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DMITRIY GEN D.O.
NPI 1962701227
Family Medicine in Glendale, CA

Active since March 24, 2011PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating
1560 E CHEVY CHASE DR, GLENDALE, CA 91206(818) 246-5900 Get Directions Write a Review

NPPES record last updated: June 30, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dmitriy Gen D.o. NPPES

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

DMITRIY GEN D.O. (NPI 1962701227) is an individual family medicine provider in Glendale, California, licensed in California (20A11253) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1962701227
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDMITRIY GENCredential: D.O.
Location Address1560 E CHEVY CHASE DRGlendale, CA 91206-4197
Mailing Address1560 E Chevy Chase DrGlendale, CA 91206-4197 · (818) 246-5900
Phone(818) 246-5900
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateMarch 24, 2011
Last NPPES UpdateJune 30, 2011
✔ NPI 1962701227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A11253
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.

1560 E CHEVY CHASE DR, Glendale, CA 91206
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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

Dmitriy Gen D.o. 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 ID6800067448
PECOS Enrollment IDI20110912000626
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 3

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, 30-39 minutes 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.
98 services62 patients
Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
36 services29 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91206 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.24
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers37 claims75 services$5.29 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers20 claims22 services$0.98 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
1 supplier13 claims390 services$0.09 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
1 supplier13 claims13 services$24.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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. NANCY LYNN WADE PHD
Psychologist (Clinical)
1560 E CHEVY CHASE DR, STE 130
GLENDALE, CA 91206
Los Angeles County (818) 240-0340
ABIGAIL M STANTON MD
Psychiatry & Neurology (Psychiatry)
1560 E CHEVY CHASE DR, STE 130
GLENDALE, CA 91206
Los Angeles County (818) 240-0340
ISIS SAMIR ISKANDER M.D.
Family Medicine
1560 E CHEVY CHASE DR, #245
GLENDALE, CA 91206
Los Angeles County (818) 246-5900
RICKY TOVIM LCSW
Social Worker (Clinical)
1560 E CHEVY CHASE DR, STE 130
GLENDALE, CA 91206
Los Angeles County (818) 240-0340
JAMES KULCZYCKI M.D.
Internal Medicine (Cardiovascular Disease)
1560 E CHEVY CHASE DR, 410
GLENDALE, CA 91206
Los Angeles County (818) 247-8331
JOHN V. NELSON P.A.
Physician Assistant
1560 E CHEVY CHASE DR
GLENDALE, CA 91206
Los Angeles County (818) 254-1600
SERAFIN MONTEALTO GARCIA M.D.
Internal Medicine
1560 E CHEVY CHASE DR, SUITE 450
GLENDALE, CA 91206
Los Angeles County (818) 242-4966
DR. GLENN ROBERT SILCOTT M.D.
Surgery
1560 E CHEVY CHASE DR, 430
GLENDALE, CA 91206
Los Angeles County (818) 243-1135

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 Dmitriy Gen's NPI number?

The NPI number for Dmitriy Gen is 1962701227. It was assigned to this individual provider in the NPPES registry on March 24, 2011.

Where is Dmitriy Gen located?

Dmitriy Gen practices at 1560 E Chevy Chase Dr, Glendale, CA 91206. The listed phone number is (818) 246-5900.

What is Dmitriy Gen's specialty?

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

Is Dmitriy Gen enrolled in Medicare?

Yes. Dmitriy Gen 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 Dmitriy Gen was last updated on June 30, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.