MARINA TRAVALJA PA
NPI 1174725857
Physician Assistant - Surgical in Great Neck, NY
NPI Status: Active since June 04, 2007
Contact Information
900 NORTHERN BLVD
SUITE 140
GREAT NECK, NY
ZIP 11021
Phone: (516) 466-6760
Fax: (516) 466-6776
- Individual
- Female
- Years of Experience 21
- Physician Assistant
- Surgical
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About MARINA TRAVALJA
This page provides the complete NPI Profile along with additional information for Marina Travalja, a provider established in Great Neck, New York with a medical specialization in Physician Assistant, focusing in surgical and more than 21 years of experience. The healthcare provider is registered in the NPI registry with number 1174725857 assigned on June 2007. The practitioner's primary taxonomy code is 363AS0400X with license number 010853-1 (NY). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1174725857
- Provider Name
- MARINA TRAVALJA PA
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 900 NORTHERN BLVD SUITE 140 GREAT NECK, NY 11021
- Location Phone
- (516) 466-6760
- Location Fax
- (516) 466-6776
- Mailing Address
- 27111 76TH AVE NEW HYDE PARK, NY 11040
- Mailing Phone
- (516) 466-6760
- Mailing Fax
- (516) 466-6776
- Medical School Name
- OTHER
- Graduation Year
- 2005
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-04-2007
- Last Update Date
- 04-22-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 010853-1
- License State
- NY
Medicare Participation & PECOS Enrollment Status
Marina Travalja is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Marina Travalja is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 1355415274
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20080811000198
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Follow-up nursing facility visit per day, typically 10 minutes
Follow-up nursing facility visit per day, typically 15 minutes
Follow-up nursing facility visit per day, typically 25 minutes
Varicose vein removal
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.
This service was performed 73 times for 44 patientsThis 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.
This service was performed 28 times for 21 patientsA follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
This service was performed 43 times for 25 patientsA follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
This service was performed 23 times for 21 patientsA follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
This service was performed 40 times for 40 patientsVaricose vein removal is a procedure to eliminate enlarged and twisted veins, commonly found in legs. It's performed when these veins cause discomfort or skin problems. The procedure may involve laser treatment, sclerotherapy (injecting a solution to close the veins), or surgery to remove the veins. It's generally safe and helps to alleviate symptoms.
This service was performed for 1-10 patientsQuality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Annual registration in the Prescription Drug Monitoring Program | Yes | N/A |
| Annual registration by eligible clinician or group in the prescription drug monitoring program of the state where they practice. Activities that simply involve registration are not sufficient. MIPS eligible clinicians and groups must participate for a minimum of 6 months. | ||
| Collection and follow-up on patient experience and satisfaction data on beneficiary engagement | Yes | N/A |
| Collection and follow-up on patient experience and satisfaction data on beneficiary engagement, including development of improvement plan. | ||
| Consultation of the Prescription Drug Monitoring Program | Yes | N/A |
| Clinicians would attest to reviewing the patients’ history of controlled substance prescription using state prescription drug monitoring program (PDMP) data prior to the issuance of a Controlled Substance Schedule II (CSII) opioid prescription lasting longer than 3 days. For the transition year, clinicians would attest to 60 percent review of applicable patient’s history. For the Quality Payment Program Year 2 and future years, clinicians would attest to 75 percent review of applicable patient’s history performance. | ||
| Documentation of Current Medications in the Medical Record | 95% | 478 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| Engagement of Patients, Family, and Caregivers in Developing a Plan of Care | Yes | N/A |
| Engage patients, family, and caregivers in developing a plan of care and prioritizing their goals for action, documented in the electronic health record (EHR) technology. | ||
| e-Prescribing | 95% | 94 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Falls: Screening for Future Fall Risk | 67% | 201 |
| Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period | ||
| Implementation of fall screening and assessment programs | Yes | N/A |
| Implementation of fall screening and assessment programs to identify patients at risk for falls and address modifiable risk factors (e.g., Clinical decision support/prompts in the electronic health record that help manage the use of medications, such as benzodiazepines, that increase fall risk). | ||
| Implementation of improvements that contribute to more timely communication of test results | Yes | N/A |
| Timely communication of test results defined as timely identification of abnormal test results with timely follow-up. | ||
| Implementation of medication management practice improvements | Yes | N/A |
| Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews. | ||
| Medication Reconciliation | 63% | 234 |
| The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
| Patient-Specific Education | 13% | 329 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Pneumococcal Vaccination Status for Older Adults | 45% | 201 |
| Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 29% | 328 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
| Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record | Yes | N/A |
| • Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management. | ||
| Provide Patient Access | 18% | 329 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms. | Yes | N/A |
| Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Tobacco use | Yes | N/A |
| Tobacco use: Regular engagement of MIPS eligible clinicians or groups in integrated prevention and treatment interventions, including tobacco use screening and cessation interventions (refer to NQF #0028) for patients with co-occurring conditions of behavioral or mental health and at risk factors for tobacco dependence. | ||
| Use of High-Risk Medications in the Elderly | 3% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 201 |
| Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication. 2) Percentage of patients who were ordered at least two of the same high-risk medication | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 7 | 4 | 7 | 2 | 5 | 8 | 5 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 14 | 4 | 14 | 2 | 10 | 8 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 4 + 4 + 1 + 4 + 2 + 1 + 0 + 8 + 1 + 0 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1174725857 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1174515019 | ERIC CANTOS M.D. Individual | Radiology (Diagnostic Radiology) | 900 NORTHERN BLVD GREAT NECK, NY 11021 (516) 482-6700 |
| 1619969565 | SHIRLEY BOW M.D. Individual | Radiology (Diagnostic Radiology) | 900 NORTHERN BLVD GREAT NECK, NY 11021 (516) 482-6700 |
| 1265408587 | KELLY TORTORELLA RPA-C Individual | Physician Assistant (Medical) | 900 NORTHERN BLVD SUITE 130 GREAT NECK, NY 11021 (516) 482-1100 |
| 1245207117 | JEFFREY S KAPLAN M.D. Individual | Orthopaedic Surgery | 900 NORTHERN BLVD SUITE 140 GREAT NECK, NY 11021 (516) 482-0302 |
| 1770550691 | RICHARD S TAUBMAN MD Individual | Specialist | 900 NORTHERN BLVD SUITE 240 GREAT NECK, NY 11021 (516) 482-4343 |
| 1982671939 | MICHAEL KNOB PT Individual | Physical Therapist | 900 NORTHERN BLVD SUITE 140 GREAT NECK, NY 11021 (516) 482-0302 |
| 1821043969 | DR. JERROLD S FEIT MD Individual | Radiology (Diagnostic Radiology) | 900 NORTHERN BLVD SUITE 110 GREAT NECK, NY 11021 (516) 482-6700 |
| 1073569968 | DR. ARLENE GAIL SUNSHINE MD Individual | Radiology (Diagnostic Radiology) | 900 NORTHERN BLVD SUITE 110 GREAT NECK, NY 11021 (516) 482-6700 |
| 1396791299 | DR. MARLA R LEVINE MD Individual | Radiology (Diagnostic Radiology) | 900 NORTHERN BLVD SUITE 110 GREAT NECK, NY 11021 (516) 482-6700 |
| 1952348310 | DR. BARBARA PODWALL MD Individual | Radiology (Diagnostic Radiology) | 900 NORTHERN BLVD SUITE 110 GREAT NECK, NY 11021 (516) 482-6700 |
| 1558394320 | DR. MARYAM BROUKHIM M.D. Individual | Specialist | 900 NORTHERN BLVD SUITE 250 GREAT NECK, NY 11021 (516) 487-3783 |
| 1962415547 | MARY C LEMP NP Individual | Registered Nurse | 900 NORTHERN BLVD GREAT NECK, NY 11021 (615) 730-2100 |
| 1518056373 | GLENN KAUFMAN MD Individual | Obstetrics & Gynecology | 900 NORTHERN BLVD SUITE 220 GREAT NECK, NY 11021 (516) 466-0778 |
| 1679662431 | TERRY P RIFKIN MD Individual | Obstetrics & Gynecology | 900 NORTHERN BLVD SUITE 220 GREAT NECK, NY 11021 (516) 466-0778 |
| 1548359300 | MICHAEL L NIMAROFF MD Individual | Obstetrics & Gynecology | 900 NORTHERN BLVD SUITE 220 GREAT NECK, NY 11021 (516) 466-0778 |
| 1588740104 | DR. BRUCE RAYMOND GILBERT M.D., PH.D. Individual | Urology | 900 NORTHERN BLVD SUITE 230 GREAT NECK, NY 11021 (516) 487-2700 |
| 1255401253 | GREAT NECK OBSTETRICS & GYNECOLOGY PC Organization | Obstetrics & Gynecology (Obstetrics) | 900 NORTHERN BLVD GREAT NECK, NY 11021 (516) 466-0778 |
| 1487798039 | WILLIAM PURTILL MD, PC Organization | Surgery (Vascular Surgery) | 900 NORTHERN BLVD GREAT NECK, NY 11021 (516) 466-0485 |
| 1245356013 | CANDICE TEDESCHI NP Individual | Nurse Practitioner (Obstetrics & Gynecology) | 900 NORTHERN BLVD GREAT NECK, NY 11021 (516) 482-4343 |
| 1164639696 | MRS. TONIA SWENSEN BRENDEL FNP Individual | Nurse Practitioner (Family) | 900 NORTHERN BLVD GREAT NECK, NY 11021 (516) 773-7737 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174725857, enumerated in the NPI registry as an "individual" on June 04, 2007
The provider is located at 900 Northern Blvd Suite 140 Great Neck, Ny 11021 and the phone number is (516) 466-6760
The provider's speciality is Physician Assistant with taxonomy code 363AS0400X with a focus in Surgical
The provider has more than 21 years of experience.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Follow-up nursing facility visit per day, typically 10 minutes, Follow-up nursing facility visit per day, typically 15 minutes, Follow-up nursing facility visit per day, typically 25 minutes and Varicose vein removal.
This NPI record was last updated on June 04, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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