CORAL L. SURGEON M.D.
NPI 1073576542
Obstetrics & Gynecology in Rochester, NY

Active since April 07, 2006PECOS EnrolledAccepts Medicare Assignment
1815 S CLINTON AVE, SUITE 610, ROCHESTER, NY 14618(585) 244-3430(585) 244-7811 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Coral L. Surgeon M.d. NPPES

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

CORAL L. SURGEON M.D. (NPI 1073576542) is an individual obstetrics & gynecology provider in Rochester, New York, licensed in New York (157602) and active in the NPI registry since April 2006. She 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 (1980).

NPPES Registry Identity

NPI1073576542
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameCORAL L. SURGEONCredential: M.D.
Location Address1815 S CLINTON AVE, SUITE 610Rochester, NY 14618-5720
Mailing Address1815 Clinton Ave S, Suite 610Rochester, NY 14618-5720 · (585) 244-3430
Fax(585) 244-7811
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1980
Enumeration DateApril 7, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1073576542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in NY · 157602
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1815 S CLINTON AVE, Rochester, NY 14618

Other Identifiers 12

Medicaid00849803NY
Medicare UPINB76073NY
Other6184NY · Bc/bs
Other102458CKNY · Preferred Care
Other7849236NY · Aetna
Medicare ID-Type Unspecified37233DNY
Other0296919NY · Ghi
Other000914977001NY · Bc/bs Of Western New York
Other000914977002NY · Bc/bs Of Western New York
Other160009306NY · Railroad
Other000914977003NY · Bc/bs Of Western New York
Other010157602NY · Blue Choice

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

Coral L. Surgeon 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 ID1052355807
PECOS Enrollment IDI20080616000527
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 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
22 services22 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
22 services22 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 14618 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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
18%33 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
30%30 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
94%54 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
63%43 patients3/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
65%31 patients3/55-star benchmark: 98%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
63%30 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 13

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

Obstetrics & Gynecology
1815 S CLINTON AVE, SUITE 610
ROCHESTER, NY 14618
Family Medicine
1815 S CLINTON AVE
ROCHESTER, NY 14618
Dermatology
1815 S CLINTON AVE, #530
ROCHESTER, NY 14618
Internal Medicine
1815 S CLINTON AVE, SUITE 340
ROCHESTER, NY 14618
Physician Assistant (Medical)
1815 S CLINTON AVE, SUITE 530
ROCHESTER, NY 14618
Dentist (Periodontics)
1815 S CLINTON AVE
ROCHESTER, NY 14618
Dentist
1815 S CLINTON AVE, STE 345
ROCHESTER, NY 14618
Dermatology
1815 S CLINTON AVE, SUITE 530
ROCHESTER, NY 14618

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 Coral Surgeon's NPI number?

The NPI number for Coral Surgeon is 1073576542. It was assigned to this individual provider in the NPPES registry on April 7, 2006.

Where is Coral Surgeon located?

Coral Surgeon practices at 1815 S Clinton Ave Suite 610, Rochester, NY 14618. The listed phone number is (585) 244-3430.

What is Coral Surgeon's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Coral Surgeon enrolled in Medicare?

Yes. Coral Surgeon 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 Coral Surgeon affiliated with any hospitals?

According to CMS data, Coral Surgeon is affiliated with Highland Hospital and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Coral Surgeon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.