STEPHEN E ETTINGHAUSEN M.D.
NPI 1225068638
Surgery - Surgical Oncology in Rochester, NY
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
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stephen E Ettinghausen M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Stephen Ettinghausen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rochester, NY 14621
- Reassigned Medicare billing, New York enrollment
- 2,285 clinicians in this Medicare group
Potsdam, NY 13676
- Reassigned Medicare billing, New York enrollment
- 414 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.
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.
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.
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.
ROCHESTER, NY 14621
ROCHESTER, NY 14621
ROCHESTER, NY 14621
ROCHESTER, NY 14621
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.
Which organizations bill Medicare for Stephen Ettinghausen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Ettinghausen reassigns Medicare benefits to 2 organizations: Rochester General Hospital (Rochester, NY) and Canton-Potsdam Hospital (Potsdam, NY). 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 Stephen Ettinghausen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Stephen Ettinghausen was last updated on August 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Stephen E Ettinghausen, M.D. · NPI 1225068638
Surgical Oncology physician in Rochester, New York. Individual provider, active in the CMS NPPES registry since July 3, 2006.
## Identity
- **NPI:** 1225068638 (Entity type: Individual)
- **Enumerated:** July 3, 2006
- **Primary specialty:** Surgery - Surgical Oncology · taxonomy 2086X0206X
- **State license:** 138462 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1415 PORTLAND AVE, SUITE 245, Rochester, NY 14621-3038
- **Phone:** (585) 922-4874
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Rochester General Hospital (NPI 1063531929, Rochester, NY); Canton-Potsdam Hospital (NPI 1568548782, Potsdam, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 6, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1225068638) · Data from the CMS NPPES public registry.