STEPHEN E ETTINGHAUSEN M.D.
NPI 1225068638
Surgery - Surgical Oncology in Rochester, NY

Q: What is Stephen Ettinghausen's NPI number?

The NPI number for Stephen Ettinghausen is 1225068638. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Q: What is Stephen Ettinghausen's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Active since July 03, 2006PECOS Enrolled

95.19/100

CMS Quality Rating

1415 PORTLAND AVE, SUITE 245, ROCHESTER, NY 14621(585) 922-4874 Get Directions Write a Review

NPPES record last updated: August 6, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Stephen E Ettinghausen M.d. NPPES

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

STEPHEN E ETTINGHAUSEN M.D. (NPI 1225068638) is an individual surgical oncology provider in Rochester, New York, licensed in New York (138462) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225068638

Entity TypeIndividualMale

Primary Taxonomy2086X0206X

Provider Legal NameSTEPHEN E ETTINGHAUSENCredential: M.D.

Location Address1415 PORTLAND AVE, SUITE 245Rochester, NY 14621-3038

Mailing Address1415 Portland Ave, Suite 245Rochester, NY 14621-3038 · (585) 922-4874

Phone(585) 922-4874

Sole ProprietorYes

Enumeration DateJuly 3, 2006

Last NPPES UpdateAugust 6, 2012

✔ NPI 1225068638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2086X0206X

License✔ Licensed in NY · 138462

Definition

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Also ListedSurgeryTaxonomy 208600000X · License 138462 (NY)

1415 PORTLAND AVE, Rochester, NY 14621

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephen E Ettinghausen M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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

$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

$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

Quality

70.62

Promoting Interoperability

100

Improvement Activities

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.

RONALD L KIRSHNER MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

1415 PORTLAND AVE, SUITE 240
ROCHESTER, NY 14621

Monroe County (585) 544-6550

HASSAN K RAMANATH MD

Surgery

1415 PORTLAND AVE, SUITE 155
ROCHESTER, NY 14621

Monroe County (585) 342-0140

DR. KEITH GRAMS M.D.

Emergency Medicine

1415 PORTLAND AVE, SUITE 305
ROCHESTER, NY 14621

Monroe County (585) 922-4638

RALPH J DOERR M.D.

Surgery

1415 PORTLAND AVE, SUITE 245
ROCHESTER, NY 14621

Monroe County (585) 922-4874

JUDITH ANN STERNBERG NP

Nurse Practitioner (Women's Health)

1415 PORTLAND AVE, SUITE 400
ROCHESTER, NY 14621

Monroe County (585) 922-4200

LINDSAY K HOLMES NP

Nurse Practitioner

1415 PORTLAND AVE, SUITE480
ROCHESTER, NY 14621

Monroe County (585) 544-7979

GENESEE VALLEY CARDIOTHORACIC, PC

Thoracic Surgery (Cardiothoracic Vascular Surgery)

1415 PORTLAND AVE, SUITE 240
ROCHESTER, NY 14621

Monroe County (585) 544-6550

MRS. REGINA RESNICK MCNAMARA RPA-C

Physician Assistant (Medical)

1415 PORTLAND AVE, SUITE 190
ROCHESTER, NY 14621

Monroe County (585) 336-5000

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 Stephen Ettinghausen's NPI number?

The NPI number for Stephen Ettinghausen is 1225068638. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Stephen Ettinghausen located?

Stephen Ettinghausen practices at 1415 Portland Ave Suite 245, Rochester, NY 14621. The listed phone number is (585) 922-4874.

What is Stephen Ettinghausen's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Stephen Ettinghausen enrolled in Medicare?

Yes. Stephen Ettinghausen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephen Ettinghausen was last updated on August 6, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.