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CANDACE GILDNER MD, PHD
NPI 1124381439
Pediatrics in Rochester, NY

Active since June 21, 2012PECOS Enrolled
601 ELMWOOD AVE, ROCHESTER, NY 14642(585) 275-7520(215) 590-2180 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 3, 2023, Jun 29, 2020, Aug 30, 2018 (3 updates tracked since 2018).

About Candace Gildner Md, Phd NPPES

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

CANDACE GILDNER MD, PHD (NPI 1124381439) is an individual pediatrics provider in Rochester, New York, licensed in New York (303423) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124381439
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameCANDACE GILDNERCredential: MD, PHD
Location Address601 ELMWOOD AVERochester, NY 14642-4319
Mailing Address601 Elmwood Avenue Box 777Rochester, NY 14642-0001
Phone(585) 275-7520
Fax(215) 590-2180
Sole ProprietorNo
Enumeration DateJune 21, 2012
Last NPPES UpdateJuly 3, 20233 updates tracked since enumeration
NPPES CertifiedJune 29, 2020
✔ NPI 1124381439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in NY · 303423✔ Licensed in PA · MD463802
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedHospitalistTaxonomy 208M00000X · License 303423 (NY)
601 ELMWOOD AVE, Rochester, NY 14642
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Other Identifiers 1

Medicaid1034905520002PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Candace Gildner Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Candace Gildner reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatric Group Univ Of Rochester
Same address
Pediatric Hematology-Oncology
601 ELMWOOD AVE
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 88 clinicians in this Medicare group
NPI 1083271787 (585) 275-2981
Pediatric Metabolism Endercrenology
Same address
Pediatric Endocrinology
601 ELMWOOD AVE, BOX 635
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 20 clinicians in this Medicare group
NPI 1508800376 (585) 275-7787
Childrens Health Care Associates, Inc
253 mi
Neurology
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,225 clinicians in this Medicare group
NPI 1033204086 (215) 590-1000

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

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
$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.

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.

CARIE E BRADT RPA-C
Physician Assistant
601 ELMWOOD AVE
ROCHESTER, NY 14642
Monroe County (585) 275-6070
DR. RITA DADIZ DO
Pediatrics (Neonatal-Perinatal Medicine)
601 ELMWOOD AVE, BOX 635
ROCHESTER, NY 14642
Monroe County (585) 275-7787
DR. SCOTT ROSS SCHIFFMAN M.D.
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE, BOX 648
ROCHESTER, NY 14642
Monroe County (585) 275-1128
SARAH ANNE ROSSI FNP
Nurse Practitioner (Family)
601 ELMWOOD AVE, BOX 652
ROCHESTER, NY 14642
Monroe County (585) 279-5100
JIMENA CUBILLOS MD
Urology (Pediatric Urology)
601 ELMWOOD AVE, BOX 656
ROCHESTER, NY 14642
Monroe County (585) 275-3342
MRS. ANNE SCHERBERGER KEEFER RN NP
Nurse Practitioner (Adult Health)
601 ELMWOOD AVE, BOX 704
ROCHESTER, NY 14642
Monroe County (585) 275-5307
SCOTT OVERHOLT DDS
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVE, BOX 705
ROCHESTER, NY 14642
Monroe County (585) 275-7978
MS. SARAH L AVERILL MD
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE
ROCHESTER, NY 14642
Monroe County (585) 275-2100

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 Candace Gildner's NPI number?

The NPI number for Candace Gildner is 1124381439. It was assigned to this individual provider in the NPPES registry on June 21, 2012.

Where is Candace Gildner located?

Candace Gildner practices at 601 Elmwood Ave, Rochester, NY 14642. The listed phone number is (585) 275-7520.

What is Candace Gildner's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Candace Gildner enrolled in Medicare?

Yes. Candace Gildner is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Candace Gildner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Candace Gildner reassigns Medicare benefits to 3 organizations: Pediatric Group Univ Of Rochester (Rochester, NY), Pediatric Metabolism Endercrenology (Rochester, NY) and Childrens Health Care Associates, Inc (Philadelphia, PA). Each 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 Candace Gildner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Candace Gildner was last updated on July 3, 2023. 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.