KAREN A. MCMURTRY N.P.
NPI 1255439360
Nurse Practitioner - Family in Rochester, NY

Active since September 20, 2006PECOS Enrolled
95.19/100
CMS Quality Rating
222 ALEXANDER ST, MONROE COURT, ROCHESTER, NY 14607(585) 922-8350 Get Directions Write a Review

NPPES record last updated: December 12, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Karen A. Mcmurtry N.p. NPPES

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

KAREN A. MCMURTRY N.P. (NPI 1255439360) is an individual family provider in Rochester, New York, licensed in New York (330389) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255439360
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAREN A. MCMURTRYCredential: N.P.
Location Address222 ALEXANDER ST, MONROE COURTRochester, NY 14607-4039
Mailing Address222 Alexander St, Monroe CourtRochester, NY 14607-4039 · (585) 922-8350
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateDecember 12, 2022
NPPES CertifiedDecember 12, 2022
✔ NPI 1255439360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 330389
222 ALEXANDER ST, Rochester, NY 14607

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karen A. Mcmurtry N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Karen Mcmurtry reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
222 ALEXANDER ST
Rochester, NY 14607
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
Rehabilitation, Substance Use Disorder
81 LAKE AVE, EVELYN BRANDON HEALTH CENTER
Rochester, NY 14608
  • Reassigned Medicare billing, New York enrollment
  • 1,442 clinicians in this Medicare group
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

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 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.
46 services35 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.
26 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14607 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.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
1 supplier12 claims24 services$18.37 avg. paid by Medicare
Injection, immune globulin (hizentra), 100 mg J1559
Treatment-Injections and Infusions (nononcologic) · category RI008N
1 supplier12 claims3,360 services$9.44 avg. paid by Medicare
Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each K0552
DME-Other DME · category DE000N
1 supplier12 claims48 services$2.37 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.

Social Worker
222 ALEXANDER ST
ROCHESTER, NY 14607
Pediatrics
222 ALEXANDER ST, SUITE 4200
ROCHESTER, NY 14607
Internal Medicine (Allergy & Immunology)
222 ALEXANDER ST, MONROE COURT
ROCHESTER, NY 14607
Pediatrics
222 ALEXANDER ST, SUITE 4100/4200
ROCHESTER, NY 14607
Nurse Practitioner (Pediatrics)
222 ALEXANDER ST, 4TH FLOOR
ROCHESTER, NY 14607
Internal Medicine
222 ALEXANDER ST, SUITE 5000
ROCHESTER, NY 14607
Dietitian, Registered
222 ALEXANDER ST, STE 5100
ROCHESTER, NY 14607
Physician Assistant
222 ALEXANDER ST, SUITE 2400
ROCHESTER, NY 14607

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 Karen Mcmurtry's NPI number?

The NPI number for Karen Mcmurtry is 1255439360. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Karen Mcmurtry located?

Karen Mcmurtry practices at 222 Alexander St Monroe Court, Rochester, NY 14607. The listed phone number is (585) 922-8350.

What is Karen Mcmurtry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Karen Mcmurtry enrolled in Medicare?

Yes. Karen Mcmurtry is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Karen Mcmurtry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Mcmurtry reassigns Medicare benefits to 3 organizations: Rochester General Hospital (Rochester, NY), The Unity Hospital Of Rochester (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 Karen Mcmurtry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Karen Mcmurtry was last updated on December 12, 2022. 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.