CARLA CULHANE
NPI 1245345180
Internal Medicine - Endocrinology, Diabetes & Metabolism in Rochester, NY

Q: What is Carla Culhane's NPI number?

The NPI number for Carla Culhane is 1245345180. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Q: What is Carla Culhane's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Carla Culhane was last updated on July 5, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 20, 2006PECOS EnrolledAccepts Medicare Assignment

85.17/100

CMS Quality Rating

990 SOUTH AVE STE 207, ROCHESTER, NY 14620(585) 341-6775(585) 341-8310 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 5, 2023, Oct 20, 2022, Aug 16, 2019 and 2 more (5 updates tracked since 2019).

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About Carla Culhane NPPES

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

CARLA CULHANE (NPI 1245345180) is an individual endocrinology, diabetes & metabolism provider in Rochester, New York, licensed in New York (304397) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with F F Thompson Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1245345180

Entity TypeIndividualFemale

Primary Taxonomy207RE0101X

Provider Legal NameCARLA CULHANE

Location Address990 SOUTH AVE STE 207Rochester, NY 14620-2762

Mailing Address8340 Bandford Way, Ste 1Raleigh, NC 27615-2755 · (315) 359-2827

Phone(585) 341-6775

Fax(585) 341-8310

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateAugust 20, 2006

Last NPPES UpdateJuly 5, 20235 updates tracked since enumeration

NPPES CertifiedOctober 20, 2022

✔ NPI 1245345180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in NY · 304397

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 304397 (NY), 302827 (NC)

990 SOUTH AVE STE 207, Rochester, NY 14620

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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

Carla Culhane 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 ID4981700374

PECOS Enrollment IDI20070501000468

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 4

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.

110 services55 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

64 services34 patients

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

64 services40 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

38 services24 patients

Hospital Affiliations CMS Care Compare 3

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

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

Highland Hospital

Acute Care Hospitals · Rochester, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330164

Location1000 South AvenueRochester, NY 14617 · Monroe 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 14620 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

$126.40 typical visit price

range $54.87 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

Most-billed visit code 99214

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.

85.17/100

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

Scored as part of a group practice

Quality

70.92

Promoting Interoperability

100

Improvement Activities

Cost

62.98

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

8 suppliers17 claims57 services$6.35 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

11 suppliers92 claims93 services$178.24 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 11

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

DR. SHIFAN LI MD

Student in an Organized Health Care Education/Training Program