KATIE ELIZABETH DIMARTINO PA
NPI 1225385305
Physician Assistant - Surgical in Rochester, NY

Active since August 08, 2012PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
2655 RIDGEWAY AVE STE 240, ROCHESTER, NY 14626(585) 723-7060(585) 723-7325 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 26, 2026, Jun 11, 2019 (2 updates tracked since 2019).

About Katie Elizabeth Dimartino Pa NPPES

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

KATIE ELIZABETH DIMARTINO PA (NPI 1225385305) is an individual surgical provider in Rochester, New York, licensed in New York (015698) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1225385305
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameKATIE ELIZABETH DIMARTINOCredential: PA
Location Address2655 RIDGEWAY AVE STE 240Rochester, NY 14626-4296
Mailing Address100 Kings Hwy SRochester, NY 14617-5504
Fax(585) 723-7325
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 8, 2012
Last NPPES UpdateMarch 26, 20262 updates tracked since enumeration
NPPES CertifiedMarch 26, 2026
NPI 1225385305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NY · 015698
2655 RIDGEWAY AVE STE 240, Rochester, NY 14626

Other Names 1

Former Name (1)Katie Elizabeth Kenny Pa

Secondary Practice Locations 4

Location 11445 Portland Ave Ste 108Rochester, NY 14621-3008 · Phone (585) 922-5550 · Fax (585) 922-5950
Location 230 Hagen Dr Ste 30Rochester, NY 14625-2658 · Phone (585) 922-5300 · Fax (585) 922-0450
Location 31555 Long Pond Rd Fl 1Rochester, NY 14626-4164 · Phone (585) 723-7000 · Fax (585) 723-7280
Location 42 Coulter Rd Ste 1680Clifton Springs, NY 14432-1122 · Phone (315) 906-4059 · Fax (315) 332-8780

Other Identifiers 2

Medicaid03524476NY
Other12434137NY · Caqh

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

Katie Elizabeth Dimartino Pa 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 ID6608021175
PECOS Enrollment IDI20130307000200
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 3

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
50 services29 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
20 services16 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Clifton Springs Hospital And Clinic

Acute Care Hospitals · Clifton Springs, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330265
Location2 Coulter RoadClifton Springs, NY 14432 · Ontario County
Emergency services

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
Quality70.62
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

Surgery (Vascular Surgery)
2655 RIDGEWAY AVE STE 240
ROCHESTER, NY 14626

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 Katie Dimartino's NPI number?

The NPI number for Katie Dimartino is 1225385305. It was assigned to this individual provider in the NPPES registry on August 8, 2012. The provider is also known as Katie Elizabeth Kenny PA.

Where is Katie Dimartino located?

Katie Dimartino practices at 2655 Ridgeway Ave Ste 240, Rochester, NY 14626. The listed phone number is (585) 723-7060.

What is Katie Dimartino's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Katie Dimartino enrolled in Medicare?

Yes. Katie Dimartino 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.

Is Katie Dimartino affiliated with any hospitals?

According to CMS data, Katie Dimartino is affiliated with Rochester General Hospital and Clifton Springs Hospital And Clinic.

When was this NPI record last updated?

The NPPES record for Katie Dimartino was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.