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

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
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: July 26, 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, is affiliated with Rochester General Hospital, and is a graduate of Other (1986).

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
Medical School CMSOtherGraduated 1986
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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Karen A. Mcmurtry 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 ID4486796109
PECOS Enrollment IDI20100119000417
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 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

Hospital Affiliations CMS Care Compare

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

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Karen Mcmurtry affiliated with any hospitals?

According to CMS data, Karen Mcmurtry is affiliated with Rochester General Hospital.

When was this NPI record last updated?

The NPPES record for Karen Mcmurtry was last updated on December 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.