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MEGAN MAURICIO PA-C
NPI 1033626478
Physician Assistant in Rochester, NY

Active since January 08, 2018PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
300 RED CREEK DR STE 200, ROCHESTER, NY 14623(585) 487-2221(585) 334-8732 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 2, 2023, Apr 24, 2020, Jan 8, 2018 (3 updates tracked since 2018).

About Megan Mauricio Pa-c NPPES

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

MEGAN MAURICIO PA-C (NPI 1033626478) is an individual physician assistant in Rochester, New York, licensed in New York (026010) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, is affiliated with Highland Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1033626478
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMEGAN MAURICIOCredential: PA-C
Location Address300 RED CREEK DR STE 200Rochester, NY 14623-4283
Mailing Address300 Red Creek Dr Ste 200Rochester, NY 14623-4283
Phone(585) 487-2221
Fax(585) 334-8732
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 8, 2018
Last NPPES UpdateFebruary 2, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2023
✔ NPI 1033626478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 026010
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
300 RED CREEK DR STE 200, Rochester, NY 14623
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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

Megan Mauricio 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 ID8325303423
PECOS Enrollment IDI20230216001978
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.
64 services48 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.
23 services22 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Highland Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330164
Location1000 South AvenueRochester, NY 14617 · Monroe County
Emergency services Birthing friendly

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 14623 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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0471
DME-Other DME · category DE001N
1 supplier11 claims11 services$244.32 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$215.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

ROSARIO SORIANO-TURQUE MD
Family Medicine
300 RED CREEK DR STE 200
ROCHESTER, NY 14623
Monroe County (585) 487-2221
MITCHELL HOYSON MD
Family Medicine
300 RED CREEK DR STE 200
ROCHESTER, NY 14623
Monroe County (585) 487-2221
SURAG S PATEL MD
Family Medicine
300 RED CREEK DR STE 200
ROCHESTER, NY 14623
Monroe County (585) 487-2221
REBECCA L DUNN RN
Registered Nurse (Ambulatory Care)
300 RED CREEK DR STE 200
ROCHESTER, NY 14623
Monroe County (585) 487-2221

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 Megan Mauricio's NPI number?

The NPI number for Megan Mauricio is 1033626478. It was assigned to this individual provider in the NPPES registry on January 8, 2018.

Where is Megan Mauricio located?

Megan Mauricio practices at 300 Red Creek Dr Ste 200, Rochester, NY 14623. The listed phone number is (585) 487-2221.

What is Megan Mauricio's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Megan Mauricio enrolled in Medicare?

Yes. Megan Mauricio 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.

What insurance does Megan Mauricio accept?

Health plans from CareSource list Megan Mauricio as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Megan Mauricio affiliated with any hospitals?

According to CMS data, Megan Mauricio is affiliated with Highland Hospital and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Megan Mauricio was last updated on February 2, 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.