ANTHONY PETRAGLIA M.D.
NPI 1043346398
Neurological Surgery in Rochester, NY

Active since February 23, 2007PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
2655 RIDGEWAY AVE, SUITE 340, ROCHESTER, NY 14626(585) 368-6545(585) 368-6546 Get Directions Write a Review

NPPES record last updated: January 5, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 5, 2023, May 22, 2020 (2 updates tracked since 2020).

About Anthony Petraglia M.d. NPPES

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

ANTHONY PETRAGLIA M.D. (NPI 1043346398) is an individual neurological surgery provider in Rochester, New York, licensed in New York (259616) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with United Memorial Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1043346398
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameANTHONY PETRAGLIACredential: M.D.
Location Address2655 RIDGEWAY AVE, SUITE 340Rochester, NY 14626-4296
Mailing Address2655 Ridgeway Ave, Suite 340Rochester, NY 14626-4296 · (585) 368-6545 · Fax (585) 368-6546
Fax(585) 368-6546
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 2007
Enumeration DateFebruary 23, 2007
Last NPPES UpdateJanuary 5, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2023
NPI 1043346398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in NY · 259616
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
2655 RIDGEWAY AVE, Rochester, NY 14626

Secondary Practice Locations 2

Location 1190 Washington AveBatavia, NY 14020-2113 · Phone (585) 368-6545 · Fax (585) 368-6546
Location 2875 Pre Emption RdGeneva, NY 14456-2042 · Phone (585) 368-6545 · Fax (585) 368-6546

Other Identifiers 1

Medicaid03872837NY

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

Anthony Petraglia 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 ID5496971590
PECOS Enrollment IDI20140725001569
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 9

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 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.
39 services31 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
34 services34 patients
Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
32 services13 patients
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048
This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
32 services13 patients
Placement of stabilizing device to back, 3-6 spine bone segments 22842
This procedure involves placing a device on your back to stabilize 3-6 spine bone segments. It aids in maintaining spine alignment and reducing pain. The device is secured to the bones, providing support and promoting healing.
16 services15 patients
Fusion of spine in neck by posterior approach 22600
Fusion of the spine in the neck by a posterior approach is a surgery to stabilize the neck. It involves connecting two or more vertebrae in the neck from the back side. This can reduce pain and improve stability by limiting movement of the neck.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

United Memorial Medical Center

Acute Care Hospitals · Batavia, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330073
Location127 North StreetBatavia, NY 14020 · Genesee County
Emergency services Birthing friendly

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

Unity Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330226
Location1555 Long Pond RoadRochester, NY 14626 · 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
$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
$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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
Improvement Activities40

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.

Dietitian, Registered
2655 RIDGEWAY AVE, SUITE 220
ROCHESTER, NY 14626
Physical Therapist
2655 RIDGEWAY AVE
ROCHESTER, NY 14626
Dietitian, Registered
2655 RIDGEWAY AVE
ROCHESTER, NY 14626
Neurological Surgery
2655 RIDGEWAY AVE, SUITE 340
ROCHESTER, NY 14626
Physical Medicine & Rehabilitation (Spinal Cord Injury Medicine)
2655 RIDGEWAY AVE, SUITE 420
ROCHESTER, NY 14626
Physical Therapist
2655 RIDGEWAY AVE, SUITE 320
ROCHESTER, NY 14626
Physical Therapist
2655 RIDGEWAY AVE
ROCHESTER, NY 14626
Dietitian, Registered
2655 RIDGEWAY AVE, SUITE 220
ROCHESTER, NY 14626

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 Anthony Petraglia's NPI number?

The NPI number for Anthony Petraglia is 1043346398. It was assigned to this individual provider in the NPPES registry on February 23, 2007.

Where is Anthony Petraglia located?

Anthony Petraglia practices at 2655 Ridgeway Ave Suite 340, Rochester, NY 14626. The listed phone number is (585) 368-6545.

What is Anthony Petraglia's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Anthony Petraglia enrolled in Medicare?

Yes. Anthony Petraglia 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 Anthony Petraglia affiliated with any hospitals?

According to CMS data, Anthony Petraglia is affiliated with United Memorial Medical Center, Rochester General Hospital and Unity Hospital.

When was this NPI record last updated?

The NPPES record for Anthony Petraglia was last updated on January 5, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.