Active NPI 1205094737 Individual Practitioner Female Practitioner

Dr. Katia Todorova Papalezova , MD

Surgery • Durham, NC

Professional Overview & Biography Verified Profile Summary

Dr. Katia Papalezova, MD is a certified Surgery practicing in Durham, NC. With approximately 29 years of clinical experience since completing medical education in 1997, Dr. Papalezova delivers high-quality medical care to the local community at 2100 ERWIN RD.

Dr. Papalezova is affiliated with Montefiore Medical Center and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2100 Erwin Rd

Durham, NC 277100001

Telephone 9196848111

Associated Practice Facility / Clinic

🏢 Private Diagnostic Clinic, Pllc Facility NPI 1295881712

Medicare Profile & Education

Medical School

Other

Graduation Year

1997

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Durham, NC

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +5.2 yrs vs City Avg

City Avg: 23.8 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

70 Specialists

Practicing in Durham, NC (1222 Statewide)

Telehealth Adoption Rate

15.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

81.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Papalezova (29 Years) 29 Yrs

Durham Specialty Average (23.8 Years) 23.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	35	$738.00	$155.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$1175.00	$202.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	25	$650.00	$144.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$1156.79	$185.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	33	$650.00	$148.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$1151.82	$201.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	29	$621.28	$155.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$1130.88	$203.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	42	$510.00	$127.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$1010.00	$197.03
99213 Established patient office or other outpatient visit, typically 15 minutes	16	12	$408.75	$89.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	30	$482.58	$125.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$837.67	$190.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	34	$445.00	$122.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$680.00	$192.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	28	$707.25	$124.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$1643.30	$191.35
99213 Established patient office or other outpatient visit, typically 15 minutes	14	12	$447.10	$84.63

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NC 2008-01443

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Surgery - Surgical Oncology

NUCC Taxonomy Code: 2086X0206X

State License NC 2008-01443

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Hospital & Practice Group Affiliations

Montefiore Medical Center

111 E 210th St, Bronx, NY 104672401

Phone: 8666338255

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Nicolas Aeschlimann , MD

Anesthesiology

NPI 1003063116

Doctor of Medicine (M.D.)

Dr. Hongyun Zhu , MD

Radiology - Diagnostic Radiology

NPI 1003094103

Doctor of Medicine (M.D.)

Dr. Wilbur Dattilo , MD

Psychiatry & Neurology - Psychiatry

NPI 1003107483

Doctor of Medicine (M.D.)

Dr. Erin Manning , MD

Anesthesiology

NPI 1003139049

Doctor of Medicine (M.D.)

Dr. Candice Ray , MD

Pediatrics - Pediatric Critical Care Medicine

NPI 1003159179

Doctor of Medicine (M.D.)

Dr. Stephen Greene , MD

Internal Medicine - Advanced Heart Failure and Transplant Cardiology

NPI 1003170861

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active August 12, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location August 12, 2008

Registered at 2100 ERWIN RD, DURHAM, NC 277100001 (Tel: 9196848111)

📍

Updated Business Mailing Address August 12, 2008

Registered at 4101 N ROXBORO ST, DURHAM, NC 277042121 (Tel: 9196848111)

👤

Provider Name / Credentials Updated August 12, 2008

Recorded as KATIA PAPALEZOVA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2008

Surgery (License #2008-01443 in NC)

🟢

Initial NPI Registration & Enumeration May 31, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205094737

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 31, 2008

Last Update: August 12, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4101 N Roxboro St

Durham, NC 277042121

Phone: 9196848111

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.