MARCELINO FABIAN D'SOUZA MD
NPI 1790899458
Obstetrics & Gynecology in East Amherst, NY
Quality Rating: 80.3 out of 100 score
NPI Status: Active since August 19, 2006
Contact Information
8750 TRANSIT RD
SUITE 205
EAST AMHERST, NY
ZIP 14051
Phone: (716) 639-7970
Fax: (716) 639-7968
- Individual
- Male
- Obstetrics & Gynecology
- PECOS Enrolled
About MARCELINO D'SOUZA
This page provides the complete NPI Profile along with additional information for Marcelino D'souza, a women's health care provider established in East Amherst, New York with a medical specialization in Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1790899458 assigned on August 2006. The practitioner's primary taxonomy code is 207V00000X with license number 145872 (NY). The provider is registered as an individual and his NPI record was last updated 8 years ago.
- NPI
- 1790899458
- Provider Name
- MARCELINO FABIAN D'SOUZA MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 8750 TRANSIT RD SUITE 205 EAST AMHERST, NY 14051
- Location Phone
- (716) 639-7970
- Location Fax
- (716) 639-7968
- Mailing Address
- 908 NIAGARA FALLS BLVD STE 208 NORTH TONAWANDA, NY 14120
- Mailing Phone
- (716) 692-3302
- Mailing Fax
- (716) 639-7968
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-19-2006
- Last Update Date
- 11-29-2017
- Code Navigator
Women's health care providers like Marcelino D'souza treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
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
Obstetrics & Gynecology
- Taxonomy Code
- 207V00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 145872
- License State
- NY
- Taxonomy Description
- An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
00753975 | MEDICAID (05) | NY | |
D02281 | MEDICARE UPIN (02) | NY | |
DD4610 | MEDICARE ID-TYPE UNSPECIFIED (04) | NY |
Medicare Participation & PECOS Enrollment Status
Marcelino D'souza 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
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.
Cervical or vaginal cancer screening; pelvic and clinical breast examination
Established patient office or other outpatient visit, 30-39 minutes
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
This service was performed 47 times for 47 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 19 times for 15 patientsPhysician 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 14051 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $126.4
- Minimum New Patient Price $54.87
- Maximum New Patient Price $166.88
- Average New Patient Copayment $31.6
- 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.
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 80.3, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 80.3 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 63.08
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: 100
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: 58.31
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: 58.31
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
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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 | 7 | 9 | 0 | 8 | 9 | 9 | 4 | 5 | 8 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 18 | 0 | 16 | 9 | 18 | 4 | 10 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 7 + 1 + 8 + 0 + 1 + 6 + 9 + 1 + 8 + 4 + 1 + 0 + 24 = 72 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 72 = 8 | 8 |
The NPI number 1790899458 is valid because the calculated check digit 8 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 |
---|---|---|---|
1306828132 | ROGER F BADGLEY RPA-C Individual | Physician Assistant (Surgical) | 8750 TRANSIT RD SUITE 105 EAST AMHERST, NY 14051 (716) 636-1470 |
1043292881 | STACY ANN MICHALSKI RPA-C Individual | Physician Assistant (Surgical) | 8750 TRANSIT RD SUITE 105 EAST AMHERST, NY 14051 (716) 636-1470 |
1518994888 | TANYA MARIE JARNOT PT Individual | Physical Therapist | 8750 TRANSIT RD SUITE 120 EAST AMHERST, NY 14051 (716) 568-1251 |
1134150907 | LAURA JEAN WRIGHT MPT Individual | Physical Therapist | 8750 TRANSIT RD SUITE 120 E AMHERST, NY 14051 (716) 568-1251 |
1679786156 | MR. MICHAEL JOSEPH HEINS R.PH. Individual | Pharmacist | 8750 TRANSIT RD SUITE 100 EAST AMHERST, NY 14051 (716) 568-1370 |
1982897260 | NORTHTOWN MEDICAL ASSOCIATES, LLP Organization | Internal Medicine | 8750 TRANSIT RD STE 110 EAST AMHERST, NY 14051 (716) 639-1111 |
1124205919 | AMHERST OB/GYN ASSOCIATE PC Organization | Obstetrics & Gynecology | 8750 TRANSIT RD SUITE 205 EAST AMHERST, NY 14051 (716) 639-7970 |
1609162858 | DR. MICHAEL DONALD LAKATOS PHARMD. Individual | Pharmacist | 8750 TRANSIT RD EAST AMHERST, NY 14051 (716) 568-1370 |
1245212042 | DONALD P DOUGLAS M.D. Individual | Specialist | 8750 TRANSIT RD SUITE 105 EAST AMHERST, NY 14051 (716) 636-1470 |
1457333296 | CHERYL ANN WUTZ RPA-C Individual | Physician Assistant (Surgical) | 8750 TRANSIT RD SUITE 105 EAST AMHERST, NY 14051 (716) 636-1470 |
1881677128 | THOMAS A LOMBARDO JR. M.D. Individual | Specialist | 8750 TRANSIT RD SUITE 105 EAST AMHERST, NY 14051 (716) 636-1470 |
1629028089 | NORTHTOWNS ORTHOPEDICS, PC Organization | Specialist | 8750 TRANSIT RD SUITE 105 EAST AMHERST, NY 14051 (716) 636-1470 |
1386835783 | BETH A GILLEZEAU PA Individual | Physician Assistant (Surgical) | 8750 TRANSIT RD SUITE 105 EAST AMHERST, NY 14051 (716) 636-1470 |
1851373690 | MARK W MOYER RPA-C Individual | Physician Assistant (Surgical) | 8750 TRANSIT RD SUITE 105 EAST AMHERST, NY 14051 (716) 636-1470 |
1083696280 | DAVID T MILLER M.D. Individual | Specialist | 8750 TRANSIT RD SUITE 105 EAST AMHERST, NY 14051 (716) 636-1470 |
1134101736 | KEVIN W LANIGHAN M.D. Individual | Orthopaedic Surgery (Hand Surgery) | 8750 TRANSIT RD SUITE 105 EAST AMHERST, NY 14051 (716) 636-1470 |
1457517674 | JESSICA MARIE BECK PA Individual | Physician Assistant (Surgical) | 8750 TRANSIT RD SUITE 105 EAST AMHERST, NY 14051 (716) 636-1470 |
1164541066 | CAROLINE ANN D'SOUZA MD Individual | Obstetrics & Gynecology | 8750 TRANSIT RD SUITE 205 EAST AMHERST, NY 14051 (716) 639-7970 |
1164730339 | STEPHANIE NICOLE KAMINSKA PA Individual | Physician Assistant (Surgical) | 8750 TRANSIT RD SUITE 105 EAST AMHERST, NY 14051 (716) 636-1470 |
1588646426 | DAVID J POCHATKO M.D. Individual | Orthopaedic Surgery (Foot and Ankle Surgery) | 8750 TRANSIT RD SUITE 105 EAST AMHERST, NY 14051 (716) 636-1470 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790899458, enumerated in the NPI registry as an "individual" on August 19, 2006
The provider is located at 8750 Transit Rd Suite 205 East Amherst, Ny 14051 and the phone number is (716) 639-7970
The provider's speciality is Obstetrics & Gynecology with taxonomy code 207V00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
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 provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.
Medicare beneficiaries should expect a typical cost of $126.4 with an average copayment of $31.6 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.
The most common procedures or services performed by this practitioner are: Cervical or vaginal cancer screening; pelvic and clinical breast examination and Established patient office or other outpatient visit, 30-39 minutes.
This NPI record was last updated on August 19, 2006. 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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