ETHAN NERE BEAUDETT D.O
NPI 1205240835
Family Medicine - Sports Medicine in Rochester, NY

Active since June 11, 2014PECOS EnrolledAccepts Medicare Assignment
76.84/100
CMS Quality Rating
738 LIBRARY ROAD, #1, ROCHESTER, NY 14627(585) 275-2662(585) 276-0149 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ethan Nere Beaudett D.o NPPES

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

ETHAN NERE BEAUDETT D.O (NPI 1205240835) is an individual sports medicine provider in Rochester, New York, licensed in New York (290946) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Strong Memorial Hospital, and is a graduate of University Of New England, College Of Osteo Medicine (2014).

NPPES Registry Identity

NPI1205240835
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameETHAN NERE BEAUDETTCredential: D.O
Location Address738 LIBRARY ROAD, #1Rochester, NY 14627-0617
Mailing Address738 Library Road, Po Box 270617Rochester, NY 14627-0617 · (585) 275-2662 · Fax (585) 276-0149
Fax(585) 276-0149
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2014
Enumeration DateJune 11, 2014
Last NPPES UpdateJune 30, 2023
NPPES CertifiedMay 28, 2020
NPI 1205240835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License Licensed in NY · 290946
Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 290946 (NY)
738 LIBRARY ROAD, Rochester, NY 14627

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

Ethan Nere Beaudett D.o 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 ID6406281609
PECOS Enrollment IDI20200116001243
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.

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14627 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.

76.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.2
Promoting Interoperability100
Improvement Activities40
Cost42.68

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
738 LIBRARY ROAD, UNIVERSITY COUNSELING CENTER, UNIVERSITY OF ROCHESTER
ROCHESTER, NY 14627
Psychologist (Clinical)
738 LIBRARY ROAD, ROOM 325
ROCHESTER, NY 14627
Psychologist (Counseling)
738 LIBRARY ROAD, 3RD FLR UNIVERSITY COUNSELING CENTER U OF ROCHESTER
ROCHESTER, NY 14627
Social Worker
738 LIBRARY ROAD
ROCHESTER, NY 14627

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 Ethan Beaudett's NPI number?

The NPI number for Ethan Beaudett is 1205240835. It was assigned to this individual provider in the NPPES registry on June 11, 2014.

Where is Ethan Beaudett located?

Ethan Beaudett practices at 738 Library Road #1, Rochester, NY 14627. The listed phone number is (585) 275-2662.

What is Ethan Beaudett's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Ethan Beaudett enrolled in Medicare?

Yes. Ethan Beaudett 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.

Is Ethan Beaudett affiliated with any hospitals?

According to CMS data, Ethan Beaudett is affiliated with Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Ethan Beaudett was last updated on June 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.