
Oneida County (315) 732-8800

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 Misyulya's NPI number?

The NPI number for Tatyana Misyulya is 1588860209. It was assigned to this individual provider in the NPPES registry on June 21, 2007.

Where is Tatyana Misyulya located?

Tatyana Misyulya practices at 417 Trenton Ave, Utica, NY 13502. The listed phone number is (315) 797-5810.

What is Tatyana Misyulya's specialty?

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

Is Tatyana Misyulya enrolled in Medicare?

Yes. Tatyana Misyulya is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tatyana Misyulya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tatyana Misyulya reassigns Medicare benefits to Mvhs Inc (Utica, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tatyana Misyulya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tatyana Misyulya was last updated on March 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.