RUTH M O'REGAN MD
NPI 1215981238
Internal Medicine - Medical Oncology in Rochester, NY

Active since May 22, 2006PECOS EnrolledAccepts Medicare Assignment
601 ELMWOOD AVE, ROCHESTER, NY 14642(585) 275-7938 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 3, 2023, Feb 15, 2021, Jan 6, 2021 (3 updates tracked since 2021).

About Ruth M O'regan Md NPPES

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

RUTH M O'REGAN MD (NPI 1215981238) is an individual medical oncology provider in Rochester, New York, licensed in New York (308369) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Highland Hospital, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1215981238
Entity TypeIndividualFemale
Primary Taxonomy207RX0202X
Provider Legal NameRUTH M O'REGANCredential: MD
Location Address601 ELMWOOD AVERochester, NY 14642-5209
Mailing Address601 Elmwood Ave Box 704Rochester, NY 14642-0001 · (585) 275-7938
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateMay 22, 2006
Last NPPES UpdateJuly 3, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2021
✔ NPI 1215981238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in NY · 308369
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License 308369 (NY)
601 ELMWOOD AVE, Rochester, NY 14642

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

Ruth M O'regan 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 ID648254136
PECOS Enrollment IDI20210209000686
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

3

Medicare enrollment records show Ruth O'regan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hematology
601 ELMWOOD AVE
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 154 clinicians in this Medicare group
General Acute Care Hospital
601 ELMWOOD AVE, BOX 684
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 1,624 clinicians in this Medicare group
Optometrist
133 PERFORMANCE DRIVE
Darlington, WI 53530
  • Reassigned Medicare billing, Wisconsin enrollment
  • 175 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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
59 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Highland Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330164
Location1000 South AvenueRochester, NY 14617 · Monroe County
Emergency services Birthing friendly

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 14642 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
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
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.

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.

Physician Assistant
601 ELMWOOD AVE
ROCHESTER, NY 14642
Pediatrics (Neonatal-Perinatal Medicine)
601 ELMWOOD AVE, BOX 635
ROCHESTER, NY 14642
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE, BOX 648
ROCHESTER, NY 14642
Nurse Practitioner (Family)
601 ELMWOOD AVE, BOX 652
ROCHESTER, NY 14642
Urology (Pediatric Urology)
601 ELMWOOD AVE, BOX 656
ROCHESTER, NY 14642
Nurse Practitioner (Adult Health)
601 ELMWOOD AVE, BOX 704
ROCHESTER, NY 14642
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVE, BOX 705
ROCHESTER, NY 14642
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE
ROCHESTER, NY 14642

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 Ruth O'regan's NPI number?

The NPI number for Ruth O'regan is 1215981238. It was assigned to this individual provider in the NPPES registry on May 22, 2006.

Where is Ruth O'regan located?

Ruth O'regan practices at 601 Elmwood Ave, Rochester, NY 14642. The listed phone number is (585) 275-7938.

What is Ruth O'regan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Ruth O'regan enrolled in Medicare?

Yes. Ruth O'regan 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 Ruth O'regan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ruth O'regan reassigns Medicare benefits to 3 organizations: Hematology Clinical Group (Rochester, NY), University Of Rochester (Rochester, NY) and Southwest Health Center, Inc. (Darlington, WI). 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 Ruth O'regan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Ruth O'regan affiliated with any hospitals?

According to CMS data, Ruth O'regan is affiliated with Highland Hospital and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Ruth O'regan was last updated on July 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.