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OLIVIA MARIE RAETZ PA
NPI 1205649589
Physician Assistant in Rochester, NY

Active since January 30, 2025PECOS EnrolledAccepts Medicare Assignment
1445 PORTLAND AVE STE 309, ROCHESTER, NY 14621(585) 342-2638 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Olivia Marie Raetz Pa NPPES

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

OLIVIA MARIE RAETZ PA (NPI 1205649589) is an individual physician assistant in Rochester, New York, licensed in New York (033384) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, is affiliated with F F Thompson Hospital, and maintains a secondary practice location in Canandaigua.

NPPES Registry Identity

NPI1205649589
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameOLIVIA MARIE RAETZCredential: PA
Location Address1445 PORTLAND AVE STE 309Rochester, NY 14621-3008
Mailing Address100 Kings Hwy SRochester, NY 14617-5504
Phone(585) 342-2638
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 30, 2025
Last NPPES UpdateMarch 27, 2026
NPPES CertifiedMarch 27, 2026
✔ NPI 1205649589 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 · 033384
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.
1445 PORTLAND AVE STE 309, Rochester, NY 14621
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Secondary Practice Location 1

Location 1183 Parrish St Ste 220Canandaigua, NY 14424-1874 · Phone (585) 342-3638 · Fax (585) 730-7500

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

Olivia Marie Raetz Pa 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 ID4880117514
PECOS Enrollment IDI20250402003251
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 2

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

F F Thompson Hospital

Acute Care Hospitals · Canandaigua, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330074
Location350 Parrish StreetCanandaigua, NY 14424 · Ontario County
Emergency services Birthing friendly

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14621 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 3

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

DR. ANGEL N. BOEV MD
Neurological Surgery
1445 PORTLAND AVE STE 309
ROCHESTER, NY 14621
Monroe County (585) 342-2638
MEREDITH KATHLEEN ABBASI PNP
Nurse Practitioner (Pediatrics)
1445 PORTLAND AVE STE 309
ROCHESTER, NY 14621
Monroe County (585) 922-4240
BOEV MEDICAL, PLLC
Neurological Surgery
1445 PORTLAND AVE STE 309
ROCHESTER, NY 14621
Monroe County (585) 342-2638

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 Olivia Raetz's NPI number?

The NPI number for Olivia Raetz is 1205649589. It was assigned to this individual provider in the NPPES registry on January 30, 2025.

Where is Olivia Raetz located?

Olivia Raetz practices at 1445 Portland Ave Ste 309, Rochester, NY 14621. The listed phone number is (585) 342-2638.

What is Olivia Raetz's specialty?

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

Is Olivia Raetz enrolled in Medicare?

Yes. Olivia Raetz 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 Olivia Raetz affiliated with any hospitals?

According to CMS data, Olivia Raetz is affiliated with F F Thompson Hospital and Rochester General Hospital.

When was this NPI record last updated?

The NPPES record for Olivia Raetz was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.