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CARLA SPOONER NURSE PRACTITIONER
NPI 1013427996
Nurse Practitioner - Family in Rochester, NY

Active since October 05, 2017PECOS EnrolledAccepts Medicare Assignment
76.84/100
CMS Quality Rating
158 SAWGRASS DR STE 100, ROCHESTER, NY 14620(585) 262-9150 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Carla Spooner Nurse Practitioner NPPES

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

CARLA SPOONER NURSE PRACTITIONER (NPI 1013427996) is an individual family provider in Rochester, New York, licensed in New York (F342335-1) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, is affiliated with Strong Memorial Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1013427996
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARLA SPOONERCredential: NURSE PRACTITIONER
Location Address158 SAWGRASS DR STE 100Rochester, NY 14620-4648
Mailing Address601 Elmwood AveRochester, NY 14642-0001
Phone(585) 262-9150
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 5, 2017
Last NPPES UpdateMay 6, 2026
NPPES CertifiedMay 6, 2026
✔ NPI 1013427996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F342335-1
Also ListedNurse PractitionerTaxonomy 363L00000X · License 342335 (NY)
158 SAWGRASS DR STE 100, Rochester, NY 14620
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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

Carla Spooner Nurse Practitioner 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 ID5496018244
PECOS Enrollment IDI20180410000962
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 2

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.

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
19 services11 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14620 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

76.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.2
Promoting Interoperability100
Improvement Activities40
Cost42.68

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSHUA CHARLES NETKIN FNP
Nurse Practitioner (Family)
158 SAWGRASS DR STE 100
ROCHESTER, NY 14620
Monroe County (585) 262-9150
MRS. KAITLIN LARISSA KULZER NP
Nurse Practitioner
158 SAWGRASS DR STE 100
BRIGHTON, NY 14620
Monroe County (585) 262-9150
AMY ZETO
Physician Assistant
158 SAWGRASS DR STE 100
ROCHESTER, NY 14620
Monroe County (585) 275-2100

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 Carla Spooner's NPI number?

The NPI number for Carla Spooner is 1013427996. It was assigned to this individual provider in the NPPES registry on October 5, 2017.

Where is Carla Spooner located?

Carla Spooner practices at 158 Sawgrass Dr Ste 100, Rochester, NY 14620. The listed phone number is (585) 262-9150.

What is Carla Spooner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Carla Spooner enrolled in Medicare?

Yes. Carla Spooner 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 Carla Spooner affiliated with any hospitals?

According to CMS data, Carla Spooner is affiliated with Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Carla Spooner was last updated on May 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.