DR. ENRICO CAIOLA M.D.
NPI 1043252406
Internal Medicine in Rochester, NY

Active since June 11, 2006PECOS EnrolledAccepts Medicare Assignment
85.17/100
CMS Quality Rating
913 CULVER RD, ROCHESTER, NY 14609(585) 654-5432(585) 288-7871 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Enrico Caiola M.d. NPPES

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

DR. ENRICO CAIOLA M.D. (NPI 1043252406) is an individual internal medicine provider in Rochester, New York, licensed in New York (217270) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Highland Hospital, and is a graduate of State University Of New York At Buffalo School Of Medicine (1994).

NPPES Registry Identity

NPI1043252406
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ENRICO CAIOLACredential: M.D.
Location Address913 CULVER RDRochester, NY 14609-7141
Mailing Address601 Elmwood Ave, Box 278980Rochester, NY 14642-0001
Fax(585) 288-7871
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1994
Enumeration DateJune 11, 2006
Last NPPES UpdateJuly 5, 2023
NPI 1043252406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 217270
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

913 CULVER RD, Rochester, NY 14609

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

Dr. Enrico Caiola 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 ID2062541543
PECOS Enrollment IDI20100520000889
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 2024 & 2026 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, 30-39 minutes 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.
60 services32 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
51 services35 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 14609 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
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.

85.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.92
Promoting Interoperability100
Improvement Activities40
Cost62.98

Referred Medical Equipment & Supplies CMS DME claims 7

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

Tracheal suction catheter, any type other than closed system, each A4624
DME-Other DME · category DE000N
1 supplier11 claims640 services$2.14 avg. paid by Medicare
Tracheostomy care kit for established tracheostomy A4629
DME-Orthotic Devices · category DF000N
1 supplier11 claims305 services$4.26 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
1 supplier11 claims22 services$1.29 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$61.89 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
2 suppliers14 claims3,952 services$0.03 avg. paid by Medicare
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7644
DME-Drugs Administered Through DME · category DG006N
1 supplier17 claims765 services$0.15 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 20

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

Pediatrics
913 CULVER RD
ROCHESTER, NY 14609
Social Worker
913 CULVER RD
ROCHESTER, NY 14609
Internal Medicine
913 CULVER RD
ROCHESTER, NY 14609
Student in an Organized Health Care Education/Training Program
913 CULVER RD
ROCHESTER, NY 14609
Student in an Organized Health Care Education/Training Program
913 CULVER RD
ROCHESTER, NY 14609
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
913 CULVER RD, CULVER MEDICAL GROUP
ROCHESTER, NY 14609
Student in an Organized Health Care Education/Training Program
913 CULVER RD
ROCHESTER, NY 14609
Student in an Organized Health Care Education/Training Program
913 CULVER RD
ROCHESTER, NY 14609

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043252406, enumerated as an "individual" on June 11, 2006.

The provider is located at 913 CULVER RD ROCHESTER, NY 14609 and the phone number is (585) 654-5432.

Internal Medicine with taxonomy code 207R00000X.

Enrico Caiola is affiliated with: HIGHLAND HOSPITAL and STRONG MEMORIAL HOSPITAL.