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BROOKE GLORIA DEVORE
NPI 1124813217
Physician Assistant in Buffalo, NY

Active since April 10, 2025PECOS Enrolled
2950 ELMWOOD AVE, BUFFALO, NY 14217(585) 754-5626 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 17, 2025, Apr 10, 2025 (2 updates tracked since 2025).

About Brooke Gloria Devore NPPES

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

BROOKE GLORIA DEVORE (NPI 1124813217) is an individual physician assistant in Buffalo, New York, licensed in New York (034546) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS, is affiliated with Kenmore Mercy Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1124813217
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBROOKE GLORIA DEVORE
Location Address2950 ELMWOOD AVEBuffalo, NY 14217-1304
Mailing Address61 Monterey PkwyRochester, NY 14618-1815 · (585) 754-5626
Phone(585) 754-5626
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 10, 2025
Last NPPES UpdateSeptember 17, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2025
✔ NPI 1124813217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 034546
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2950 ELMWOOD AVE, Buffalo, NY 14217
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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 (PECOS)

Brooke Gloria Devore is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284130873
PECOS Enrollment IDI20251002001346
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

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kenmore Mercy Hospital

Acute Care Hospitals · Kenmore, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330102
Location2950 Elmwood AvenueKenmore, NY 14217 · Erie County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14217 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
$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.

MRS. BREANNE FINUCANE JEFFREY RPA-C
Physician Assistant (Surgical)
2950 ELMWOOD AVE
KENMORE, NY 14217
Erie County (716) 262-4607
NORA E. BALON FNP-BC
Nurse Practitioner (Family)
2950 ELMWOOD AVE
BUFFALO, NY 14217
Erie County (716) 447-6100
ROBERT E BAKER III PA
Physician Assistant
2950 ELMWOOD AVE
KENMORE, NY 14217
Erie County (716) 447-6100
VICTORIA PAULSEN
Nurse Anesthetist, Certified Registered
2950 ELMWOOD AVE
KENMORE, NY 14217
Erie County (716) 323-6570
NIKHIL PATEL PHYSICIAN PLLC
Radiology (Vascular & Interventional Radiology)
2950 ELMWOOD AVE
BUFFALO, NY 14217
Erie County (716) 447-6100
DR. SARA DITURSI PHARMD
Pharmacist
2950 ELMWOOD AVE
BUFFALO, NY 14217
Erie County (716) 447-6000
KENMORE MERCY HOSPITAL
Internal Medicine (Pulmonary Disease)
2950 ELMWOOD AVE
KENMORE, NY 14217
Erie County (716) 447-6100
DR. JAMES MICHAEL BARTLETT PHARMD
Pharmacist
2950 ELMWOOD AVE
KENMORE, NY 14217
Erie County (716) 713-2722

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 Brooke Devore's NPI number?

The NPI number for Brooke Devore is 1124813217. It was assigned to this individual provider in the NPPES registry on April 10, 2025.

Where is Brooke Devore located?

Brooke Devore practices at 2950 Elmwood Ave, Buffalo, NY 14217. The listed phone number is (585) 754-5626.

What is Brooke Devore's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Brooke Devore enrolled in Medicare?

Yes. Brooke Devore is registered in the Medicare PECOS enrollment system.

Is Brooke Devore affiliated with any hospitals?

According to CMS data, Brooke Devore is affiliated with Kenmore Mercy Hospital.

When was this NPI record last updated?

The NPPES record for Brooke Devore was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.