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MR. JACOB SCOTT PRIVITERA PA-C
NPI 1023569431
Physician Assistant - Surgical in Rochester, NY

Active since October 20, 2016PECOS EnrolledAccepts Medicare Assignment
96.43/100
CMS Quality Rating
601 ELMWOOD AVE BOX SURG, ROCHESTER, NY 14642(585) 275-3022 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2020, Oct 20, 2016 (2 updates tracked since 2016).

About Mr. Jacob Scott Privitera Pa-c NPPES

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

MR. JACOB SCOTT PRIVITERA PA-C (NPI 1023569431) is an individual surgical provider in Rochester, New York, licensed in New York (020185) and active in the NPI registry since October 2016. He is enrolled in Medicare PECOS, is affiliated with Strong Memorial Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1023569431
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. JACOB SCOTT PRIVITERACredential: PA-C
Location Address601 ELMWOOD AVE BOX SURGRochester, NY 14642-0001
Mailing Address601 Elmwood Avenue Box SurgRochester, NY 14642-9616 · (585) 275-5100 · Fax (585) 276-1992
Phone(585) 275-3022
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 20, 2016
Last NPPES UpdateJune 29, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2020
✔ NPI 1023569431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NY · 020185
Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X · License 20185 (NY)
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 020185 (NY)
601 ELMWOOD AVE BOX SURG, Rochester, NY 14642
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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

Mr. Jacob Scott Privitera Pa-c 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 ID1456632892
PECOS Enrollment IDI20190515001732
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.

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

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.

96.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.87
Promoting Interoperability100
Improvement Activities40
Cost85.9

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.

ARIANA GOODMAN MD
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVE BOX SURG
ROCHESTER, NY 14642
Monroe County (585) 275-2723
ASHRAF BESHAY MD
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVE BOX SURG
ROCHESTER, NY 14642
Monroe County (585) 275-2723
STEVEN S MENG
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVE BOX SURG
ROCHESTER, NY 14642
Monroe County (585) 275-2723
LYFONG SAMUEL LOR MD
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE BOX SURG
ROCHESTER, NY 14642
Monroe County (585) 275-2723
MICHAEL RAYMOND HOFFMAN DO
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVE BOX SURG
ROCHESTER, NY 14642
Monroe County (585) 275-4551
YUTAKA SHISHIDO MD
Transplant Surgery
601 ELMWOOD AVE BOX SURG
ROCHESTER, NY 14642
Monroe County (585) 275-5875
MRS. JESSICA MICHELLE LUCIANO NP
Nurse Practitioner (Family)
601 ELMWOOD AVE BOX SURG
ROCHESTER, NY 14642
Monroe County (585) 275-1509
LUCY ZHUO MD
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVE BOX SURG
ROCHESTER, NY 14642
Monroe County (585) 275-2723

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 Jacob Privitera's NPI number?

The NPI number for Jacob Privitera is 1023569431. It was assigned to this individual provider in the NPPES registry on October 20, 2016.

Where is Jacob Privitera located?

Jacob Privitera practices at 601 Elmwood Ave Box Surg, Rochester, NY 14642. The listed phone number is (585) 275-3022.

What is Jacob Privitera's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jacob Privitera enrolled in Medicare?

Yes. Jacob Privitera 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 Jacob Privitera affiliated with any hospitals?

According to CMS data, Jacob Privitera is affiliated with Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jacob Privitera was last updated on June 29, 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.