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KATHLEEN MATTOON VANDERBROOK N.P.
NPI 1255340782
Nurse Practitioner - Adult Health in Clifton Springs, NY

Active since August 05, 2006PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
4 COULTER RD STE 1680, CLIFTON SPRINGS, NY 14432(315) 906-4059(315) 906-4132 Get Directions Write a Review

NPPES record last updated: May 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 19, 2021, May 22, 2020 (2 updates tracked since 2020).

About Kathleen Mattoon Vanderbrook N.p. NPPES

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

KATHLEEN MATTOON VANDERBROOK N.P. (NPI 1255340782) is an individual adult health provider in Clifton Springs, New York, licensed in New York (F300815) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Clifton Springs Hospital And Clinic, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1255340782
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKATHLEEN MATTOON VANDERBROOKCredential: N.P.
Location Address4 COULTER RD STE 1680Clifton Springs, NY 14432-1122
Mailing Address601 Elmwood Ave, Box 652Rochester, NY 14642-0001 · (585) 275-7741 · Fax (585) 244-4320
Phone(315) 906-4059
Fax(315) 906-4132
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateAugust 5, 2006
Last NPPES UpdateMay 19, 20212 updates tracked since enumeration
NPPES CertifiedMay 19, 2021
✔ NPI 1255340782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F300815
4 COULTER RD STE 1680, Clifton Springs, NY 14432
Open in Google Maps ↗

Secondary Practice Locations 4

Location 120 Hagen Dr Ste 120Rochester, NY 14625-2666 · Phone (585) 922-5300 · Fax (585) 922-0450
Location 2165 E Union St Ste 327Newark, NY 14513-1557 · Phone (315) 359-2661 · Fax (315) 331-6820
Location 3875 Pre Emption RdGeneva, NY 14456-2042 · Phone (315) 759-5320 · Fax (315) 350-3971
Location 4601 Elmwood Ave, Box 652Rochester, NY 14642-0001 · Phone (585) 275-7741 · Fax (585) 244-4320

Other Identifiers 1

Medicaid01545275NY

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

Kathleen Mattoon Vanderbrook N.p. 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 ID5092759316
PECOS Enrollment IDI20050620000399
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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
142 services88 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
31 services31 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
25 services21 patients
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.
15 services14 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14432 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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.

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

Referred Medical Equipment & Supplies CMS DME claims 3

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

Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories A6550
DME-Other DME · category DE000N
1 supplier14 claims135 services$22.24 avg. paid by Medicare
Canister, disposable, used with suction pump, each A7000
DME-Other DME · category DE000N
1 supplier13 claims85 services$6.69 avg. paid by Medicare
Negative pressure wound therapy electrical pump, stationary or portable E2402
DME-Other DME · category DE000N
1 supplier11 claims11 services$733.24 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Kathleen Vanderbrook's NPI number?

The NPI number for Kathleen Vanderbrook is 1255340782. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Kathleen Vanderbrook located?

Kathleen Vanderbrook practices at 4 Coulter Rd Ste 1680, Clifton Springs, NY 14432. The listed phone number is (315) 906-4059.

What is Kathleen Vanderbrook's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Kathleen Vanderbrook enrolled in Medicare?

Yes. Kathleen Vanderbrook 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 Kathleen Vanderbrook affiliated with any hospitals?

According to CMS data, Kathleen Vanderbrook is affiliated with Clifton Springs Hospital And Clinic.

When was this NPI record last updated?

The NPPES record for Kathleen Vanderbrook was last updated on May 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.