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MARISSA DAVIGNON
NPI 1962160580
Physician Assistant in Staten Island, NY

Active since December 01, 2021PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
75 CLOISTER PL, STATEN ISLAND, NY 10306(802) 989-5725 Get Directions Write a Review

NPPES record last updated: January 2, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 2, 2022, Dec 9, 2021, Dec 1, 2021 (3 updates tracked since 2021).

About Marissa Davignon NPPES

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

MARISSA DAVIGNON (NPI 1962160580) is an individual physician assistant in Staten Island, New York, licensed in New York (02688301) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1962160580
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARISSA DAVIGNON
Location Address75 CLOISTER PLStaten Island, NY 10306-2332
Mailing Address75 Cloister PlStaten Island, NY 10306-2332
Phone(802) 989-5725
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 1, 2021
Last NPPES UpdateJanuary 2, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2022
✔ NPI 1962160580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 02688301
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
75 CLOISTER PL, Staten Island, NY 10306
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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 and accepts Medicare assignment

Marissa Davignon 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 ID547653826
PECOS Enrollment IDI20220209001034
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 10306 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
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.

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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

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 Marissa Davignon's NPI number?

The NPI number for Marissa Davignon is 1962160580. It was assigned to this individual provider in the NPPES registry on December 1, 2021.

Where is Marissa Davignon located?

Marissa Davignon practices at 75 Cloister Pl, Staten Island, NY 10306. The listed phone number is (802) 989-5725.

What is Marissa Davignon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Marissa Davignon enrolled in Medicare?

Yes. Marissa Davignon 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.

When was this NPI record last updated?

The NPPES record for Marissa Davignon was last updated on January 2, 2022. 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.