MEGAN SUZANNE CARMEL MD
NPI 1245441773
Obstetrics & Gynecology in Rochester, NY

Active since May 25, 2007PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
995 SENATOR KEATING BLVD, SUITE 210, ROCHESTER, NY 14618(585) 368-4455 Get Directions Write a Review

NPPES record last updated: May 7, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 7, 2021, Feb 12, 2019 (2 updates tracked since 2019).

About Megan Suzanne Carmel Md NPPES

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

MEGAN SUZANNE CARMEL MD (NPI 1245441773) is an individual obstetrics & gynecology provider in Rochester, New York, licensed in New York (260940) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1245441773
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMEGAN SUZANNE CARMELCredential: MD
Location Address995 SENATOR KEATING BLVD, SUITE 210Rochester, NY 14618-2775
Mailing Address100 Kings Hwy SRochester, NY 14617-5504 · (585) 922-0553
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMay 25, 2007
Last NPPES UpdateMay 7, 20212 updates tracked since enumeration
NPPES CertifiedMay 7, 2021
NPI 1245441773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in NY · 260940
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

995 SENATOR KEATING BLVD, Rochester, NY 14618

Secondary Practice Locations 2

Location 11415 Portland AveRochester, NY 14621-3038 · Phone (585) 922-4200 · Fax (585) 922-4922
Location 21331 E Victor RdVictor, NY 14564-9306 · Phone (585) 498-2280 · Fax (585) 742-1162

Other Identifiers 2

OtherP01209341NY · Medicare Rr
Medicaid03370587NY

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 Suzanne Carmel Md 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 ID3274701560
PECOS Enrollment IDI20110712000191
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 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.
21 services17 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
16 services16 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

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 14618 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
$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.

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 20

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

Internal Medicine
995 SENATOR KEATING BLVD, BLDG E STE 3100
ROCHESTER, NY 14618
Obstetrics & Gynecology
995 SENATOR KEATING BLVD, BLDG E SUITE 340
ROCHESTER, NY 14618
Urology
995 SENATOR KEATING BLVD, SUITE 330
ROCHESTER, NY 14618
Radiology (Diagnostic Radiology)
995 SENATOR KEATING BLVD, BLDG. E SUITE 100
ROCHESTER, NY 14618
Obstetrics & Gynecology
995 SENATOR KEATING BLVD, BLDG E SUITE 210
ROCHESTER, NY 14618
Radiology (Diagnostic Radiology)
995 SENATOR KEATING BLVD, BUILDING E SUITE 100
ROCHESTER, NY 14618
Internal Medicine
995 SENATOR KEATING BLVD, BLDG E SUITE 3100
ROCHESTER, NY 14618
Urology
995 SENATOR KEATING BLVD, SUITE 330
ROCHESTER, NY 14618

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 Carmel's NPI number?

The NPI number for Megan Carmel is 1245441773. It was assigned to this individual provider in the NPPES registry on May 25, 2007.

Where is Megan Carmel located?

Megan Carmel practices at 995 Senator Keating Blvd Suite 210, Rochester, NY 14618. The listed phone number is (585) 368-4455.

What is Megan Carmel's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Megan Carmel enrolled in Medicare?

Yes. Megan Carmel 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 Carmel affiliated with any hospitals?

According to CMS data, Megan Carmel is affiliated with Rochester General Hospital and Unity Hospital.

When was this NPI record last updated?

The NPPES record for Megan Carmel was last updated on May 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.