GINA M. DRAGONE
NPI 1609352095
Nurse Practitioner - Adult Health in Buffalo, NY

Active since July 18, 2018PECOS EnrolledAccepts Medicare Assignment
85.47/100
CMS Quality Rating
100 HIGH ST, BUFFALO, NY 14203(716) 859-2175 Get Directions Write a Review

NPPES record last updated: July 18, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gina M. Dragone NPPES

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

GINA M. DRAGONE (NPI 1609352095) is an individual adult health provider in Buffalo, New York, licensed in New York (308664) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1609352095
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameGINA M. DRAGONE
Location Address100 HIGH STBuffalo, NY 14203-1126
Mailing Address726 Exchange St Ste 300Buffalo, NY 14210-1467 · (716) 859-8396
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 18, 2018
NPI 1609352095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NY · 308664
100 HIGH ST, Buffalo, NY 14203

Other Identifiers 1

Other308664NY · Ny License

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

Gina M. Dragone 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 ID5395095509
PECOS Enrollment IDI20180910002584
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 4

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.
467 services338 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
170 services70 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
44 services22 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services16 patients

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
$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.

85.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.9
Promoting Interoperability52
Improvement Activities40
Cost99.99

Referred Medical Equipment & Supplies CMS DME claims

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
4 suppliers15 claims23 services$5.46 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.

Nurse Practitioner
100 HIGH ST
BUFFALO, NY 14203
Specialist
100 HIGH ST, RM C421
BUFFALO, NY 14203
Student in an Organized Health Care Education/Training Program
100 HIGH ST
BUFFALO, NY 14203
Hospitalist
100 HIGH ST
BUFFALO, NY 14203
Student in an Organized Health Care Education/Training Program
100 HIGH ST
BUFFALO, NY 14203
Student in an Organized Health Care Education/Training Program
100 HIGH ST
BUFFALO, NY 14203
Emergency Medicine
100 HIGH ST
BUFFALO, NY 14203
Registered Nurse (Registered Nurse First Assistant)
100 HIGH 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 Gina Dragone's NPI number?

The NPI number for Gina Dragone is 1609352095. It was assigned to this individual provider in the NPPES registry on July 18, 2018.

Where is Gina Dragone located?

Gina Dragone practices at 100 High St, Buffalo, NY 14203. The listed phone number is (716) 859-2175.

What is Gina Dragone's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Gina Dragone enrolled in Medicare?

Yes. Gina Dragone 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.

When was this NPI record last updated?

The NPPES record for Gina Dragone was last updated on July 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.