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DIANA CHADDOCK RN, NP
NPI 1144497983
Nurse Practitioner - Adult Health in Rochester, NY

Active since May 12, 2008PECOS Enrolled
95.19/100
CMS Quality Rating
30 HAGEN DR, SUITE 100, ROCHESTER, NY 14625(585) 338-2700(585) 242-9663 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 30, 2022, May 11, 2021 (2 updates tracked since 2021).

About Diana Chaddock Rn, Np NPPES

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

DIANA CHADDOCK RN, NP (NPI 1144497983) is an individual adult health provider in Rochester, New York, licensed in New York (F304798) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1144497983
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameDIANA CHADDOCKCredential: RN, NP
Location Address30 HAGEN DR, SUITE 100Rochester, NY 14625-2658
Mailing Address30 Hagen Dr, Suite 100Rochester, NY 14625-2658 · (585) 338-2700 · Fax (585) 242-9663
Phone(585) 338-2700
Fax(585) 242-9663
Sole ProprietorNo
Enumeration DateMay 12, 2008
Last NPPES UpdateAugust 30, 20222 updates tracked since enumeration
NPPES CertifiedAugust 30, 2022
✔ NPI 1144497983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F304798
Also ListedNurse PractitionerTaxonomy 363L00000X · License F304798 (NY)
30 HAGEN DR, Rochester, NY 14625
Open in Google Maps ↗

Secondary Practice Location 1

Location 11415 Portland Ave Ste 350Rochester, NY 14621-3043 · Phone (585) 442-5320 · Fax (585) 922-9061

Other Identifiers 6

Other000933778002Community Blue
Other1144497983Mvp
Other090109000075Fidelis Care
Other000933778001Healthnow
OtherPO193404798Blue Choice
Medicaid02976112NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diana Chaddock Rn, Np 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

2

Medicare enrollment records show Diana Chaddock reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Western New York Medical Practice, P.C.
3.8 mi
Ophthalmology
2301 LAC DE VILLE BLVD
Rochester, NY 14618
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Western New York Medical Practice PC
  • 1,030 clinicians in this Medicare group
NPI 1891467486 (585) 244-0332
Rochester General Hospital
4.3 mi
Internal Medicine
222 ALEXANDER ST
Rochester, NY 14607
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
NPI 1760557656 (585) 922-3150

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 14625 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.

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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
Improvement Activities40

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.

DR. CYNTHIA R. REDDECK M.D.
Internal Medicine (Cardiovascular Disease)
30 HAGEN DR, SUITE 100
ROCHESTER, NY 14625
Monroe County (585) 338-2700
DR. LAWRENCE E GAGE M.D.
Internal Medicine (Cardiovascular Disease)
30 HAGEN DR, SUITE 100
ROCHESTER, NY 14625
Monroe County (585) 338-2700
MR. PIOTR ZBIGNIEW IMIOLEK M.D.
Internal Medicine
30 HAGEN DR
ROCHESTER, NY 14625
Monroe County (585) 922-0180
DR. TODD STEIN MD
Specialist
30 HAGEN DR, SUITE 220
ROCHESTER, NY 14625
Monroe County (585) 295-5314
CATENA CHIROPRACTIC CARE, PC
Chiropractor
30 HAGEN DR, SUITE 200
ROCHESTER, NY 14625
Monroe County (585) 233-4527
MARLENE HERMANN ETLINGER RPAC
Physician Assistant
30 HAGEN DR, SUITE 300
ROCHESTER, NY 14625
Monroe County (585) 381-1440
DR. DEBRA A. RENNER M.D.
Family Medicine
30 HAGEN DR, SUITE 320
ROCHESTER, NY 14625
Monroe County (585) 922-0130
MR. THOMAS A FROSINI RPAC
Physician Assistant
30 HAGEN DR, STE 220
ROCHESTER, NY 14625
Monroe County (585) 295-5314

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 Diana Chaddock's NPI number?

The NPI number for Diana Chaddock is 1144497983. It was assigned to this individual provider in the NPPES registry on May 12, 2008.

Where is Diana Chaddock located?

Diana Chaddock practices at 30 Hagen Dr Suite 100, Rochester, NY 14625. The listed phone number is (585) 338-2700.

What is Diana Chaddock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Diana Chaddock enrolled in Medicare?

Yes. Diana Chaddock is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Diana Chaddock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Diana Chaddock reassigns Medicare benefits to 2 organizations: Western New York Medical Practice, P.C. (Rochester, NY) and Rochester General Hospital (Rochester, NY). 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 Diana Chaddock'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 Diana Chaddock was last updated on August 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.