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MARY LOU O'NEILL-HUBER M.D.
NPI 1013977495
Colon & Rectal Surgery in Rochester, NY

Active since March 28, 2006PECOS EnrolledAccepts Medicare Assignment
91.02/100
CMS Quality Rating
121 ERIE CANAL DR, SUITE B, ROCHESTER, NY 14626(585) 225-5420(585) 225-5644 Get Directions Write a Review

NPPES record last updated: January 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 12, 2023, Oct 13, 2022, Sep 8, 2020 and 1 more (4 updates tracked since 2020).

About Mary Lou O'neill-huber M.d. NPPES

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

MARY LOU O'NEILL-HUBER M.D. (NPI 1013977495) is an individual colon & rectal surgery provider in Rochester, New York, licensed in New York (205258) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1013977495
Entity TypeIndividualFemale
Primary Taxonomy208C00000X
Provider Legal NameMARY LOU O'NEILL-HUBERCredential: M.D.
Location Address121 ERIE CANAL DR, SUITE BRochester, NY 14626-4605
Mailing Address600 Red Creek Dr Ste 200Rochester, NY 14623-4300 · (585) 222-6566 · Fax (585) 225-5505
Phone(585) 225-5420
Fax(585) 225-5644
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateMarch 28, 2006
Last NPPES UpdateJanuary 12, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2023
✔ NPI 1013977495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in NY · 205258
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Also ListedSurgeryTaxonomy 208600000X · License 205258 (NY)
121 ERIE CANAL DR, Rochester, NY 14626
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11255 Portland Ave Uppr 3Rochester, NY 14621-2713 · Phone (585) 222-6566 · Fax (585) 338-1477
Location 2600 Red Creek Dr Ste 200Rochester, NY 14623-4300 · Phone (585) 222-6566 · Fax (585) 225-5505

Other Identifiers 4

Other5795663NY · Aetna
OtherMDB767NY · Preferred Care
Medicaid01740234NY
OtherP010205258NY · Blues

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

Mary Lou O'neill-huber M.d. 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 ID9234323619
PECOS Enrollment IDI20101029000571
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 7

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.

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
50 services50 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services18 patients
Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes 99153
This service involves a physician administering medication to lower your consciousness during a procedure. It's done for your comfort and safety. The drug's effects last about 15 minutes, so additional doses may be given as needed.
22 services21 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
22 services22 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
15 services15 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14626 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
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
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.

91.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.76
Improvement Activities40
Cost80.25

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
48%25 patients2/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
58%24 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
93%27 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 6

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

MR. RONALD M D ANGELO M.S. CCC-A
Audiologist
121 ERIE CANAL DR, STE. E
ROCHESTER, NY 14626
Monroe County (585) 227-9920
STEVEN BIONDI
Hearing Instrument Specialist
121 ERIE CANAL DR, SUITE E
ROCHESTER, NY 14626
Monroe County (585) 227-9920
JULES MUSINGER MD PC
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
121 ERIE CANAL DR, STE E
ROCHESTER, NY 14626
Monroe County (585) 225-5900
MS. NIKITA MARU M.ASLP, CCC-A
Audiologist
121 ERIE CANAL DR, SUITE E
ROCHESTER, NY 14626
Monroe County (585) 227-9920
PARK RIDGE HEARING CENTER
Hearing Aid Equipment
121 ERIE CANAL DR, SUITE E
ROCHESTER, NY 14626
Monroe County (585) 227-9920
MR. JULES MUSINGER MD
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
121 ERIE CANAL DR, STE E
ROCHESTER, NY 14626
Monroe County (585) 225-5900

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 Mary O'neill-huber's NPI number?

The NPI number for Mary O'neill-huber is 1013977495. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Where is Mary O'neill-huber located?

Mary O'neill-huber practices at 121 Erie Canal Dr Suite B, Rochester, NY 14626. The listed phone number is (585) 225-5420.

What is Mary O'neill-huber's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Mary O'neill-huber enrolled in Medicare?

Yes. Mary O'neill-huber 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 Mary O'neill-huber affiliated with any hospitals?

According to CMS data, Mary O'neill-huber is affiliated with Rochester General Hospital.

When was this NPI record last updated?

The NPPES record for Mary O'neill-huber was last updated on January 12, 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.