MEGAN JANE SPOTO PA-C
NPI 1235796756
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Rochester, NY

Q: What is Megan Spoto's NPI number?

The NPI number for Megan Spoto is 1235796756. It was assigned to this individual provider in the NPPES registry on May 20, 2019. The provider is also known as Megan Jane Poirier Pa-C.

Q: What is Megan Spoto's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for Megan Spoto was last updated on October 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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 May 20, 2019PECOS EnrolledAccepts Medicare Assignment

98.21/100

CMS Quality Rating

601 ELMWOOD AVE, ROCHESTER, NY 14642(585) 275-1509 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 11, 2024, Jul 3, 2023, Oct 18, 2019 and 1 more (4 updates tracked since 2019).

On this page

About Megan Jane Spoto Pa-c NPPES

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

MEGAN JANE SPOTO PA-C (NPI 1235796756) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Rochester, New York, licensed in New York (024285) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Geneva General Hospital, and maintains a secondary practice location in Spencerport.

NPPES Registry Identity

NPI1235796756

Entity TypeIndividualFemale

Primary Taxonomy208G00000X

Provider Legal NameMEGAN JANE SPOTOCredential: PA-C

Location Address601 ELMWOOD AVERochester, NY 14642-9591

Mailing Address52 Sarah CirSpencerport, NY 14559-9591 · (585) 545-5156

Phone(585) 275-1509

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateMay 20, 2019

Last NPPES UpdateOctober 11, 20244 updates tracked since enumeration

NPPES CertifiedOctober 11, 2024

✔ NPI 1235796756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

License✔ Licensed in NY · 024285

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Also ListedNurse PractitionerTaxonomy 363L00000X · License 24285 (NY)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

601 ELMWOOD AVE, Rochester, NY 14642

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Other Names 1

Former Name (1)Megan Jane Poirier Pa-c

Secondary Practice Location 1

Location 152 Sarah CirSpencerport, NY 14559-9591 · Phone (585) 545-5156

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

Megan Jane Spoto Pa-c 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 ID446682264

PECOS Enrollment IDI20191118000687

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 2

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.

25 services25 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Geneva General Hospital

Acute Care Hospitals · Geneva, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number330058

Location196 -198 North StreetGeneva, NY 14456 · Ontario County

Emergency services

F F Thompson Hospital

Acute Care Hospitals · Canandaigua, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330074

Location350 Parrish StreetCanandaigua, NY 14424 · Ontario County

Emergency services Birthing friendly

St James Mercy Hospital

Acute Care Hospitals · Hornell, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330151

Location7329 Seneca Road NorthHornell, NY 14843 · Steuben County

Emergency services

Nicholas H Noyes Memorial Hospital

Acute Care Hospitals · Dansville, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330238

Location111 Clara Barton StreetDansville, NY 14437 · Livingston County

Emergency services Birthing friendly

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330285

Location601 Elmwood AveRochester, NY 14642 · Monroe County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14642 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.

98.21/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

80.57

Promoting Interoperability

100

Improvement Activities

Cost

95.57

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4036

Other-Enteral and Parenteral · category OB006N

1 supplier11 claims330 services$3.57 avg. paid by Medicare

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

2 suppliers21 claims10,186 services$0.27 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

CARIE E BRADT RPA-C

Physician Assistant

601 ELMWOOD AVE
ROCHESTER, NY 14642

Monroe County (585) 275-6070

DR. RITA DADIZ DO

Pediatrics (Neonatal-Perinatal Medicine)

601 ELMWOOD AVE, BOX 635
ROCHESTER, NY 14642

Monroe County (585) 275-7787

DR. SCOTT ROSS SCHIFFMAN M.D.

Radiology (Diagnostic Radiology)

601 ELMWOOD AVE, BOX 648
ROCHESTER, NY 14642

Monroe County (585) 275-1128

SARAH ANNE ROSSI FNP

Nurse Practitioner (Family)

601 ELMWOOD AVE, BOX 652
ROCHESTER, NY 14642

Monroe County (585) 279-5100

JIMENA CUBILLOS MD

Urology (Pediatric Urology)

601 ELMWOOD AVE, BOX 656
ROCHESTER, NY 14642

Monroe County (585) 275-3342

MRS. ANNE SCHERBERGER KEEFER RN NP

Nurse Practitioner (Adult Health)

601 ELMWOOD AVE, BOX 704
ROCHESTER, NY 14642

Monroe County (585) 275-5307

SCOTT OVERHOLT DDS

Student in an Organized Health Care Education/Training Program

601 ELMWOOD AVE, BOX 705
ROCHESTER, NY 14642

Monroe County (585) 275-7978

MS. SARAH L AVERILL MD

Radiology (Diagnostic Radiology)

601 ELMWOOD AVE
ROCHESTER, NY 14642

Monroe County (585) 275-2100

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 Megan Spoto's NPI number?

The NPI number for Megan Spoto is 1235796756. It was assigned to this individual provider in the NPPES registry on May 20, 2019. The provider is also known as Megan Jane Poirier Pa-C.

Where is Megan Spoto located?

Megan Spoto practices at 601 Elmwood Ave, Rochester, NY 14642. The listed phone number is (585) 275-1509.

What is Megan Spoto's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Megan Spoto enrolled in Medicare?

Yes. Megan Spoto 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 Megan Spoto affiliated with any hospitals?

According to CMS data, Megan Spoto is affiliated with Geneva General Hospital, F F Thompson Hospital, St James Mercy Hospital, Nicholas H Noyes Memorial Hospital and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Megan Spoto was last updated on October 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.