PLASTIC SURGERY GROUP OF ROCHESTER LLC
NPI 1053403717
Plastic Surgery in Rochester, NY

Q: What is Plastic Surgery Group Of Rochester LLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Active since September 29, 2006

360 LINDEN OAKS STE 310, ROCHESTER, NY 14625(585) 922-5840(585) 586-7558 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 19, 2022, Mar 17, 2018, Feb 14, 2018 (3 updates tracked since 2018).

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About Plastic Surgery Group Of Rochester Llc NPPES

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

PLASTIC SURGERY GROUP OF ROCHESTER LLC (NPI 1053403717) is a healthcare organization registered as a plastic surgery in Rochester, New York and active in the NPI registry since September 2006. The organization maintains 2 additional practice locations and lists Gail J Edwards, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1053403717

Entity TypeOrganization

Primary Taxonomy208200000X

Legal Business NamePLASTIC SURGERY GROUP OF ROCHESTER LLC

Location Address360 LINDEN OAKS STE 310Rochester, NY 14625-2814

Mailing Address360 Linden Oaks Ste 310Rochester, NY 14625-2814 · (585) 922-5840 · Fax (585) 586-7558

Phone(585) 922-5840

Fax(585) 586-7558

Organization SubpartNo

Authorized OfficialGail J EdwardsPractice Manager · (585) 249-1950

Enumeration DateSeptember 29, 2006

Last NPPES UpdateDecember 19, 20223 updates tracked since enumeration

NPPES CertifiedDecember 19, 2022

✔ NPI 1053403717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Also ListedPlastic Surgery · Plastic Surgery Within the Head and NeckTaxonomy 2082S0099X

Also ListedPlastic Surgery · Surgery of the HandTaxonomy 2082S0105X

360 LINDEN OAKS STE 310, Rochester, NY 14625

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Secondary Practice Locations 2

Location 110 Hagen Dr, Suite 310Rochester, NY 14625-2660 · Phone (585) 922-5840 · Fax (585) 586-7558

Location 21445 Portland Ave Ste G-01Rochester, NY 14621-3008 · Phone (585) 922-5840

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Plastic Surgery Group Of Rochester Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 5 clinicians reassign Medicare billing to Plastic Surgery Group Of Rochester LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Jeffrey Fink, M.D.

Hand Surgery

NPI 1841218302

360 LINDEN OAKS SUITE 310
Rochester, NY 14625

(585) 922-5840

✔ PECOS✔ Accepts MedicareSame address

Brian Kubiak, M.D.

Plastic and Reconstructive Surgery

NPI 1699939942

360 LINDEN OAKS STE 310
Rochester, NY 14625

(585) 922-5840

✔ PECOS✔ Accepts MedicareSame address

David Refermat, MD

Plastic and Reconstructive Surgery

NPI 1194721282

360 LINDEN OAKS DR. STE 310
Rochester, NY 14625

(585) 922-5840

✔ PECOS✔ Accepts MedicareSame address

Andrew Smith, M.D.

Plastic and Reconstructive Surgery

NPI 1407018963

360 LINDEN OAKS SUITE 310
Rochester, NY 14625

(585) 922-5840

✔ PECOS✔ Accepts MedicareSame address

Mark Davenport, M.D.

Plastic and Reconstructive Surgery

NPI 1841217387

10 HAGEN DR SUITE 310
Rochester, NY 14625

(585) 922-5840

✔ PECOS0.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Plastic Surgery Group Of Rochester LLC's NPI number?

The NPI number for Plastic Surgery Group Of Rochester LLC is 1053403717. It was assigned to this organization in the NPPES registry on September 29, 2006.

Where is Plastic Surgery Group Of Rochester LLC located?

Plastic Surgery Group Of Rochester LLC is located at 360 Linden Oaks Ste 310, Rochester, NY 14625. The listed phone number is (585) 922-5840.

What is Plastic Surgery Group Of Rochester LLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Plastic Surgery Group Of Rochester LLC enrolled in Medicare?

Yes. Plastic Surgery Group Of Rochester LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Plastic Surgery Group Of Rochester LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Plastic Surgery Group Of Rochester LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Plastic and Reconstructive Surgery (4) and Hand Surgery (1). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Plastic Surgery Group Of Rochester LLC was last updated on December 19, 2022. 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.