TIMOTHY DEZASTRO MD
NPI 1598723017
Radiology - Diagnostic Radiology in Buffalo, NY

Active since May 03, 2006PECOS Enrolled
222 GENESEE ST, BUFFALO, NY 14203(716) 855-2866(716) 855-2860 Get Directions Write a Review

NPPES record last updated: May 13, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Timothy Dezastro Md NPPES

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

TIMOTHY DEZASTRO MD (NPI 1598723017) is an individual diagnostic radiology provider in Buffalo, New York, licensed in New York (1781211) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598723017
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameTIMOTHY DEZASTROCredential: MD
Location Address222 GENESEE STBuffalo, NY 14203
Mailing AddressPo Box 8000, Dept 836Buffalo, NY 14267
Fax(716) 855-2860
Sole ProprietorNo
Enumeration DateMay 3, 2006
Last NPPES UpdateMay 13, 2008
NPI 1598723017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in NY · 1781211
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

222 GENESEE ST, Buffalo, NY 14203

Other Identifiers 13

Other000525009016Blue Shield Of Western Ny
OtherCRDRA178121NY · Workers Compensation
Other5609880Independent Health
OtherP00003640Railroad Medicare
Other300138602Railroad Medicare
OtherRB6952Medicare
Other145797FFPreferred Care
Medicare UPINE35830
Medicaid01607547NY
Other000525009022Blue Shield Of Western Ny
Other000525009025Blue Shield Of Western Ny
Medicare PINDD4910
Medicare PINCC4483

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Timothy Dezastro 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14203 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
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Reported Quality Measures

Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy
Percentage of final reports for all patients, regardless of age, undergoing bone scintigraphy that include physician documentation of correlation with existing relevant imaging studies (e.g., x-ray, MRI, CT, etc.) that were performed
39%23 patients
Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%322 patients
Radiology: Reminder System for Screening Mammograms
Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram
100%95 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
100%39 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 8

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

Radiology (Diagnostic Radiology)
222 GENESEE ST
BUFFALO, NY 14203
Radiology (Diagnostic Radiology)
222 GENESEE ST
BUFFALO, NY 14203
Radiology (Diagnostic Radiology)
222 GENESEE ST
BUFFALO, NY 14203
Radiology (Diagnostic Radiology)
222 GENESEE ST
BUFFALO, NY 14203
Radiology (Diagnostic Radiology)
222 GENESEE ST
BUFFALO, NY 14203
Radiology (Diagnostic Radiology)
222 GENESEE ST
BUFFALO, NY 14203
Radiology (Diagnostic Radiology)
222 GENESEE ST
BUFFALO, NY 14203
Radiology (Diagnostic Radiology)
222 GENESEE ST
BUFFALO, NY 14203

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 Timothy Dezastro's NPI number?

The NPI number for Timothy Dezastro is 1598723017. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Timothy Dezastro located?

Timothy Dezastro practices at 222 Genesee St, Buffalo, NY 14203. The listed phone number is (716) 855-2866.

What is Timothy Dezastro's specialty?

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

Is Timothy Dezastro enrolled in Medicare?

Yes. Timothy Dezastro is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Timothy Dezastro was last updated on May 13, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.