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LARISSA FOMITCHEVA M.D.
NPI 1780695718
Obstetrics & Gynecology in Lindenhurst, NY

Active since August 11, 2006PECOS Enrolled
57 W SUNRISE HWY, LINDENHURST, NY 11757(631) 466-5242(866) 468-0236 Get Directions Write a Review

NPPES record last updated: August 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Larissa Fomitcheva M.d. NPPES

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

LARISSA FOMITCHEVA M.D. (NPI 1780695718) is an individual obstetrics & gynecology provider in Lindenhurst, New York, licensed in New York (241373) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780695718
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameLARISSA FOMITCHEVACredential: M.D.
Location Address57 W SUNRISE HWYLindenhurst, NY 11757-2426
Mailing Address57 W Sunrise HwyLindenhurst, NY 11757-2426 · (347) 523-0054
Phone(631) 466-5242
Fax(866) 468-0236
Sole ProprietorNo
Enumeration DateAugust 11, 2006
Last NPPES UpdateAugust 30, 2024
NPPES CertifiedAugust 30, 2024
✔ NPI 1780695718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NY · 241373
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.
57 W SUNRISE HWY, Lindenhurst, NY 11757
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Larissa Fomitcheva 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 11757 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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 Larissa Fomitcheva's NPI number?

The NPI number for Larissa Fomitcheva is 1780695718. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is Larissa Fomitcheva located?

Larissa Fomitcheva practices at 57 W Sunrise Hwy, Lindenhurst, NY 11757. The listed phone number is (631) 466-5242.

What is Larissa Fomitcheva's specialty?

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

Is Larissa Fomitcheva enrolled in Medicare?

Yes. Larissa Fomitcheva is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Larissa Fomitcheva was last updated on August 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.