DR. TANIA PATRICIA NISIMBLAT BODNAR M.D.
NPI 1750520201
Obstetrics & Gynecology in Park City, UT

Q: What is Tania Nisimblat Bodnar's NPI number?

The NPI number for Tania Nisimblat Bodnar is 1750520201. It was assigned to this individual provider in the NPPES registry on February 6, 2009.

Q: What is Tania Nisimblat Bodnar's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since February 06, 2009PECOS Enrolled

900 ROUND VALLEY DR STE 200, PARK CITY, UT 84060(435) 658-7400 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Tania Patricia Nisimblat Bodnar M.d. NPPES

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

DR. TANIA PATRICIA NISIMBLAT BODNAR M.D. (NPI 1750520201) is an individual obstetrics & gynecology provider in Park City, Utah, licensed in Utah (10757475-1205) and active in the NPI registry since February 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750520201

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. TANIA PATRICIA NISIMBLAT BODNARCredential: M.D.

Location Address900 ROUND VALLEY DR STE 200Park City, UT 84060-7552

Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128

Phone(435) 658-7400

Sole ProprietorYes

Enumeration DateFebruary 6, 2009

Last NPPES UpdateNovember 11, 2024

NPPES CertifiedNovember 11, 2024

✔ NPI 1750520201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in UT · 10757475-1205✔ Licensed in CT · 056880546

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

900 ROUND VALLEY DR STE 200, Park City, UT 84060

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tania Patricia Nisimblat Bodnar M.d. 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 84060 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

$125.70 typical visit price

range $54.34 – $166.03

Typical copayment $31.42 (range $13.58 – $41.50)

Most-billed visit code 99204

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

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

Breast Cancer Screening

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer

70%87 patients4/55-star benchmark: 92%

Cervical Cancer Screening

Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…

96%472 patients

Pregnant women that had HBsAg testing

This measure identifies pregnant women who had a HBsAg (hepatitis B) test during their pregnancy

98%40 patients

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

37%579 patients2/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients screenedForUse: 80% · 501 patients

76%501 patients4/55-star benchmark: 98%

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 13

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

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