DR. GAVIN DANIEL O'MAHONY MD
NPI 1255531216
Orthopaedic Surgery - Hand Surgery in Rochester, NY

Active since July 18, 2007PECOS EnrolledAccepts Medicare Assignment
82.9/100
CMS Quality Rating
1445 PORTLAND AVE, ROCHESTER, NY 14621(585) 266-2010 Get Directions Write a Review

NPPES record last updated: October 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 26, 2023, Jul 17, 2023, Mar 5, 2021 and 1 more (4 updates tracked since 2016).

About Dr. Gavin Daniel O'mahony Md NPPES

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

DR. GAVIN DANIEL O'MAHONY MD (NPI 1255531216) is an individual hand surgery provider in Rochester, New York, licensed in New York (254833) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and is a graduate of Vanderbilt University School Of Medicine (2006).

NPPES Registry Identity

NPI1255531216
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameDR. GAVIN DANIEL O'MAHONYCredential: MD
Location Address1445 PORTLAND AVERochester, NY 14621-3036
Mailing Address100 Kings Hwy SRochester, NY 14617-5504
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 2006
Enumeration DateJuly 18, 2007
Last NPPES UpdateOctober 26, 20234 updates tracked since enumeration
NPPES CertifiedOctober 26, 2023
NPI 1255531216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
Licenses Licensed in NY · 254833 Licensed in OK · 29357
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
1445 PORTLAND AVE, Rochester, NY 14621

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

Dr. Gavin Daniel O'mahony 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 ID4587810999
PECOS Enrollment IDI20190627001128
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.
62 services47 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 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 14621 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
$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.

82.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.09
Promoting Interoperability100
Improvement Activities40
Cost65.94

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.

Neurological Surgery
1445 PORTLAND AVE, SUITE 304
ROCHESTER, NY 14621
Nurse Practitioner (Adult Health)
1445 PORTLAND AVE, SUITE 104
ROCHESTER, NY 14621
Neurological Surgery
1445 PORTLAND AVE, SUITE 304
ROCHESTER, NY 14621
Plastic Surgery
1445 PORTLAND AVE
ROCHESTER, NY 14621
Orthopaedic Surgery
1445 PORTLAND AVE, SUITE 210
ROCHESTER, NY 14621
Neurological Surgery
1445 PORTLAND AVE, SUITE 304
ROCHESTER, NY 14621
Surgery
1445 PORTLAND AVE, POB SUITE 301
ROCHESTER, NY 14621
Orthopaedic Surgery
1445 PORTLAND AVE, SUITE 210
ROCHESTER, NY 14621

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 Gavin O'mahony's NPI number?

The NPI number for Gavin O'mahony is 1255531216. It was assigned to this individual provider in the NPPES registry on July 18, 2007.

Where is Gavin O'mahony located?

Gavin O'mahony practices at 1445 Portland Ave, Rochester, NY 14621. The listed phone number is (585) 266-2010.

What is Gavin O'mahony's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Gavin O'mahony enrolled in Medicare?

Yes. Gavin O'mahony 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 Gavin O'mahony affiliated with any hospitals?

According to CMS data, Gavin O'mahony is affiliated with Rochester General Hospital and Unity Hospital.

When was this NPI record last updated?

The NPPES record for Gavin O'mahony was last updated on October 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.