AMY MAUREEN HENNESSY MD
NPI 1205088960
Obstetrics & Gynecology in Brockport, NY

Active since October 14, 2008PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
6668 FOURTH SECTION RD STE 500, BROCKPORT, NY 14420(585) 637-2670(585) 637-3678 Get Directions Write a Review

NPPES record last updated: August 2, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 2, 2019, Dec 14, 2018 (2 updates tracked since 2018).

About Amy Maureen Hennessy Md NPPES

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

AMY MAUREEN HENNESSY MD (NPI 1205088960) is an individual obstetrics & gynecology provider in Brockport, New York, licensed in New York (300384) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and maintains a secondary practice location in Mc Lean.

NPPES Registry Identity

NPI1205088960
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameAMY MAUREEN HENNESSYCredential: MD
Location Address6668 FOURTH SECTION RD STE 500Brockport, NY 14420
Mailing Address100 Kings Hwy SRochester, NY 14617-5504 · (585) 637-2670 · Fax (585) 637-3678
Fax(585) 637-3678
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateOctober 14, 2008
Last NPPES UpdateAugust 2, 20192 updates tracked since enumeration
✔ NPI 1205088960 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 · 300384
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.
6668 FOURTH SECTION RD STE 500, Brockport, NY 14420

Secondary Practice Location 1

Location 16845 Elm St, suite 600Mc Lean, VA 22101-6007 · Phone (703) 748-9880 · Fax (703) 748-7123

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amy Maureen Hennessy 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 ID4880879295
PECOS Enrollment IDI20190816000113
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 Amy Hennessy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical Medical Laboratory
160 ELMGROVE PARK
Rochester, NY 14624
  • Reassigned Medicare billing, New York enrollment
  • 1,442 clinicians in this Medicare group
Urgent Care
100 MAPLE AVE E
Vienna, VA 22180
  • Reassigned Medicare billing, Virginia and District of Columbia enrollments
  • Also billed through NPI 1669511051 (District of Columbia)
  • 2,379 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims

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.

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.
24 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Unity Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330226
Location1555 Long Pond RoadRochester, NY 14626 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14420 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.

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

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 Amy Hennessy's NPI number?

The NPI number for Amy Hennessy is 1205088960. It was assigned to this individual provider in the NPPES registry on October 14, 2008.

Where is Amy Hennessy located?

Amy Hennessy practices at 6668 Fourth Section Rd Ste 500, Brockport, NY 14420. The listed phone number is (585) 637-2670.

What is Amy Hennessy's specialty?

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

Is Amy Hennessy enrolled in Medicare?

Yes. Amy Hennessy 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.

Which organizations bill Medicare for Amy Hennessy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Hennessy reassigns Medicare benefits to 2 organizations: The Unity Hospital Of Rochester (Rochester, NY) and Inova Health Care Services (Vienna, VA). 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 Amy Hennessy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Amy Hennessy affiliated with any hospitals?

According to CMS data, Amy Hennessy is affiliated with Rochester General Hospital and Unity Hospital.

When was this NPI record last updated?

The NPPES record for Amy Hennessy was last updated on August 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.