VIKTORIJA GRAJEVSKAJA
NPI 1730752619
Dentist in Port Allegany, PA

Active since July 20, 2021PECOS Enrolled
45 N PINE ST, PORT ALLEGANY, PA 16743(814) 642-7232 Get Directions Write a Review

NPPES record last updated: July 30, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 30, 2021, Jul 20, 2021 (2 updates tracked since 2021).

About Viktorija Grajevskaja NPPES

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

VIKTORIJA GRAJEVSKAJA (NPI 1730752619) is an individual dentist in Port Allegany, Pennsylvania, licensed in Pennsylvania (DS043320) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730752619
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameVIKTORIJA GRAJEVSKAJA
Location Address45 N PINE STPort Allegany, PA 16743-1238
Mailing Address1001 E 2nd StCoudersport, PA 16915-8161
Sole ProprietorNo
Enumeration DateJuly 20, 2021
Last NPPES UpdateJuly 30, 20212 updates tracked since enumeration
NPPES CertifiedJuly 30, 2021
✔ NPI 1730752619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in PA · DS043320
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
45 N PINE ST, Port Allegany, PA 16743

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Viktorija Grajevskaja 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 Viktorija Grajevskaja reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Surgery
1001 E 2ND ST
Coudersport, PA 16915
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 106 clinicians in this Medicare group

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 16743 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

Other Providers at the Same Location NPPES 14

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

Physician Assistant (Surgical)
45 N PINE ST
PORT ALLEGANY, PA 16743
Physical Therapist
45 N PINE ST
PORT ALLEGANY, PA 16743
Clinic/Center (Rural Health)
45 N PINE ST
PORT ALLEGANY, PA 16743
Physical Therapy Assistant
45 N PINE ST
PORT ALLEGANY, PA 16743
Podiatrist
45 N PINE ST
PORT ALLEGANY, PA 16743
Physician Assistant (Medical)
45 N PINE ST
PORT ALLEGANY, PA 16743
Physician Assistant
45 N PINE ST
PORT ALLEGANY, PA 16743
Clinic/Center (Rural Health)
45 N PINE ST
PORT ALLEGANY, PA 16743

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 Viktorija Grajevskaja's NPI number?

The NPI number for Viktorija Grajevskaja is 1730752619. It was assigned to this individual provider in the NPPES registry on July 20, 2021.

Where is Viktorija Grajevskaja located?

Viktorija Grajevskaja practices at 45 N Pine St, Port Allegany, PA 16743. The listed phone number is (814) 642-7232.

What is Viktorija Grajevskaja's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Viktorija Grajevskaja enrolled in Medicare?

Yes. Viktorija Grajevskaja is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Viktorija Grajevskaja's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Viktorija Grajevskaja reassigns Medicare benefits to Charles Cole Memorial Hospital (Coudersport, PA). 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 Viktorija Grajevskaja's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Viktorija Grajevskaja accept?

Health plans from Florida Combined Life list Viktorija Grajevskaja as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Viktorija Grajevskaja was last updated on July 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.