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MACKENZIE R. PETTINELLA PA
NPI 1003257809
Physician Assistant - Medical in Rochester, NY

Active since July 10, 2013PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
1555 LONG POND RD, DEPT. OF MEDICINE, ROCHESTER, NY 14626(585) 723-7870(585) 723-7871 Get Directions Write a Review

NPPES record last updated: January 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 4, 2023, Mar 4, 2019 (2 updates tracked since 2019).

About Mackenzie R. Pettinella Pa NPPES

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

MACKENZIE R. PETTINELLA PA (NPI 1003257809) is an individual medical provider in Rochester, New York, licensed in New York (016626) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with United Memorial Medical Center, and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1003257809
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMACKENZIE R. PETTINELLACredential: PA
Location Address1555 LONG POND RD, DEPT. OF MEDICINERochester, NY 14626-4122
Mailing Address100 Kings Hwy SRochester, NY 14617-5504 · (585) 922-0553
Phone(585) 723-7870
Fax(585) 723-7871
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 10, 2013
Last NPPES UpdateJanuary 4, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2023
✔ NPI 1003257809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 016626
1555 LONG POND RD, Rochester, NY 14626
Open in Google Maps ↗

Other Names 1

Former Name (1)Mackenzie R. Lewis Pa

Secondary Practice Location 1

Location 11415 Portland Ave Ste 350Rochester, NY 14621-3043 · Phone (585) 442-5320 · Fax (585) 442-5526

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

Mackenzie R. Pettinella Pa 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 ID4082855317
PECOS Enrollment IDI20130729000410
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 with moderate level of decision making, if using time, 30 minutes or more 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.
43 services41 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.
19 services18 patients
Programming of dual lead pacemaker system 93280
Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

United Memorial Medical Center

Acute Care Hospitals · Batavia, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330073
Location127 North StreetBatavia, NY 14020 · Genesee County
Emergency services Birthing friendly

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
Improvement Activities40

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.

FAROOQ CHAUDHARY MD
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7746
FATHI ABOKALAWA MD
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7746
ELIZABETH GRACE WYGONIK PA-C
Physician Assistant
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7000
YOUSEF WALY MD
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7000
MARINA TAKAWY MD
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7000
KELCY WILDT PA
Physician Assistant
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7000
JEFF YANG MD
Emergency Medicine
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7070
SARUULBUYAN MEND AMAR
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7000

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 Mackenzie Pettinella's NPI number?

The NPI number for Mackenzie Pettinella is 1003257809. It was assigned to this individual provider in the NPPES registry on July 10, 2013. The provider is also known as Mackenzie R. Lewis PA.

Where is Mackenzie Pettinella located?

Mackenzie Pettinella practices at 1555 Long Pond Rd Dept. Of Medicine, Rochester, NY 14626. The listed phone number is (585) 723-7870.

What is Mackenzie Pettinella's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Mackenzie Pettinella enrolled in Medicare?

Yes. Mackenzie Pettinella 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.

Is Mackenzie Pettinella affiliated with any hospitals?

According to CMS data, Mackenzie Pettinella is affiliated with United Memorial Medical Center and Rochester General Hospital.

When was this NPI record last updated?

The NPPES record for Mackenzie Pettinella was last updated on January 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.