DR. MARISSA LYNNE MINCOLLA M.D.
NPI 1619111234
Radiology - Diagnostic Radiology in Syracuse, NY
NPI Status: Active since April 27, 2009
- Individual
- Female
- Radiology
- Diagnostic Radiology
- PECOS Enrolled
About MARISSA MINCOLLA
This page provides the complete NPI Profile along with additional information for Marissa Mincolla, a provider established in Syracuse, New York with a medical specialization in Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1619111234 assigned on April 2009. The practitioner's primary taxonomy code is 2085R0202X with license number 270174 (NY). The provider is registered as an individual and her NPI record was last updated 12 years ago.
- NPI
- 1619111234
- Provider Name
- DR. MARISSA LYNNE MINCOLLA M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 750 E ADAMS ST SYRACUSE, NY 13210
- Location Phone
- (315) 464-7434
- Mailing Address
- 7510 MEADOW WOOD DR NORTH SYRACUSE, NY 13212
- Mailing Phone
- (315) 559-7137
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-27-2009
- Last Update Date
- 05-20-2013
- 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
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 270174
- License State
- NY
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Medicare Participation & PECOS Enrollment Status
Marissa Mincolla 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: Durable Medical Equipment (DME) 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
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 13210 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.93
- Minimum New Patient Price $54.87
- Maximum New Patient Price $166.88
- Average New Patient Copayment $21.23
- Minimum New Patient Copayment $13.71
- Maximum New Patient Copayment $41.72
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.57
- Minimum Established Patient Price $17.54
- Maximum Established Patient Price $136.14
- Average Established Patient Copayment $17.14
- Minimum Established Patient Copayment $4.38
- Maximum Established Patient Copayment $34.03
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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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 | 6 | 1 | 9 | 1 | 1 | 1 | 2 | 3 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 2 | 9 | 2 | 1 | 2 | 2 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 2 + 9 + 2 + 1 + 2 + 2 + 6 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1619111234 is valid because the calculated check digit 4 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 |
|---|---|---|---|
| 1760482053 | NANCY A. NUSSMEIER M.D. Individual | Anesthesiology | 750 E ADAMS ST SYRACUSE, NY 13210 (315) 464-4720 |
| 1245222876 | DR. LEONARD S HOJNOWSKI M.D. Individual | Radiology (Diagnostic Radiology) | 750 E ADAMS ST 3RD FLOOR RADIOLOGY SYRACUSE, NY 13210 (315) 464-6672 |
| 1275525891 | DR. DAVID H FEIGLIN M.D. Individual | Nuclear Medicine | 750 E ADAMS ST 3RD FLOOR RADIOLOGY SYRACUSE, NY 13210 (315) 464-6672 |
| 1952393589 | DR. MICHELE LISI M.D. Individual | Radiology (Diagnostic Radiology) | 750 E ADAMS ST 3RD FLOOR RADIOLOGY SYRACUSE, NY 13210 (315) 464-6672 |
| 1003808635 | DR. ANDRIJ R WOJTOWYCZ M.D. Individual | Radiology (Diagnostic Radiology) | 750 E ADAMS ST 3RD FLOOR RADIOLOGY SYRACUSE, NY 13210 (315) 464-6672 |
| 1952395188 | DALE A PETROFF PA Individual | Physician Assistant (Medical) | 750 E ADAMS ST SYRACUSE, NY 13210 (315) 464-5612 |
| 1114909884 | DAVID H DUBE MD Individual | Internal Medicine | 750 E ADAMS ST PHYSICAL MEDICINE AND REHABILITATION MSG SYRACUSE, NY 13210 (315) 464-5820 |
| 1346223567 | AMY L FRIEDMAN MD Individual | Transplant Surgery | 750 E ADAMS ST SYRACUSE, NY 13210 (315) 464-7317 |
| 1881679504 | DR. SYED T. ALI M.D. Individual | Anesthesiology | 750 E ADAMS ST SYRACUSE, NY 13210 (315) 464-4720 |
| 1427034354 | MARY A MCGRATH MD Individual | Nuclear Medicine | 750 E ADAMS ST SYRACUSE, NY 13210 (315) 464-5655 |
| 1205815990 | ANTONY EDWIN SHRIMPTON PH.D. Individual | Medical Genetics (Clinical Molecular Genetics) | 750 E ADAMS ST CLINICAL PATHOLOGY SYRACUSE, NY 13210 (315) 464-6807 |
| 1720067291 | DR. CONSTANCE K STEIN PHD Individual | Medical Genetics (Clinical Cytogenetics) | 750 E ADAMS ST SUNY UPSTATE MEDICAL UNIVERSITY - CLINICAL PATHOLOGY SYRACUSE, NY 13210 (315) 464-6788 |
| 1912977562 | DR. RICHARD A BEERS Individual | Anesthesiology | 750 E ADAMS ST SYRACUSE, NY 13210 (315) 464-4720 |
| 1154391704 | DR. TRACY BUCKINGHAM Individual | Anesthesiology | 750 E ADAMS ST SYRACUSE, NY 13210 (315) 464-4720 |
| 1841260494 | DR. JESUS CALIMLIM Individual | Anesthesiology | 750 E ADAMS ST SYRACUSE, NY 13210 (315) 464-4720 |
| 1013988369 | DR. MICHAEL HAUSER Individual | Anesthesiology | 750 E ADAMS ST SYRACUSE, NY 13210 (315) 464-4720 |
| 1548231640 | DR. WENDY HOWARD Individual | Anesthesiology | 750 E ADAMS ST SYRACUSE, NY 13210 (315) 464-4720 |
| 1184695280 | DR. MUMTAZ A. KHAN Individual | Anesthesiology | 750 E ADAMS ST SYRACUSE, NY 13210 (315) 464-4720 |
| 1356312367 | DR. REZA GORJI Individual | Anesthesiology | 750 E ADAMS ST SYRACUSE, NY 13210 (315) 464-4720 |
| 1073584082 | DR. NADER M ENANY Individual | Anesthesiology | 750 E ADAMS ST SYRACUSE, NY 13210 (315) 464-4720 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619111234, enumerated in the NPI registry as an "individual" on April 27, 2009
The provider is located at 750 E Adams St Syracuse, Ny 13210 and the phone number is (315) 464-7434
The provider's speciality is Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology
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: Durable Medical Equipment (DME) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $84.93 with an average copayment of $21.23 for new patient appointments. Established patients should expect a typical charge of $68.57 and an average copayment of 17.14. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on April 27, 2009. 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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