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ANDREA MARIE KHLEVNOY MD
NPI 1689234718
Internal Medicine in Ithaca, NY

Active since June 20, 2019PECOS EnrolledAccepts Medicare Assignment
95.21/100
CMS Quality Rating
101 DATES DR, ITHACA, NY 14850(607) 274-4296(607) 274-4198 Get Directions Write a Review

NPPES record last updated: October 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 6, 2023, Jun 20, 2019 (2 updates tracked since 2019).

About Andrea Marie Khlevnoy Md NPPES

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

ANDREA MARIE KHLEVNOY MD (NPI 1689234718) is an individual internal medicine provider in Ithaca, New York, licensed in New York (318034) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Cayuga Medical Center At Ithaca, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1689234718
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameANDREA MARIE KHLEVNOYCredential: MD
Location Address101 DATES DRIthaca, NY 14850-1342
Mailing Address101 Dates DrIthaca, NY 14850-1342 · (607) 274-4296 · Fax (607) 274-4198
Phone(607) 274-4296
Fax(607) 274-4198
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 20, 2019
Last NPPES UpdateOctober 6, 20232 updates tracked since enumeration
NPPES CertifiedOctober 6, 2023
✔ NPI 1689234718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NY · 318034✔ Licensed in MI · 4351045717
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.
101 DATES DR, Ithaca, NY 14850
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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 and accepts Medicare assignment

Andrea Marie Khlevnoy 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 ID749517613
PECOS Enrollment IDI20220907001514
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 Andrea Khlevnoy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cayuga Medical Associates, PC
Same address
Internal Medicine
101 DATES DR
Ithaca, NY 14850
  • Reassigned Medicare billing, New York enrollment
  • 328 clinicians in this Medicare group
NPI 1679525455 (607) 274-4011

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

Areas of Expertise CMS Part B claims 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
262 services115 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
105 services44 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
94 services89 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
88 services86 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
34 services34 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
33 services31 patients

Hospital Affiliations CMS Care Compare

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

Cayuga Medical Center At Ithaca

Acute Care Hospitals · Ithaca, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330307
Location101 Dates DriveIthaca, NY 14850 · Tompkins County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14850 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
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.

95.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.69
Promoting Interoperability100
Improvement Activities40

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.

PAUL EMERSON JONES PAC
Physician Assistant
101 DATES DR
ITHACA, NY 14850
Tompkins County (607) 274-4011
DR. KEITH GARRETT LAMBERT M.D.
Emergency Medicine
101 DATES DR
ITHACA, NY 14850
Tompkins County (607) 274-4011
DR. ANTHONY SANITO MD
Anesthesiology (Pain Medicine)
101 DATES DR
ITHACA, NY 14850
Tompkins County (607) 274-4011
KAREN L HENRY OTR/L
Occupational Therapist
101 DATES DR
ITHACA, NY 14850
Tompkins County (607) 274-4555
NO NAME GIVEN ERUM M.D
Psychiatry & Neurology (Psychiatry)
101 DATES DR
ITHACA, NY 14850
Tompkins County (607) 274-4011
SUZANNE DOZORETZ NP, RNFA
Nurse Practitioner (Family)
101 DATES DR
ITHACA, NY 14850
Tompkins County (607) 274-4011
DR. GRAHAM JAMES GORSLINE DNP CRNA
Nurse Anesthetist, Certified Registered
101 DATES DR
ITHACA, NY 14850
Tompkins County (762) 408-3230
PARKAVI KALAISELVAN MD
Student in an Organized Health Care Education/Training Program
101 DATES DR
ITHACA, NY 14850
Tompkins County (607) 252-3457

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 Andrea Khlevnoy's NPI number?

The NPI number for Andrea Khlevnoy is 1689234718. It was assigned to this individual provider in the NPPES registry on June 20, 2019.

Where is Andrea Khlevnoy located?

Andrea Khlevnoy practices at 101 Dates Dr, Ithaca, NY 14850. The listed phone number is (607) 274-4296.

What is Andrea Khlevnoy's specialty?

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

Is Andrea Khlevnoy enrolled in Medicare?

Yes. Andrea Khlevnoy 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.

Which organization bills Medicare for Andrea Khlevnoy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Khlevnoy reassigns Medicare benefits to Cayuga Medical Associates, PC (Ithaca, 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 Andrea Khlevnoy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Andrea Khlevnoy affiliated with any hospitals?

According to CMS data, Andrea Khlevnoy is affiliated with Cayuga Medical Center At Ithaca.

When was this NPI record last updated?

The NPPES record for Andrea Khlevnoy was last updated on October 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.