SUSAN J WEGMAN D.O.
NPI 1225067572
Internal Medicine in Rochester, NY

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment
85.17/100
CMS Quality Rating
135 CORPORATE WOODS STE 200C, ROCHESTER, NY 14623(585) 784-7848(585) 748-7844 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 5, 2023, Jan 31, 2022 (2 updates tracked since 2022).

About Susan J Wegman D.o. NPPES

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

SUSAN J WEGMAN D.O. (NPI 1225067572) is an individual internal medicine provider in Rochester, New York, licensed in New York (175395) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (1987).

NPPES Registry Identity

NPI1225067572
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSUSAN J WEGMANCredential: D.O.
Location Address135 CORPORATE WOODS STE 200CRochester, NY 14623-1459
Mailing Address135 Corporate Woods Ste 200cRochester, NY 14623-1459 · (585) 784-7848 · Fax (585) 748-7844
Fax(585) 748-7844
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 1987
Enumeration DateJune 30, 2006
Last NPPES UpdateJuly 5, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2022
NPI 1225067572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 175395
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
135 CORPORATE WOODS STE 200C, Rochester, NY 14623

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

Susan J Wegman 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 ID6709981491
PECOS Enrollment IDI20070425000462
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.

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.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14623 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
$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.

85.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.92
Promoting Interoperability100
Improvement Activities40
Cost62.98

Other Providers at the Same Location NPPES 8

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

Internal Medicine
135 CORPORATE WOODS STE 200C
ROCHESTER, NY 14623
Internal Medicine
135 CORPORATE WOODS STE 200C
ROCHESTER, NY 14623
Internal Medicine
135 CORPORATE WOODS STE 200C
ROCHESTER, NY 14623
Internal Medicine
135 CORPORATE WOODS STE 200C
ROCHESTER, NY 14623
Internal Medicine
135 CORPORATE WOODS STE 200C
ROCHESTER, NY 14623
Internal Medicine
135 CORPORATE WOODS STE 200C
ROCHESTER, NY 14623
Internal Medicine
135 CORPORATE WOODS STE 200C
ROCHESTER, NY 14623
Internal Medicine
135 CORPORATE WOODS STE 200C
ROCHESTER, NY 14623

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 Susan Wegman's NPI number?

The NPI number for Susan Wegman is 1225067572. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Susan Wegman located?

Susan Wegman practices at 135 Corporate Woods Ste 200C, Rochester, NY 14623. The listed phone number is (585) 784-7848.

What is Susan Wegman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Susan Wegman enrolled in Medicare?

Yes. Susan Wegman 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.

When was this NPI record last updated?

The NPPES record for Susan Wegman was last updated on July 5, 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.