DR. JEROLD LUNDGREN MD
NPI 1114507522
Psychiatry & Neurology - Psychiatry in Rochester, NY

Active since April 09, 2021PECOS EnrolledAccepts Medicare Assignment
601 ELMWOOD AVE, ROCHESTER, NY 14642(585) 275-4501 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 31, 2026, Mar 4, 2026, Sep 2, 2025 and 2 more (5 updates tracked since 2021).

About Dr. Jerold Lundgren Md NPPES

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

DR. JEROLD LUNDGREN MD (NPI 1114507522) is an individual psychiatry provider in Rochester, New York, licensed in New York (322983) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of University Of Rochester School Of Medicine And Dentistry (2021).

NPPES Registry Identity

NPI1114507522
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. JEROLD LUNDGRENCredential: MD
Location Address601 ELMWOOD AVERochester, NY 14642-0001
Mailing Address265 Lorimer St Apt 232Brooklyn, NY 11206-3663 · (585) 756-4800
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 2021
Enumeration DateApril 9, 2021
Last NPPES UpdateMarch 31, 20265 updates tracked since enumeration
NPPES CertifiedMarch 31, 2026
NPI 1114507522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in NY · 322983
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

601 ELMWOOD AVE, Rochester, NY 14642

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. Jerold Lundgren 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 ID1759783731
PECOS Enrollment IDI20250901000062
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14642 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
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
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.

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.

Nurse Practitioner (Adult Health)
601 ELMWOOD AVE, BOX MED
ROCHESTER, NY 14642
Internal Medicine (Cardiovascular Disease)
601 ELMWOOD AVE
ROCHESTER, NY 14642
Nurse Practitioner (Family)
601 ELMWOOD AVE
ROCHESTER, NY 14642
Clinical Neuropsychologist
601 ELMWOOD AVE
ROCHESTER, NY 14642
Pharmacist
601 ELMWOOD AVE
ROCHESTER, NY 14642
Pharmacist
601 ELMWOOD AVE
ROCHESTER, NY 14642
Nurse Practitioner (Family)
601 ELMWOOD AVE, BOX SURG
ROCHESTER, NY 14642
Nurse Practitioner (Family)
601 ELMWOOD AVE
ROCHESTER, NY 14642

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 Jerold Lundgren's NPI number?

The NPI number for Jerold Lundgren is 1114507522. It was assigned to this individual provider in the NPPES registry on April 9, 2021.

Where is Jerold Lundgren located?

Jerold Lundgren practices at 601 Elmwood Ave, Rochester, NY 14642. The listed phone number is (585) 275-4501.

What is Jerold Lundgren's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Jerold Lundgren enrolled in Medicare?

Yes. Jerold Lundgren 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.

When was this NPI record last updated?

The NPPES record for Jerold Lundgren was last updated on March 31, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.