JACLYN GRODE MD
NPI 1053061689
Family Medicine in Rochester, NY

Q: What is Jaclyn Grode's NPI number?

The NPI number for Jaclyn Grode is 1053061689. It was assigned to this individual provider in the NPPES registry on March 26, 2022.

Q: What is Jaclyn Grode's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jaclyn Grode was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since March 26, 2022PECOS EnrolledAccepts Medicare Assignment

777 CLINTON AVE S, ROCHESTER, NY 14620(585) 279-4800(585) 442-8319 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jaclyn Grode Md NPPES

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

JACLYN GRODE MD (NPI 1053061689) is an individual family medicine provider in Rochester, New York, licensed in New York (326269) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with Highland Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1053061689

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameJACLYN GRODECredential: MD

Location Address777 CLINTON AVE SRochester, NY 14620-1448

Mailing Address777 Clinton Ave SRochester, NY 14620-1448 · (585) 279-4800 · Fax (585) 442-8319

Phone(585) 279-4800

Fax(585) 442-8319

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMarch 26, 2022

Last NPPES UpdateJune 24, 2025

NPPES CertifiedJune 24, 2025

✔ NPI 1053061689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 326269

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

777 CLINTON AVE S, Rochester, NY 14620

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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

Jaclyn Grode Md 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 ID3870978216

PECOS Enrollment IDI20250806004156

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 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 14620 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

$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.

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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.

SOPHIA EMMANUELLE HANNA DO

Student in an Organized Health Care Education/Training Program