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

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: October 18, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Carla Culhane reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Highland Hospital Of Rochester
Same address
Internal Medicine
1000 SOUTH AVE
Rochester, NY 14620
  • Reassigned Medicare billing, New York enrollment
  • 303 clinicians in this Medicare group
NPI 1376820241 (585) 473-2200
Rochester General Hospital
1.1 mi
Internal Medicine
222 ALEXANDER ST
Rochester, NY 14607
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
NPI 1760557656 (585) 922-3150
Western New York Medical Practice, P.C.
1.3 mi
Ophthalmology
2301 LAC DE VILLE BLVD
Rochester, NY 14618
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Western New York Medical Practice PC
  • 1,030 clinicians in this Medicare group
NPI 1891467486 (585) 244-0332

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
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.
64 services40 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.
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
Quality70.92
Promoting Interoperability100
Improvement Activities40
Cost62.98

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.

FILIP KORITYSSKIY
Student in an Organized Health Care Education/Training Program
990 SOUTH AVE STE 207
ROCHESTER, NY 14620
Monroe County (585) 341-6775
SAMUEL WEEKS MD
Student in an Organized Health Care Education/Training Program
990 SOUTH AVE STE 207
ROCHESTER, NY 14620
Monroe County (585) 341-6775
JOSIAH MILLER MD
Student in an Organized Health Care Education/Training Program
990 SOUTH AVE STE 207
ROCHESTER, NY 14620
Monroe County (585) 341-6775
MR. KYLE ANDREW SILVESTRI RN
Registered Nurse (Ambulatory Care)
990 SOUTH AVE STE 207
ROCHESTER, NY 14620
Monroe County (585) 341-6775
AMANDA SAI-YUN CHOW
Student in an Organized Health Care Education/Training Program
990 SOUTH AVE STE 207
ROCHESTER, NY 14620
Monroe County (585) 341-6775
DR. SHIFAN LI MD
Student in an Organized Health Care Education/Training Program
990 SOUTH AVE STE 207
ROCHESTER, NY 14620
Monroe County (585) 341-6775
DR. SEIF LAETH NASIR MD, MPH
Student in an Organized Health Care Education/Training Program
990 SOUTH AVE STE 207
ROCHESTER, NY 14620
Monroe County (585) 341-6775
DR. SUSAN LAUREL FULMER MD
Otolaryngology
990 SOUTH AVE STE 207
ROCHESTER, NY 14620
Monroe County (585) 758-5700

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 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.

Where is Carla Culhane located?

Carla Culhane practices at 990 South Ave Ste 207, Rochester, NY 14620. The listed phone number is (585) 341-6775.

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.

Is Carla Culhane enrolled in Medicare?

Yes. Carla Culhane 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.

Which organizations bill Medicare for Carla Culhane's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carla Culhane reassigns Medicare benefits to 3 organizations: Highland Hospital Of Rochester (Rochester, NY), Rochester General Hospital (Rochester, NY) and Western New York Medical Practice, P.C. (Rochester, 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 Carla Culhane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Carla Culhane affiliated with any hospitals?

According to CMS data, Carla Culhane is affiliated with F F Thompson Hospital, Highland Hospital and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Carla Culhane was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.