MICHAEL VINCENT DIVITO RPAC
NPI 1225161102
Physician Assistant in Rochester, NY

Q: What is Michael Divito's NPI number?

The NPI number for Michael Divito is 1225161102. It was assigned to this individual provider in the NPPES registry on March 13, 2007.

Q: What is Michael Divito's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michael Divito was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 13, 2007PECOS EnrolledAccepts Medicare Assignment

1555 LONG POND RD, ROCHESTER, NY 14626(585) 723-7000(585) 723-7280 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 11, 2026, Sep 19, 2022, Feb 28, 2019 (3 updates tracked since 2019).

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About Michael Vincent Divito Rpac NPPES

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

MICHAEL VINCENT DIVITO RPAC (NPI 1225161102) is an individual physician assistant in Rochester, New York, licensed in New York (005032) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Unity Hospital, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1225161102

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMICHAEL VINCENT DIVITOCredential: RPAC

Location Address1555 LONG POND RDRochester, NY 14626-4164

Mailing Address100 Kings Hwy SRochester, NY 14617-5504 · (585) 922-5462 · Fax (585) 922-1011

Phone(585) 723-7000

Fax(585) 723-7280

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateMarch 13, 2007

Last NPPES UpdateMay 11, 20263 updates tracked since enumeration

NPPES CertifiedMay 11, 2026

✔ NPI 1225161102 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 · 005032

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.

1555 LONG POND RD, Rochester, NY 14626

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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 and accepts Medicare assignment

Michael Vincent Divito Rpac 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 ID5890035539

PECOS Enrollment IDI20190318000166

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.

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Unity Hospital

Acute Care Hospitals · Rochester, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330226

Location1555 Long Pond RoadRochester, NY 14626 · Monroe County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14626 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 20

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

MACKENZIE R. PETTINELLA PA

Physician Assistant (Medical)

1555 LONG POND RD, DEPT. OF MEDICINE
ROCHESTER, NY 14626

Monroe County (585) 723-7870

FATHI ABOKALAWA MD

Student in an Organized Health Care Education/Training Program