TATJANA MONDOM MD
NPI 1851353148
Family Medicine in Utica, NY

Q: What is Tatjana Mondom's NPI number?

The NPI number for Tatjana Mondom is 1851353148. It was assigned to this individual provider in the NPPES registry on April 4, 2006.

Q: What is Tatjana Mondom's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Tatjana Mondom was last updated on December 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since April 04, 2006PECOS EnrolledAccepts Medicare Assignment

78.7/100

CMS Quality Rating

1656 CHAMPLIN AVE, UTICA, NY 13502(315) 624-6467(315) 624-6469 Get Directions Write a Review

NPPES record last updated: December 7, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tatjana Mondom Md NPPES

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

TATJANA MONDOM MD (NPI 1851353148) is an individual family medicine provider in Utica, New York, licensed in New York (227664-1) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1851353148

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameTATJANA MONDOMCredential: MD

Location Address1656 CHAMPLIN AVEUtica, NY 13502-4830

Mailing Address1656 Champlin AveUtica, NY 13502-4830 · (315) 624-6467 · Fax (315) 624-6469

Phone(315) 624-6467

Fax(315) 624-6469

Sole ProprietorNo

Medical School CMSOtherGraduated 1987

Enumeration DateApril 4, 2006

Last NPPES UpdateDecember 7, 2015

✔ NPI 1851353148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 227664-1

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1656 CHAMPLIN AVE, Utica, NY 13502

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Other Identifiers 3

Medicare UPINH79213NY

Medicare UPINA400027979NY

Medicaid02370285NY

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

Tatjana Mondom 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 ID2668497389

PECOS Enrollment IDI20051012000338

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 4

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.

179 services51 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.

38 services33 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

35 services21 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.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Wynn Hospital

Acute Care Hospitals · Utica, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330044

Location111 Hospital DriveUtica, NY 13502 · Oneida County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13502 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

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.

78.7/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.73

Promoting Interoperability

Improvement Activities

Cost

42.38

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.

DR. JOHN F SPERLING M.D.

Surgery

1656 CHAMPLIN AVE, P.O.B., SUITE 335
UTICA, NY 13502

Oneida County (315) 624-4090

MR. TRACY S HEATON R.PH,

Pharmacist