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DR. NICOLE PRESTIANO MAKSYMIW D.O.
NPI 1679835748
Internal Medicine in Monroe, CT

Active since June 13, 2012Opted out of Medicare · through Jan 7, 2027
84.47/100
CMS Quality Rating
324 ELM ST STE 203A, MONROE, CT 06468(203) 212-9959(203) 646-6534 Get Directions Write a Review

NPPES record last updated: November 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Nicole Prestiano Maksymiw D.o. NPPES

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

DR. NICOLE PRESTIANO MAKSYMIW D.O. (NPI 1679835748) is an individual internal medicine provider in Monroe, Connecticut, licensed in Connecticut (054258) and active in the NPI registry since June 2012. She has opted out of Medicare through January 7, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1679835748
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. NICOLE PRESTIANO MAKSYMIWCredential: D.O.
Location Address324 ELM ST STE 203AMonroe, CT 06468-2282
Mailing Address324 Elm St Ste 203aMonroe, CT 06468-2282 · (203) 212-9959 · Fax (203) 646-6534
Phone(203) 212-9959
Fax(203) 646-6534
Sole ProprietorYes
Enumeration DateJune 13, 2012
Last NPPES UpdateNovember 30, 2024
NPPES CertifiedNovember 30, 2024
✔ NPI 1679835748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CT · 054258
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
324 ELM ST STE 203A, Monroe, CT 06468
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Other Names 1

Former Name (1)Ms. Nicole Ann Prestiano

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Nicole Prestiano Maksymiw D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 7, 2025 through January 7, 2027.

Opt-Out Effective DateJanuary 7, 2025
Opt-Out In Effect ThroughJanuary 7, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims 12

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.
184 services95 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
47 services47 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
46 services46 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.
45 services45 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
34 services30 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
31 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06468 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.28
Promoting Interoperability100
Improvement Activities40
Cost59.59

Other Providers at the Same Location NPPES 3

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

TONYA CREMIN D.O.
Family Medicine
324 ELM ST STE 203A
MONROE, CT 06468
Greater Bridgeport Planning Region (203) 445-9060
MRS. JESSICA ANN IANNOTTA RD
Dietitian, Registered
324 ELM ST STE 203A
MONROE, CT 06468
Greater Bridgeport Planning Region (646) 247-8589
PRIMARY HEALTH OF CONNECTICUT PLLC
Clinic/Center (Primary Care)
324 ELM ST STE 203A
MONROE, CT 06468
Greater Bridgeport Planning Region (203) 231-6304

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 Nicole Maksymiw's NPI number?

The NPI number for Nicole Maksymiw is 1679835748. It was assigned to this individual provider in the NPPES registry on June 13, 2012. The provider is also known as Ms. Nicole Ann Prestiano.

Where is Nicole Maksymiw located?

Nicole Maksymiw practices at 324 Elm St Ste 203A, Monroe, CT 06468. The listed phone number is (203) 212-9959.

What is Nicole Maksymiw's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nicole Maksymiw enrolled in Medicare?

No. Nicole Maksymiw has opted out of Medicare through January 7, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Nicole Maksymiw was last updated on November 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.