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KATIE ANN PIVARNIK MD
NPI 1770014169
Obstetrics & Gynecology in Albany, NY

Active since March 27, 2017PECOS EnrolledAccepts Medicare Assignment
89.63/100
CMS Quality Rating
47 NEW SCOTLAND AVE, DEPT. OF OB/GYN, ALBANY, NY 12208(518) 264-5026 Get Directions Write a Review

NPPES record last updated: September 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 29, 2021, Mar 27, 2017 (2 updates tracked since 2017).

About Katie Ann Pivarnik Md NPPES

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

KATIE ANN PIVARNIK MD (NPI 1770014169) is an individual obstetrics & gynecology provider in Albany, New York, licensed in Massachusetts (T288592) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with South Shore Hospital, and is a graduate of Warren Alpert Medical School Of Brown University (2017).

NPPES Registry Identity

NPI1770014169
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKATIE ANN PIVARNIKCredential: MD
Location Address47 NEW SCOTLAND AVE, DEPT. OF OB/GYNAlbany, NY 12208-3412
Mailing Address300 Congress St, Ste 102Quincy, MA 02169-0907 · (617) 471-1161 · Fax (617) 376-0435
Phone(518) 264-5026
Sole ProprietorNo
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 2017
Enumeration DateMarch 27, 2017
Last NPPES UpdateSeptember 29, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2021
✔ NPI 1770014169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MA · T288592
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.
47 NEW SCOTLAND AVE, Albany, NY 12208
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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

Katie Ann Pivarnik 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 ID3072858588
PECOS Enrollment IDI20211004001354
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

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.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

South Shore Hospital

Acute Care Hospitals · South Weymouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220100
Location55 Fogg RoadSouth Weymouth, MA 02190 · Norfolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12208 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
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

89.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost65.45

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.

AMC
Psychiatric Hospital
47 NEW SCOTLAND AVE, PSYCHIATRY DEPARTMENT
ALBANY, NY 12208
Albany County (516) 547-3032
BRIANNA SAMSON PA-C
Physician Assistant (Medical)
47 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 262-5332
VILOK DESAI
Student in an Organized Health Care Education/Training Program
47 NEW SCOTLAND AVE, DEPARTMENT OF OTOLARYNGOLOGY
ALBANY, NY 12208
Albany County (518) 264-5578
TAYLOR SEKYRA
Physician Assistant
47 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 262-5521
DR. TODD BEYER MD
Surgery
47 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 262-5623
ROBIN M GRAY FNP
Nurse Practitioner
47 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 262-3480
MR. SREENIVAS GARLA MD
Radiology (Neuroradiology)
47 NEW SCOTLAND AVE, RADIOLOGY DEPT
ALBANY, NY 12208
Albany County (518) 262-3277
DR. KRISTEN MORGAN PEACE M.D.
Emergency Medicine
47 NEW SCOTLAND AVE, DEPARTMENT OF EMERGENCY MEDICINE
ALBANY, NY 12208
Albany County (518) 262-3773

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 Katie Pivarnik's NPI number?

The NPI number for Katie Pivarnik is 1770014169. It was assigned to this individual provider in the NPPES registry on March 27, 2017.

Where is Katie Pivarnik located?

Katie Pivarnik practices at 47 New Scotland Ave Dept. Of Ob/Gyn, Albany, NY 12208. The listed phone number is (518) 264-5026.

What is Katie Pivarnik's specialty?

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

Is Katie Pivarnik enrolled in Medicare?

Yes. Katie Pivarnik 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.

What insurance does Katie Pivarnik accept?

Health plans from Anthem Blue Cross and Blue Shield list Katie Pivarnik 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.

Is Katie Pivarnik affiliated with any hospitals?

According to CMS data, Katie Pivarnik is affiliated with South Shore Hospital.

When was this NPI record last updated?

The NPPES record for Katie Pivarnik was last updated on September 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.